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NURS 309 Quiz #13 Questions With Complete Solutions
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NURS 309 Quiz #13 Questions With Complete Solutions
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NURS 309 Quiz #13 Questions With Complete SolutionsA client experiences a traumatic amputation of a leg in a motor
vehicle accident. Which nursing intervention initially should
receive the lowest priority?
1. Teaching residual limb care
2. Monitoring hemoglobin levels
3. Maintaining the compression dressing
4. Using therapeutic interviewing techniques 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?
1. Demonstrate the swing-through crutch walking gait
2. Determine if the client has ever used crutches before
3. Introduce the client to another client who is using crutches
4. Provide a pamphlet that has information about using crutches
Correct Answers Determine if the client has ever used crutches
before
A client has a long leg cast. What instructions should the nurse
give the client in preparation of crutch walking?
1. Use the trapeze to strengthen the biceps
2. Keep the affected limb in extension and abduction
3. Sit up straight in a chair to develop the back muscles
4. Do exercises in bed to strengthen the upper extremities
Correct Answers Do exercises in bed to strengthen the upper
extremities
,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? Select
all that apply.
1. Flushing of the face
2. Unilateral chest pain
3. Elevation of temperature
4. Sudden onset of shortness of breath
5. Pain rating increase from 2 to 8 in the hip Correct Answers
1. Unilateral chest pain
4. 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 is to:
1. improve joint flexion."
2. maintain muscle tone."
3. prevent tissue breakdown."
4. avoid formation of a blood clot." 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?
1. Turn from side to side every 1 to 2 hours
2. Sit in a chair for 30 minutes three times a day
3. Lie on the abdomen 30 minutes four times daily
, 4. Perform quadriceps muscle setting exercises twice daily
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?
1. Behind the client
2. In front of the client
3. On the client's left side
4. On the client's right side 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?
1. Internal rotation with flexion of the knee and hip
2. External rotation with flexion of the knee and hip
3. Internal rotation with extension of the knee and hip
4. External rotation with extension of the knee and hip 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?
1. "I can't because the weights are needed to keep the bone
aligned"
2. "I will remove half of the weights and notify your health care
provider"
3. "I'll get your prescribed pain medication to help relieve your
discomfort"
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