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Exam 4 NUR 340 Content Quizzes- Questions and Correct Answers
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  • NUR 340
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  • NUR 340

A nurse on a medical-surgical orthopedic unit is caring for a patient who underwent a posterior hip arthroplasty yesterday. What should the nurse include in her plan of care to prevent dislocation of the new prosthesis? A. Keep the affected leg in a position of adduction. B. Ambulate with a gait be...

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  • August 28, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • exam 4 nur 340 content quizzes questions and corr
  • a nurse on a medical surgical orthopedic unit is c
  • a patient is in skeletal traction after fracturing

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  • NUR 340
  • NUR 340

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Exam 4 NUR 340 Content Quizzes-
Questions and Correct Answers
A nurse on a medical-surgical orthopedic unit is caring for a patient who underwent a
posterior hip arthroplasty yesterday. What should the nurse include in her plan of care
to prevent dislocation of the new prosthesis?
A. Keep the affected leg in a position of adduction.
B. Ambulate with a gait belt and walker.
C. Protect the affected leg from internal rotation.
D. Keep the hip flexed by placing pillows under the client's knee. ✅C. Protect the
affected leg from internal rotation.

why? We want to have the legs away and keep the abductor away

A patient is in skeletal traction after fracturing his left tibia. The nurse should include
which action in the plan of care?

A. Maintaining the bed in the knee latch position
B. Removing the weights once every shift
C. Keeping the patient in semi-Fowler's position
D. Maintaining correct body alignment ✅D. Maintaining correct body alignment

Why? concerns: worried abt body alignment. Assessment of neurovasucular; assess
body alignment

A nurse is assessing the neurovascular status of a patient who has had a leg cast
recently applied. The nurse is unable to palpate the patient's dorsalis pedis or posterior
tibial pulse and the patient's foot is pale. What is the nurse's most appropriate action?

A. Reposition the patient with the affected foot dependent.
B. Promptly inform the primary provider.
C. Reassess the patient's neurovascular status in 15 minutes.
D. Warm the patient's foot and determine whether circulation improves. ✅B.Promptly
inform the primary provider.

What is wrong with the pt? NO PULSE!! Pt foot is pale. Emergency! We can't do
anything

The nurse is caring for a patient pre-operatively who has come into the ED with a left
femur fracture. The nurse finds the patient to have an oxygen saturation of 89%, new
onset confusion, and a rash on the upper torso. What does the nurse suspect is
occurring with this patient?

A. Fat embolism syndrome

, B. Heparin-induced thrombocytopenia
C. Pulmonary Embolism
D. Compartment syndrome ✅A. Fat Embolism Syndrome

Priority Action: Oxygen!!!! We as nurses we can do this
Oxygen, Rash, and Confusion

A nurse is caring for a patient who is being treated for a DVT currently on a heparin drip
per the thromboembolic protocol at 16.5ml/hr. Which of the following put this patient at
risk for developing a blood clot?

A. History of rheumatoid arthritis and hypertension
B. Consumes a high fiber, low fat diet
C. Currently prescribed prednisone 10mg daily
D. Recent 16hr car travel across the states ✅D. Recent 16hr car travel across the
states

Why? Immobilization

The nurse is caring for a patient 3 hours after returning to the surgical unit following a
laparoscopic cholecystectomy. The nurse obtains the following data in her initial
assessment. Which choice does the nurse understand to be the most concerning?

1.60 ml dark yellow urine output
2.Complaints of shoulder pain
3.30 mL green-yellow emesis
4.Complains of pain 5/10 ✅1. 60 ml dark yellow urine output

Why? > we want at least 30 mls per hour so it should be around 90 ml

What intervention does the nurse know to be most effective for a laprascopic post-op
patient complaining of abdominal bloating and gas pain?

1.Administer ordered pain medication
2.Ambulate early and frequently
3.Administer ordered laxative PRN
4.Encourage increased fluid intake ✅2. Ambulate early and frequently

Why? The insufflations, ambulate often!!

A patient is 2 hours post-op open cholecystectomy. Which information warrants
immediate intervention by the nurse?

1.Hypoactive bowel sounds in all 4 quadrants
2.T-tube with 30 mL of green drainage
3.Light yellow urine output of 60 mL

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