Understanding Medical-Surgical Nursing with DavisEdge Chapter 45 & 46
A patient is scheduled for a right total hip replacement. The nurse should teach which of the following
postoperative leg positions? - ansMaintain legs in abduction
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? - ansAsk if there is any metal in the patient's body
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? - ansNotify the health care
provider
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? - ansMaintain ideal body weight
A school-age child with a new long-leg cast is complaining of increasing pain. What should the nurse do? -
ansNotify the health-care provider
After a knee replacement, dislocation is a possible complication. - ansFalse, dislocation is not a concern.
All are examples of acquired musculoskeletal disorders except: - ansOsteogenesis imperfecta
RICE - ansRest to protect it
Ice to decrease pain, swelling, inflammation
Compression with elastic bandage
Elevating affected area (if appropriate)
The nurse asks the patient to perform which of these to check muscle strength? Select all that apply. - ansPush
feet against nurse's hands
, Squeeze nurse's hands
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? - ansTo assess for an allergic reaction
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?"
"Do you exercise regularly?"
"What is typically included in your daily diet?"
The nurse is caring for a child recovering from spinal surgery for scoliosis. What should the nurse do before
repositioning this child? - ansAsk others to assist
The nurse is caring for a male patient with gout. Which of the following lab values would be a priority for the
nurse to report to the physician? - ansUric acid 10.2 mg/dL
The nurse is caring for a patient being transferred into bed who has just had a plaster long-leg cast applied. The
patient reports pain of 6 on a scale of 0 to 10. Place the nursing interventions in order of priority. - ans1. Palm
cast as positioned upon pillow
2. Expose cast to air dry
3. Check circulation, sensory, and mobility status
4. Obtain vital signs
5. Administer oral analgesic
The nurse is caring for a patient immediately after a below-the-knee amputation. Which data collection should
the nurse consider a priority? - ansStump dressings
A patient is scheduled for a right total hip replacement. The nurse should teach which of the following
postoperative leg positions? - ansMaintain legs in abduction
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? - ansAsk if there is any metal in the patient's body
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? - ansNotify the health care
provider
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? - ansMaintain ideal body weight
A school-age child with a new long-leg cast is complaining of increasing pain. What should the nurse do? -
ansNotify the health-care provider
After a knee replacement, dislocation is a possible complication. - ansFalse, dislocation is not a concern.
All are examples of acquired musculoskeletal disorders except: - ansOsteogenesis imperfecta
RICE - ansRest to protect it
Ice to decrease pain, swelling, inflammation
Compression with elastic bandage
Elevating affected area (if appropriate)
The nurse asks the patient to perform which of these to check muscle strength? Select all that apply. - ansPush
feet against nurse's hands
, Squeeze nurse's hands
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? - ansTo assess for an allergic reaction
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?"
"Do you exercise regularly?"
"What is typically included in your daily diet?"
The nurse is caring for a child recovering from spinal surgery for scoliosis. What should the nurse do before
repositioning this child? - ansAsk others to assist
The nurse is caring for a male patient with gout. Which of the following lab values would be a priority for the
nurse to report to the physician? - ansUric acid 10.2 mg/dL
The nurse is caring for a patient being transferred into bed who has just had a plaster long-leg cast applied. The
patient reports pain of 6 on a scale of 0 to 10. Place the nursing interventions in order of priority. - ans1. Palm
cast as positioned upon pillow
2. Expose cast to air dry
3. Check circulation, sensory, and mobility status
4. Obtain vital signs
5. Administer oral analgesic
The nurse is caring for a patient immediately after a below-the-knee amputation. Which data collection should
the nurse consider a priority? - ansStump dressings
