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WorksheetsNgoại page 1-26
Total questions: 155
Worksheet time: 1hrs 18mins
Non mechanical obstruction is also known as paralytic ileus or adynamic ileus. Select True or False.
True
False
Hypovolemia is a common complication of intestinal obstruction. Select True or False.
True
False
An obstruction high in the small intestine often results in metabolic acidosis. Select True or False.
True
False
Intussusception is twisting of the intestine. Select True or False.
True
False
Volvulus is telescoping of a segment of the intestine within itself. Select True or False.
True
False
Hypokalemia is the most common electrolyte disturbance that predisposes the patient to intestinal obstruction. Select True or False.
True
False
Intestinal obstruction due to phytobezoar is a mechanical obstruction. Select True or False.
True
False
Ileus is a paralytic or functional variety of obstruction. Select True or False.
True
False
In order, the main clinical signs of bowel obstruction include nausea or vomiting, colicky abdominal pain, and blockage of gas or stool. Select True or False.
True
False
Nausea and vomiting may be caused from anesthetic agents or narcotics, delayed gastric emptying, slowed peristalsis, resumption of oral intake too soon after surgery. Select True or False.
True
False
Which key feature does the nurse most likely find when performing a physical assessment on the patient with a small-bowel obstruction?
Visible peristaltic waves in the upper and middle abdomen.
Minimal or no vomiting.
No major fluid and electrolyte imbalances.
Metabolic acidosis.
Crohn’s disease can cause mechanical obstruction. Select True or False.
True
False
What does nursing care of the patient with intestinal obstruction who reports discomfort in the early diagnostic period consist of?
Administration of opioid analgesics.
Placing the patient in a semi-Fowler’s position.
Providing the patient with fluids.
Offering the patient semi-soft food.
Which intervention apply to patients with fluid volume deficit related to an intestinal obstruction?
Provide frequent mouth care with lemon glycerin swabs.
Offer ice chips to suck on before surgery.
Offer a small glass of water.
Assess for edema from third spacing.
Which observation of the patient with an intestinal obstruction does the nurse report immediately?
Urinary output of 1000 ml in an 8 hour period.
The patient’s request for something to drink.
Abdominal pain changing from colicky to constant discomfort.
The patient who is changing positions frequently.
Which discharge information does the nurse include for the patient who has had an intestinal obstruction caused by fecal impaction?
Encourage the patient to report abdominal distention, nausea or vomiting, and constipation.
Provide the patient a written description of a low-fiber diet.
Remind the patient to limit activity.
Remind the patient to decrease fluid intake.
The nurse is teaching the patient about colostomy care. Which information does the nurse include in the teaching plan?
The stoma will enlarge within 6 to 8 weeks of surgery.
Use a moisturizing soap to cleanse the area around the stoma.
Place the colostomy bag on the skin when the skin sealant is still damp.
An antifungal cream or powder can be used if a fungal rash develops.
Which statement about the care of the patient with a colostomy is correct?
A healthy stoma should be dry.
The stoma should protrude about 5 cm from the abdominal wall.
When palpating the stoma, it should feel firm.
A slight amount of edema is normal in the initial postoperative period.
The nurse immediately reports to surgeon all but which sign/symptom related to a colostomy?
Liquid stool immediately postoperatively.
Unusual bleeding.
Signs of ischemia and necrosis.
Mucocutaneous separation.
After colostomy surgery, which intervention does the nurse employ?
Cover the stoma with a dry, sterile dressing.
Apply a pouch system as soon as possible.
Make a hole in the pouch for gas to escape.
Watch for the colostomy to start functioning day 1.
Patients with pancreatitis often have Turner's sign which is a gray-blue discoloration of the abdomen and periumbilical area. Select True or False.
True
False
The pain of acute pancreatitis is often described as intense, boring and continuous. Select True or False.
True
False
Typically, a patient is diagnosed with acute pancreatitis after presenting with severe abdominal pain in the mid-epigastric area or left upper quadrant. Select True or False.
True
False
Abdominal pain is the prominal symptom of pancreatitis. Select True or False.
True
False
Anticholinergics are given to increase vagal stimulation, motility and pancreatic flow. Select True or False.
True
False
Pain management for acute pancreatitis should begin with rapid infusion of opioids by means of patient-controlled analgesia (PCA). Select True or False.
True
False
Helping the patient to assume a supine position decreases the abdominal pain of pancreatitis. Select True or False.
