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Nursing - 309 Post Op Hips and Knees (Iggy Ch 51, 18) Questions With Complete Solutions
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Nursing - 309 Post Op Hips and Knees (Iggy Ch 51, 18) Questions With Complete Solutions
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Nursing - 309 Post Op Hips and Knees (Iggy Ch 51, 18)Questions With Complete Solutions
A client experiences a traumatic amputation of a leg in a motor
vehicle accident. Which nursing intervention INITIALLY
should receive the lowest priority? Correct Answers Teaching
residual limb care.
A client had an above the knee amputation of the left leg
because of trauma from a motor vehicle collision.
The health care provider orders ambulation with crutches until
the residual limb is healed and the client can be fitted with a
prosthesis.
What should be the nurse's FIRST intervention? Correct
Answers Determine if the client has ever used crutches before.
A client has a total hip arthroplasty.
What should the nurse do when caring for this client after
surgery? Correct Answers Use a pillow to keep the legs
abducted.
A client has a total hip replacement.
Which clinical indicators of pulmonary embolism indicate that
the plan to prevent postoperative thrombus formation has been
ineffective? Correct Answers Unilateral chest pain.
Sudden onset of shortness of breath.
A client has a total knee replacement, and a continuous passive
motion device is being used.
,The nurse concludes that the teaching was effective when the
client states, "The goal of this therapy to--" Correct Answers
Improve joint flexion."
A client has an amputation of a lower limb.
What instructions should the nurse give the client to prevent a
hip flexion contracture? Correct Answers Lie on the abdomen
30 minutes four times daily.
A client has surgery to repair a fractured right hip.
Where should the nurse stand when assisting the client to
ambulate? Correct Answers On the client's left side.
A client is admitted with a fracture of the neck of the femur.
In what position should the nurse maintain the client's affected
extremity? Correct Answers Internal rotation with extension of
the knee and hip.
A client is in skin traction while awaiting surgery for repair of a
fractured femur.
The client reports leg discomfort and asks the nurse to release
the traction.
Which is the nurse's BEST INITIAL response? Correct
Answers "I can't because the eights are needed to keep the bone
aligned."
A client is ready to walk with crutches after knee surgery.
Which crutch walking technique will the nurse most likely have
to reinforce after the client returns from physical therapy?
Correct Answers Three-point
, A client with a fractured hip is helped from the bed to a chair
after surgery.
The nurse instructs the client to bear most of the weight on the
unaffected leg before sitting in a chair.
What should the nurse explain is the benefit of bearing most of
the weight on the unaffected? Correct Answers Will help
maintain the strength of the unaffected limb
A client with a fractured hip is placed in traction until surgery
can be performed.
What should the nurse explain is the purpose of the traction?
Correct Answers Relieve muscle spasm and pain.
A nurse is caring for a client in the evening after the client has
had a below the knee amputation.
What action should be implemented by the nurse? Correct
Answers Elevate the foot of the bed.
A nurse is caring for a client who developed aseptic necrosis
after a fracture of the head of the femur. The nurse understands
that aseptic necrosis is associated with which factor? Correct
Answers Loss of blood supply to the head of the femur.
A nurse is caring for a client who had a total hip replacement.
What is the priority assessment when monitoring the client for
hemorrhage? Correct Answers Examining the bedding under
the client
A nurse is caring for a client who had a total hip replacement.
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