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NURS 220 (SURGERY) QUESTIONS AND ANSWERS ELABORATIONS BASED ON FINAL EXAM!!
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NURS 220 (SURGERY) QUESTIONS AND ANSWERS ELABORATIONS BASED ON FINAL EXAM!!
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NURS 220 (SURGERY) QUESTIONS AND ANSWERSELABORATIONS BASED ON FINAL EXAM!!
You believe your patient has compartment syndrome. What is your best action?
A. Provide pain relief
B. Ice the extremity
C. Contact provider STAT
D. Apply oxygen
answers: Contact provider STAT
What are the signs and symptoms of fat embolism?
A. bradycardia, cherry angiomas, hyperreflexia
B. shortness of breath, hypoxemia, confusion, petechial rash
C. calf pain, tachycardia, bradypnea
D. hypoxemia, joint pain, back spasms
answers: shortness of breath, hypoxemia, confusion, petechial rash
Your patient's extremity has: pain, pulselessness, pallor, paresthesia, paralysis...
what are you concerned about?
A. Salicylate toxicity
B. Rheumatoid arthritis
C. Compartment syndrome
D. Genu Valgum
answers: Compartment syndrome
Parathyroid hormone does all EXCEPT
A. stimulates osteoclasts
B. causes reabsorption of bone
C. causes Ca+ levels in the blood to rise
D. stimulates osteoblasts
,answers: stimulates osteoblasts
On x-ray, the bone has a linear fracture in a straight perpendicular line across
the bone. This type of fracture is:
A. Spiral
B. Oblique
C. Transverse
D. Longitudinal
answers: Transverse
Which of the following is NOT a preventative intervention against DVT/PE?
A. Anticoagulative Prophylaxis
B. Prolonged bedrest
C. Early mobilization
D. Use of thromboembolic deterrent stockings
answers: Prolonged bedrest
Which of the following statements about calcium metabolism is true?
A. Parathyroid hormone decreases the calcium levels in the blood
B. Calcitonin increases the level of calcium in the blood.
C. Parathyroid hormones stimulates osteoclast activity.
D. Calcitonin encourages bone resorption.
answers: Parathyroid hormones stimulates osteoclast activity.
Which statement by the nurse describes a comminuted fracture to the client?
A. The ends of the broken bones are forced together."
B. The bone is breaking through the skin."
C. The bone is broken into many pieces."
D. A fragment of the bone is separated from the rest of the bone."
,answers: The bone is broken into many pieces.
A cast was applied for fracture. Pt complains of pain and numbness in the
fingers. What is the priority intervention?
A. Notifying the healthcare provider for cast removal
B. Elevating the extremity
C. Preparing for fasciotomy
D. Performing frequent neurovascular checks
answers: Notifying the healthcare provider for cast removal
Pt with a long bone fracture suddenly has RR:28, O2 sat:86%, and is confused
&restless. Which intervention is priority?
A. Applying oxygen and continuing to assess respiratory status
B. Intubating the client immediately
C. Immediately immobilizing the pelvic area
D. Administering corticosteroids as ordered
answers: Applying oxygen and continuing to assess respiratory status
A pt had a cast applied and requires frequent neurovascular checks. Which
assessment should the nurse perform? (SATA)
A. Paresthesia
B. Pain
C. Position
D. Color
answers: Paresthesia
Pain
Color
Which intervention assists in reducing the risk of a deep vein thrombosis
(DVT)? (Select all that apply.)
, A. Positioning an abduction pillow between the legs
B. Administering anticoagulants as prescribed
C. Placing compression stockings on the client
D. Turning the client every 2 hours
answers: Administering anticoagulants as prescribed
Placing compression stockings on the client
2 days after pelvis fracture, a 64yo patient suddenly develops confusion. Which
action should the nurse take first?
A. Take the blood pressure.
B. Assess patient orientation.
C. Check the oxygen saturation.
D. Observe for facial asymmetry.
answers: Check the oxygen saturation.
Which finding would alert the nurse to notify the physician of a potential
complication for the client with a leg cast?
A. Itching under the cast
B. Poor capillary refill of the toes
C. Ability of client to move toes without difficulty
D. Pain relieved by application of ice bag to cast
answers: Poor capillary refill of the toes
The nurse concludes that this data is consistent with which of the following?
open reduction and internal fixation, pain, tenderless, warmth, chills, malaise,
high temperature
A. Fat embolism
B. Compartment syndrome
C. Osteomyelitis
D. Malunion of the bone
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