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10 Cards in this Set
- Front
- Back
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Following a hip replacement what is important patient teaching? A. place abductor pillow between pelvis B. place adductor pillow between pelvis C. Encourage pt to bend and stretch D. Do not sit for prolonged periods of time E. Do not cross legs |
A, D, E, Hips should be abducted away from the body to prevent contractures. Crossing legs and sitting for long periods of time cause hip dislocation. |
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Which of the following indicated further pt teaching regarding their new bilateral below the knee amputation (BKA)? A. " I will keep my leg elevated above heart level" B. " I will report to my dr. a fever of >100.4" C. " Phantom pain is a normal finding" D. "I will inspect my suture line every 2 hrs for purulent drainage" |
A. Limb should be elevated at the level of the heart |
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What nutrition would be expected for a pt with a new fracture? A. chocolate chip cookies B. grilled fish, green beans, coke C. grilled chicken, salad, glass of milk D. Steak, mashed potatoes mac and cheese |
C. This meal is balanced,includes protein, and calcium. |
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A 75 y/o male presents to the ER with a left hand deformity. Upon assessment the arm has pallor and no pulse. What is your primary action? A. reassess in 1 hr B. Elevate extremity to level of heart C. Call the dr. D. Do nothing, this is a normal finding w/ deformities |
C. Compartment syndrome is medical emergency |
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Your patient is post-op from an open reduction of right tibia. What selection of foods would you anticipate for your patient to receive adequate nutrition? A. Chicken fried steak B. Grilled chicken, broccoli, oranges, milk C. Cheeseburger, fruit salad, sprite D. Spaghetti, garlic bread, iced tea |
B. Diet is high in protein, calcium, and vitamin B, C, D to promote bone healing. |
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The patient is scheduled for an amputation. Which of the following are possible indications for this procedure? A. Necrotic tissue of the foot from PVD B. Severe osteomyelitis unresponsive to antibiotics C. Patient experiencing numbness and tingling to upper extremities E. Patient experiencing phantom pain D. Severe frostbite to phalanges |
A, B, D A.PVD and vascular changes from diabetes. The extremity has to have circulation to heal. B. Infection D. Thermal injuries that cause necrosis |
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You're caring for a patient who has had a hip fracture. What nursing interventions will you take? A. Abductive pillows between the knees B. Rest for 30-45 mins at a time C. Educate patient that it is okay to drive after 1 week D. Adductive pillows between the knees E. Educate patient to install a raised toilet seat at home |
A. B. E. |
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What would be an inappropriate nursing intervention for pin care or cast care? A. Keep the extremity elevated at the level of the heart B. Apply ice to bare arm C.Clean with 1/2 strength peroxide and NS D. Relieve itching with cool setting on dryer |
B. this is not appropriate all other interventions are appropriate |
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What is a hallmark finding of compartment syndrome? A. unrelieved pain with narcotics B. partial swelling C. pressure at 9 D. cap refill of 2 |
A. |
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A construction worker presents to the ER after being pinned between a bulldozer and wall. What electrolyte imbalances would you monitor for? A. potassium of 3.0 B. sodium of 128 C. calcium of 12.0 D. potassium of 5.7 |
D. Hyperkalemia can occur with release from crushed cells |