True
False
Patients in the early stages of acute pancreatitis are usually maintained on NPO status. Select True or False.
True
False
What is the priority nursing diagnosis for acute pancreatitis?
Risk for deficient fluid volume related to abnormal and normal routines.
Nausea related to pancreatic disease.
Risk for infection related to necrotic pancreatic tissue.
Acute pain related to biologic and injury agents.
Which diagnostic test is the most accurate in verifying a diagnosis of acute pancreatitis?
Trypsine
Lipase
Alkaline phosphatase
Alanine aminotransferase
The patient with acute pancreatitis is at risk for the development of paralytic (adynamic) ileus. Which action provides the nurse with the best indication of bowel function?
Observing contents of the nasogastric drainage
Auscultation of bowel sounds
Asking the patient if he or she has passed flatus or had a stool
Obtaining a computed tomography (CT) scan of the abdomen with contrast medium
Which drug is contraindicated for the patient with paralytic ileus?
Ranitidine (Zantac)
Cefuroxime (Zinacef)
Papaverine (Pavabid)
Dicyclomine (Bentyl)
The nurse has instructed the patient in the recovery phase of acute pancreatitis about diet therapy. Which statement by the patient indicates that teaching has been successful?
"I will eat the ususal three meals a day that I am used to".
"I am eating tacos for my first meal back home".
"I will avoid eating chocolate".
"I will limit the amound of protein in my diet".
The surgical intervention for acute pancreatitis may be indicated: If complications of pancreatitis such as pancreatic pseudocyst and abscess appear may necessitate surgical drainage.
True
False
The surgical intervention for acute pancreatitis may be indicated: If pancreatitis is caused by biliary tract obstruction, the physician may perform a laparotomy (abdominal exploration) for common bile duct exploration and the release of obstruction.
True
False
A postoperative plan of care for clients undergoing a surgical intervention: Monitors drainage tubes for patency by assessing for kinks in the tubes.
True
False
A postoperative plan of care for clients undergoing a surgical intervention: Maintain the ordered drain suction pressure and system integrity.
True
False
A postoperative plan of care for clients undergoing a surgical intervention: Records the output amount from the drain and describes the character of the drainage.
True
False
A postoperative plan of care for clients undergoing a surgical intervention: Provides meticulous skin care and dressing changes, assesses for further deterioration of the tissue.
True
False
A postoperative plan of care for clients undergoing a surgical intervention: Collaborate with an enterostomal therapist (ET) for measures to promote skin integrity.
True
False
Peritonitis is caused by contamination of the peritoneal cavity by bacteria or chemicals.
True
False
Continuous ambulatory peritoneal analysis can cause peritonitis.
True
False
White blood cell counts are often decreased with peritonitis.
True
False
Abdominal wall rigidity is a classic finding in patients with peritonitis.
True
False
The fluid shift that occurs in peritonitis may result in which of following?
Intracellular fluid moving into the peritoneal cavity
Significant increase in circular volume
Eventual renal failure and electrolyte imbalance
Increased bowel motility caused by increased fluid volume
The source of inflammation in peritonitis rarely comes from
Gastrointestinal tract
Internal reproductive organs
The bloodstream
Abdominal gunshot wound
A rare cause of peritonitis is
Appendicitis
Perforated peptic ulcer
Peritoneal dialysis
Bowel perforation secondary to cancer, penetrating wound
Which complication is not due to peritonitis:
Adhesion of small intestine
Abscess formation
Intraabdominal haemorrhage
Paralytic ileus
The respiratory problems that may accompany peritonitis are a result of which factor?
Associated pain interfering with ventilation
Decreased pressure against the diaphragm
Fluid shifts to thoracic cavity
Decreased oxygen demands related to the infectious process
Which nursing intervention is part of nonsurgical management for the patient with peritonitis?
Monitor weekly weight and intake and output
Insert a nasogastric tube to decompress the stomach
Order a breakfast tray when the patient is hungry
Administer NSAIDs for pain
What are the cardinal signs of peritonitis?
