Understanding Medical-Surgical Nursing
with DavisEdge Chapter 45 & 46
1. A patient is scheduled for a right total hip replacement. The nurse should teach which of
the following postoperative leg positions? - ANS-Maintain legs in abduction
2. A patient is scheduled for magnetic resonance imaging of the pelvis. Which of the
following actions would the nurse take if during data collection it was revealed that the
patient had had a previous surgery for heart problems? - ANS-Ask if there is any metal in
the patient's body
3. A patient who has a 36-hour-old fractured femur had morphine 5 mg intramuscularly 1
hour ago and is now reporting severe unrelieved pain. Which nursing action is most
appropriate? - ANS-Notify the health care provider
4. A patient with osteoarthritis who had a right total knee replacement tells the nurse that
the other knee is becoming painful. Which of the following is the most appropriate
instruction to help the patient preserve function of the left knee? - ANS-Maintain ideal
body weight
5. A school-age child with a new long-leg cast is complaining of increasing pain. What
should the nurse do? - ANS-Notify the health-care provider
6. After a knee replacement, dislocation is a possible complication. - ANS-False,
dislocation is not a concern.
7. All are examples of acquired musculoskeletal disorders except: - ANS-Osteogenesis
imperfecta
8. RICE - ANS-Rest to protect it
9. Ice to decrease pain, swelling, inflammation
10. Compression with elastic bandage
11. Elevating affected area (if appropriate)
12. The nurse asks the patient to perform which of these to check muscle strength? Select
all that apply. - ANS-Push feet against nurse's hands
13.
14. Squeeze nurse's hands
15. The nurse evaluates the patient as understanding teaching on the purpose of a test dose
of gold therapy if the patient states which of these? - ANS-To assess for an allergic
reaction
16. The nurse is assigned to care for a patient who has been diagnosed with a
musculoskeletal disease that causes decreased bone density. Which data collection
questions are most appropriate by the nurse? Select all that apply. - ANS-"What forms of
physical activity are you able to participate in?"
17.
18. "Do you exercise regularly?"
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