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Week 3: Ortho

Authored by A H

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Week 3: Ortho
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10 questions

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1.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

The nurse is caring for a client who is POD1 for a knee replacement. The nurse would be most concerned about which of the following findings? 

Decreased sensation and tingling in their feet 

Reports pain at the knee while ambulating with PT 

Complaints of nausea and vomiting 

Temperature 37.5 

2.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse is caring for a client who is 72 yrs old with a history of osteoarthritis. The client is POD1 for a total knee replacement of the R knee. The nurse arrives at the clients room during their assessment and finds the client to have 9/10 pain that is exacerbated by passive movement of the toes. The client reports the calf feeling tight with associated tingling sensation. The nurses next priority assessment or intervention would be:

Notify the physician 

Assess distal pulses 

Perform ROM exercises 

Provide analgesia 

3.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse is caring for a client who is 72 yrs old with a history of osteoarthritis. The client is POD1 for a total knee replacement of the R knee. The nurse arrives at the clients room during their assessment and finds the client to have 9/10 pain that is exacerbated by passive movement of the toes. The client reports the calf feeling tight with associated tingling sensation. After assessing the clients’ pedal pulses, the nurse identifies that they are weak. The nurse then notifies the physician of their assessment and recognizes that these are signs of: 

Wound healing 

Expected findings of an orthopedic surgery 

Compartment syndrome 

Acute pain response 

4.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Which of the following indicates the client understood cast care: 

I will use a ruler to scratch under my cast 

I will not move the affected leg to ensure it does not misalign the fracture 

I can walk on the cast immediately after application 

I will cover my cast with a plastic cover if going out in the rain 

5.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

The nurse is caring for a client who has an ulcer to their left heal that has a moderate amount of purulent drainage for the last 2 months. Upon further assessment, the nurse identifies that the client has a temperature of 38.9C, erythema of the affected area, and tenderness to the affected area. The nurse identifies that these are potential signs of: 

Deep vein thrombosis 

Chronic osteomyelitis 

Appropriate wound healing 

Peripheral artery disease 

6.

MULTIPLE SELECT QUESTION

45 sec • 1 pt

What are the early signs of compartment syndrome? Select all that apply 

Pain

Pallor

Pressure

Parasethesia

Paralysis

7.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

What are the late signs of compartment syndrome? Select all that apply 

Pallor

Pressure

Puffiness

Paralysis

Pulselessness

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