Fever and headache
Dizziness and vomiting
Abdominal pain and tenderness
Nausea and loss of appetite
Which character of abdominal pain is not observed in peritonitis
Constant and diffuse
Intermittent
More intense near the site of inflammation
Movement aggravates pain
Which assessment is not priority in diagnostic of peritonitis
Blood cell count
Abdominal x-ray
CT scan of the abdomen
Peritoneal lavage
Nursing intervention for the patient with peritonitis preoperatively don’t include
Give broad-spectrum antibiotics
Give foods when the patient arrive at hospital
Place the patient on bed rest
Obtain a history and assess the abdomen
Nursing intervention for the patient with peritonitis postoperatively don’t include
Assess vital signs
Monitor the fluid and electrolyte balance
Immobilize the patient on the bed
Report any manifestation of sepsis
The nurse is instructing the patient about home care after an exploratory laparotomy for peritonitis. Which statement by the patient indicates that teaching has been effective?
“It is normal for the incision site to be warm”
“I will stop taking the antibiotics if diarrhea develops”
“I will call the health care provider for a temperature greater than 38°C”
“I will resume activity with my bowling league this week for exercise”
The patient is a 65-years-old man who sustained a neck injury during a fall. He has a medical diagnosis of anterior cord syndrome and a nursing diagnosis of Disturbed Sensory Perception. The nurse assesses the patient expecting to observe which type of motor and sensory findings below the level of injury?
No motor functions; no sensation to touch, position, and vibration.
Partial motor function; full sense of pain and temperature.
Independent movement; no sense of pain or touch.
No independent movement; full sense of touch or position.
The patient with a cervical neck injury is able to spontaneously move the legs when attempting to move himself in bed, but he is not using or moving his arms or hands. What is this observation consistent with?
Anterior cord syndrome.
Posterior cord syndrome.
Central cord syndrome.
Brown-Sequard syndrome.
The patient involved in a high-speed motor vehicle accident with sustained multiple injuries and active bleeding is transported to the emergency department by ambulance with immobilization devices in place. There is a high probability of cervical spine fracture; the patient has altered mental status and extremities are flaccid. What is the priority assessment for this patient?
Check the mental status using the Glasgow Coma scale.
Assess the respiratory pattern and ensure a patent airway.
Observe for intra-abdominal bleeding and hemorrhage.
Assess for loss of motor function and sensation.
The emergency department nurse is assessing and monitoring the patient with a gunshot wound to the middle of the back. Because the patient is at risk for spinal shock, what does the nurse monitor for?
Decreased blood pressure, bradycardia, and flaccid paralysis.
Tachycardia and a change in the level of consciousness.
Decreased respiratory rate and loss of sensation to pain and touch.
Paralytic ileus and loss of bowel and bladder function.
Which neurologic assessment technique does the nurse use to test the patient for proprioceptive function?
Touch the skin with a clean safety pin and ask whether it is a sharp or dull sensation.
Ask the patient to elevate both arms off the bed and extend wrists and fingers.
Have the patient close the eyes and move the toes up or down; the patient identifies the positions.
Have the patient sit with the legs dangling; use a reflex hammer to test reflex responses.
The patient with an upper spinal cord injury is at risk for autonomic dysreflexia. Which nursing diagnosis is the priority for this patient?
Risk for Ineffective Tissue Perfusion, Cerebral.
Nausea.
Acute Pain, Headache.
Impaired Physical Mobility.
The nurse is caring for the patient with a recent spinal cord injury (SCI). Which intervention does the nurse use to target and prevent the potential SCI complication of autonomic dysreflexia ?
Frequently perform passive ROM exercises.
Keep the room warm and control environmetal stimuli.
Keep the patient immobilizied with neck back braces.
Monitor urinary output and check for bladder distention.
What is the potential adverse outcome of autonomic dysreflexia in the patient with a spinal cord injury?
Heat stroke
Paralytic ileus
Hypertensive crisis
Aspiration and pneumonia
After suffering a spinal cord injury, the patient develops autonomic dysfunction, including a neurogenic bladder. Which nursing diagnosis is the priority for this condition?
Risk for Infection: urinary tract
Risk for Fluid Volume Deficit: polyuria
Risk for Self‑Care Deficit: toileting
Risk for Urinary Incontinence: urge
The nurse and the nursing assistant are working together to bathe and reposition the patient who is in a halo fixator device. Which action by the nursing student causes the supervising nurse to intervene?
Uses the log‑roll technique to clean the patient’s back and buttocks
Turns the patient by pulling on the top of the halo device
Positions the patient with the head and neck in alignment
Supports the head and neck area during the repositioning
The nurse is caring for several patients with spinal cord injuries. Which task is best to delegate to the nursing assistant?
