A. have my knee placed in a continuous passive motion machine for 24 hours a day.”
B. ask for pain medicine whenever the pain gets bad.”
C. wear elastic stockings on both legs until I am discharged.”
D. have to stay in bed for a week after my surgery.”
A. remove the weight and move the client to the correct alignment in bed
B. check for movement of the toes in the left foot
C. notify the attending orthopedic physician
D. help the client use the trapeze to pull himself up in bed
A. coldness of the toes
B. capillary refill of 3 seconds
C. blanching of the nailbeds with pressure
D. pain at the surgical site
A. use a hair dryer on a cool setting to blow air into the cast
B. elevate the affected extremity
C. provide a cotton swab to scratch the area
D. explain to the client that itching is an indication the fracture is healing
A. hypovolemic shock
B. fat embolism
D. bone malalignment
A. application of ice to the site to decrease the edema
B. application of a short leg cast to limit movement of the involved ankle joint
C. administration of clucocorticoids to decrease the inflammatory process
D. insertion of a peripherally inserted catheter line for long-term IV antibiotics
A. an actual pain sensation
B. a delusional belief
C. a referred postoperative incisional pain
D. a defense mechanism of denial
A. continue typical activities with the ankle immobilized
B. keep the extremity in a dependent position
C. keep a loose dressing on the affected area
D. apply cold compresses to the affected area
A. bulging in the right hip area
B. shortening of the right leg
C. adduction of the left leg
D. external rotaiton of the right leg
B. pulmonary embolus
C. tension pneumothorax
D. flail chest
C. rheumatoid arthritis
A. Suction the emesis from the client’s mouth using a tonsil tip suction.
B. Insert an NG tube to suction out any remaining stomach contents.
C. Immediately cut the wires to allow the client to expectorate the emesis.
D. Instruct the client to vomit in an emesis basin
A. Fluctuant subcutaneous nodules
B. Heberden’s nodes
D. Boutonniere deformity
A. Decreased range of motion of the fingers distal to the cast
B. Numbness and tingling
C. Cyanosis of the fingers distal to the cast
D. Elevated client temperature
A. suggest that the client push the button for the PCA device.
B. reposition the client for increased comfort per the client’s instruction.
C. complete the assessment of the client including the client’s pain.
D. turn off the continuous passive motion machine until the pain improves.
A. bent at the elbow.
B. positioned on two pillows.
C. close to the body.
D. with the shoulder at a 90º angle.
A. risk for hemorrhage
B. complications of immobility
C. inability to perform self-care
D. altered body image
A. schedule the medication between meals
B. take the medication with a calcium supplement
C. take the medication with food
D. sit up for 30 minutes after administration
A. nursing care plan reflects realistic nursing goals for the client
B. health care team must meet weekly to discuss the client’s progress
C. client’s family must be involved in decision making
D. client must be an active participant in the program