Quiz 2 : Nursing Care IV Feb 2019

A client is 1 day postoperative after a total hip replacement. The client should be placed in which of the following position?

• Supine

• Semi Fowler's

• Orthopneic

• Trendelenburg

A client who has had a plaster of Paris cast applied to his forearm is receiving painmedication. To detect early manifestations of compartment syndrome, which of theseassessments should the nurse make?

• Observe the color of the fingers

• Palpate the radial pulse under the cast

• Check the cast for odor and drainage

• Evaluate the response to analgesics

After a computer tomography scan with intravenous contrast medium, a client returnsto the unit complaining of shortness of breath and itching. The nurse should be preparedto treat the client for

• An anaphylactic reaction to the dye

• Inflammation from the extravasation of fluid during injection

• Fluid overload from the volume of the infusions

• A normal reaction to the stress of the diagnostic procedure

While caring for a client with a newly applied plaster of Paris cast, the nurse makesnote of all the following conditions. Which assessment finding requires immeditenotification of the physician?

• Moderate pain, as reported by the client

• Report, by client, the heat is being felt under the cast

• Presence of slight edema of the toes of the casted foot

• Onset of paralysis in the toes of the casted foot

Which of these nursing actions will best promote independence for the client inskeletal traction?

• Instruct the client to call for an analgesic before pain becomes severe.

• Provide an overhead trapeze for client use

• Encourage leg exercise within the limits of traction

• Provide skin care to prevent skin breakdown

The nurse is caring for a client with compound fracture of the tibia and fibula. Skeletal traction is applied. Which of these priorities should the nurse include in the care plan?

• Order a trapeze to increase the client's ambulation

• Maintain the client in a flat, supine position at all times.

• Provide pin care at least every hour

• Remove traction weights for 20 minutes every two hours

Which nursing intervention is appropriate for a client with skeletal traction?

• Pin care

• Prone positioning

• Intermittent weights

• Weight limit

In order for Buck's traction applied to the right leg to be effective, the client should be placed in which position?

• Supine

• Sim's

• Prone

• Lateral

Following an amputation, the advantage to the client for an immediate prosthesisfitting is:

• Ability to ambulate sooner

• Less change of phantom limb sensation

• Dressing changes are not necessary

• Better fit of the prosthesis

One method of assessing for sign of circulatory impairment in a client with a

fractured femur is to ask the client to

• Cough and deep breathe

• Turn himself in bed

• Perform biceps exercise

• Wiggle his toes