Encourage use of incentive spirometry; evaluate the patient’s ability to use it correctly
Log‑roll the patient; maintain proper body alignment and place a bedpan for toileting
Check for skin breakdown under immobilization devices during bathing
Insert a Foley catheter and report the amount and color of the urine
The patient with a spinal cord injury has paraplegia and paraparesis. The nurse has identified a nursing diagnosis of Impaired Physical Mobility. The nurse assesses the calf area of both legs for swelling, tenderness, or redness. The patient is at increased risk for which condition?
Contractures of joints
Bone fractures
Pressure ulcers
Deep vein thrombosis
A patient who has been in a long‑term care facility for several months following a spinal cord injury has had issues with urinary retention and subsequent overflow incontinence, and a bladder retraining program was recently initiated. Which is an expected outcome of the training program?
Demonstrates a predictable pattern of voiding
Is able to independently catheterize himself
Pours warm water over the perineum to stimulate voiding
Takes bethanechol chloride (Urecholine) 1 hour before voiding
Paralysis of lateral gaze indicates a lesion of cranial nerve
II
III
IV
VI
A primary brain injury is caused by
Increased intracranial pressure (ICP)
An external force
An abnormal growth of brain tissue
An internal force
A 16‑year‑old football player is confused after being struck in the head by another player. He states he does not remember much of what happened, just waking up in the hospital about two hours after being hit. This client most likely is suffering from
Concussion
Moderate brain injury
Severe brain injury
Locked‑in syndrome
The nurse is educating a group of 7‑year‑old children on preventing brain injury. One of the most important things to tell them is to
Always wear a helmet when riding your bike, skateboard, or inline skates
Always wear knee and arm pads when riding your bike, skateboard, or inline skates
Look both ways before crossing the street
Always wear supportive shoes when playing outdoors
A client is admitted to the intensive care unit following a fall down a flight of stairs. Upon assessment, the client responds only to pain by withdrawing his hand and he curses frequently. Using the Glasgow Coma Scale, the nurse rates this patient as
15
4
12
9
A common medication given to help decrease intracranial pressure is
Aspirin
Ibuprofen
Lasix
Mannitol
The most important nursing diagnosis when caring for a client with an open skull fracture is
Risk for infection
Risk for impaired skin integrity
Risk for impaired physical mobility
Risk for impaired swallowing: aspiration
The consensual pupillary response is tested by
Asking the client if he or she has trouble closing the eyes
Directing a light toward one eye and observing the pupil on the opposite side
Instructing the client to cover one eye while you observe the opposite eye for extraocular movements
Evaluating the ability of the client’s eyes to converge
Which factor is most likely to depress nerve cell activity in a patient with a neurologic disorder?
Metabolic alkalosis
IV infusion of theophylline
Drinking too much coffee
Low oxygen saturation and hypoxia
Which statement about the Glasgow Coma Scale is correct?
It is a thorough neurologic assessment tool
It establishes a baseline for eye opening and motor and verbal response
It establishes a baseline cognitive function
A score of 15 indicates serious neurologic impairment with poor prognosis
The nurse is assessing several patients using the Glasgow Coma Scale. Which factors indicate the most serious neurologic presentation based on the scale’s information?
Eye opening to sound, localizes pain, confused conversation
Eye opening to sound, obeys commands, inappropriate words
Eye opening spontaneous, obeys commands, confused conversation
Eye opening to pain, abnormal flexion, incomprehensible sounds
The nurse performing neurologic checks every 4 hours for a patient who sustained a head injury notes which early sign indicating a decline in neurologic status?
Nonreactive, dilated pupil
Change in level of consciousness
Decorticate posturing
Loss of remote memory
A nurse is caring for a client who was recently admitted to the emergency department following a head‑on motor vehicle crash. The client is unresponsive, has spontaneous respirations of 22/min, and a laceration on his forehead that is bleeding. Which of the following is the priority nursing action at this time?
Keep neck stabilized
Insert nasogastric tube
Monitor pulse and blood pressure frequently
Establish IV access and start fluid replacement
A nurse is caring for a client who has just been admitted from surgery for the evacuation of a subdural hematoma. Which of the following is the priority assessment?
Glasgow Coma Scale
Cranial nerve function
Oxygen saturation level
Pupillary response
A client who has increased intracranial pressure has been prescribed mannitol (Osmitol) IV. For which of the following side effects should the nurse monitor?
