med surg 2 final exam (test bank)
The nurse is preparing for a home visit to a patient after surgery for a compound fracture. Which specific
care does the nurse anticipate for this patient? - ANS Changing wound dressings
A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a
fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus. Which
condition does the nurse recognize as a possible complication for this patient? - ANS Delay or absence of
healing
An older adult patient is postoperative for a total hip joint replacement. Which nursing care is
inappropriate for this patient on the day of surgery? - ANS Medicated with oral pain medications
The nurse is providing care for a patient who is scheduled for joint replacement the next day. Which
patient care goals are appropriate at this time? - ANS Manage preoperative pain.
The nurse is providing care for a patient following an open reduction of a compound fracture. Which
neurologic finding does the nurse report immediately to the HCP or registered nurse (RN)? - ANS There
exists numbness and tingling sensations
A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which
patient statement indicates understanding of the action of this medication? - ANS "It blocks formation
of uric acid."
The nurse is contributing to the plan of care for a patient who has an upper extremity amputation.
Which factor does the nurse keep in mind about this type of amputation being more debilitating than a
lower extremity amputation? - ANS The upper extremity is more specialized.
A patient who has a displaced midshaft fracture of the left femur is in balanced suspension skeletal
traction with 35 pounds of weight. The patient reports calf pain with right foot dorsiflexion. Which
action does the nurse take? - ANS Notify the RN.
, The home-care nurse is attending to a patient with osteomyelitis in a lower extremity from a traumatic
bone fracture. The patient has an open wound that is infected. Which observation prompts the nurse to
provide additional information to the patient and family? - ANS Clean technique is used when the
dressing is changed.
The nurse is providing care for a patient being treated after a complicated femur fracture. The nurse has
noticed drowsiness, tachycardia, and a low-grade fever. Which additional manifestation alerts the nurse
to the possibility of a fat emboli? - ANS Presence of a petechial rash on chest and neck
The nurse is assisting with the preparation of materials for a health fair aimed at promoting health in
women. Which reason does the nurse recognize as a probable cause of an increase in the incidence of
osteoporosis? - ANS The ages of adults have increased.
The nurse is providing care for a patient who experienced a closed reduction to a fracture of the ulna.
Which manifestation does the nurse recognize as an early symptom of acute compartment syndrome? -
ANS Pallor with extremity warmth
The nurse is providing care for a patient after an above-the-knee amputation because of ischemia
related to diabetes mellitus complications. Which nursing care is essential for promoting ambulation? -
ANS Lying on the abdomen as prescribed
A patient is being prepared for a prosthesis following surgery for an amputation. Which information will
the nurse provide to the client regarding the use of a prosthesis? - ANS Skin inspection is performed
each time the sock is removed.
The nurse is providing care for a patient with external fixation for a fracture involving severe bone
damage. Which is the most important focus for the nurse during care of this patient? - ANS Monitoring
pin and wound sites for signs of infection
The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse must
remember in which way RA care is different from osteoarthritis care. Which nursing care does the nurse
The nurse is preparing for a home visit to a patient after surgery for a compound fracture. Which specific
care does the nurse anticipate for this patient? - ANS Changing wound dressings
A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a
fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus. Which
condition does the nurse recognize as a possible complication for this patient? - ANS Delay or absence of
healing
An older adult patient is postoperative for a total hip joint replacement. Which nursing care is
inappropriate for this patient on the day of surgery? - ANS Medicated with oral pain medications
The nurse is providing care for a patient who is scheduled for joint replacement the next day. Which
patient care goals are appropriate at this time? - ANS Manage preoperative pain.
The nurse is providing care for a patient following an open reduction of a compound fracture. Which
neurologic finding does the nurse report immediately to the HCP or registered nurse (RN)? - ANS There
exists numbness and tingling sensations
A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which
patient statement indicates understanding of the action of this medication? - ANS "It blocks formation
of uric acid."
The nurse is contributing to the plan of care for a patient who has an upper extremity amputation.
Which factor does the nurse keep in mind about this type of amputation being more debilitating than a
lower extremity amputation? - ANS The upper extremity is more specialized.
A patient who has a displaced midshaft fracture of the left femur is in balanced suspension skeletal
traction with 35 pounds of weight. The patient reports calf pain with right foot dorsiflexion. Which
action does the nurse take? - ANS Notify the RN.
, The home-care nurse is attending to a patient with osteomyelitis in a lower extremity from a traumatic
bone fracture. The patient has an open wound that is infected. Which observation prompts the nurse to
provide additional information to the patient and family? - ANS Clean technique is used when the
dressing is changed.
The nurse is providing care for a patient being treated after a complicated femur fracture. The nurse has
noticed drowsiness, tachycardia, and a low-grade fever. Which additional manifestation alerts the nurse
to the possibility of a fat emboli? - ANS Presence of a petechial rash on chest and neck
The nurse is assisting with the preparation of materials for a health fair aimed at promoting health in
women. Which reason does the nurse recognize as a probable cause of an increase in the incidence of
osteoporosis? - ANS The ages of adults have increased.
The nurse is providing care for a patient who experienced a closed reduction to a fracture of the ulna.
Which manifestation does the nurse recognize as an early symptom of acute compartment syndrome? -
ANS Pallor with extremity warmth
The nurse is providing care for a patient after an above-the-knee amputation because of ischemia
related to diabetes mellitus complications. Which nursing care is essential for promoting ambulation? -
ANS Lying on the abdomen as prescribed
A patient is being prepared for a prosthesis following surgery for an amputation. Which information will
the nurse provide to the client regarding the use of a prosthesis? - ANS Skin inspection is performed
each time the sock is removed.
The nurse is providing care for a patient with external fixation for a fracture involving severe bone
damage. Which is the most important focus for the nurse during care of this patient? - ANS Monitoring
pin and wound sites for signs of infection
The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse must
remember in which way RA care is different from osteoarthritis care. Which nursing care does the nurse