Hyperglycemia
Hyponatremia
Hypervolemia
Oliguria
The lesions in the chest cage that can be seen in chest trauma include
Pneumothorax, hemothorax, lung contusion, flail chest
Lung contusion, flail chest, liver lesion
Hemothorax, pneumothorax, lung contusion, femur fracture
Flail chest, blood clots in the brain, intestinal rupture
List six life‑threatening chest injuries in chest trauma
Airway obstruction; tension pneumothorax; cardiac tamponade; open pneumothorax (sucking chest wound); flail chest; massive hemothorax
Airway obstruction; tension pneumothorax; cardiac tamponade; open pneumothorax (sucking chest wound); flail chest; massive hemothorax
Cardiac tamponade; open pneumothorax (sucking chest wound); clavicle fracture; airway obstruction; flail chest; rib fracture
Airway obstruction; simple pneumothorax; cardiac tamponade; flail chest; massive hemothorax; pleural effusion
Physical therapy of respiratory system should be taken
Sitting up early, stimulates coughing, clapping shaking, breathing exercise (blowing balls)
Fowler posture, breathing exercise, stimulates coughing
Not eat and drink, stomach tube, blowing balls
Clapping shaking, stomach tube, completely immobile, infusion
The most important issue when caring for patients after drainage of the pleural cavity:
To ensure good nutrition for the patient, lying motionless
Body hygiene, mental stability to patients
The physical therapy as soon as possible and ensure good drainage system
Antibiotics for patients, enhancing health, anti-pain
Flail chest is:
Rib fracture
Fracture of two ribs and more
Fracture of three ribs and more
Fracture of three consecutive ribs and more, each fractured rib has two fracture positions
The steps in the planning and implementation of care plans chest injuries, chest wounds and flail chest:
Receiving patients, management of shock, prepare to drain pleural
Prevention and management of shock, management of respiratory failure, control infection, make preparation for patient, prepare drainage of pleural
Management of respiratory failure, control pain, prepare drainage of pleural, management of shock
Management of shock, control infection, make preparation for patient, prepare drainage of pleural
Monitor circulation need follow
Monitor pulse, blood pressure, number of drainage, skin color, mucous, blood formula test; monitor bleeding at the other location & call doctor.
Monitor breathing; chest tube, color skin, mucosa; ultrasound; monitor bleeding at the other location & call doctor.
Monitor respiratory; chest tube, computerized tomography of chest, blood biochemical tests; monitor bleeding at the other location & call doctor.
Monitor pulse, chest tube; respiration, blood tests, check the open chest wound.
Counters skills of breathing per minute
See the up and down mobile of chest per minute
Listen to the lung sound per minute
See the up and down mobile of abdominal wall per minute
To hand on the abdominal wall and count the number of mobile of the abdominal wall per minute
Chest trauma: operative indication in all cases
T
F
Principles for chest tube: closed, continuous suction and one-way, sterile
T
F
Respiratory physical therapy plays an important role in postoperative care to chest tube
T
F
All flail chest cases are treated with mechanical ventilation method
T
F
Rib fractures with chest tube, especially the elderly: respiratory physical therapy and nursing care is not required
T
F
Pain symptom is always show in chest wounds
T
F
Tension pneumothorax (valve pneumothorax) management of emergencies like the other type of pneumothorax
T
F
Need replacement pleural drainage bottle daily for nursing care chest tube
T
F
Clotted blood and retained haemothorax never show in the chest wound
T
F
All chest wounds should always indicate operation to manage injuries
T
F
Respiratory physical therapy need: patients always lie in bed and not be taken analgesics
T
F
A nurse is caring for a client who has a compound fracture of the right forearm that was recently casted. Which of following is an early sign of neurovascular compromise?
Paresthesia.
Pulselessness
Paralysis
Polar.
A nurse is stabilizing for a client who has a compound fracture of the right arm. Which did he/she have to do before?
Elevate the limb and apply ice.
Place the client in supine position.
Cover open wounds with a sterile dressing.
Remove clothing and jewelry near injury.
Casts secure the arm fracture in order to:
Prevent further injury, reduce pain, and promote circulation.
Prevent further injury, reduce pain, and correct a deformity.
Reduce pain, promote circulation, and correct a deformity.
Prevent further injury, reduce pain, promote healing and correct a deformity.
Use the short-arm cast for:
Distal radial fracture.
Fracture of ulna.
Fracture of radia.
Fracture of the thumb.
Use the long-arm cast for:
Fracture of humeral shaft.
Fracture of distal humerus.
Fracture of proximal humerus.
Fracture of humeral head.
The 3 disadvantages of external fixation for the arm, except:
Pin site infection.
Potential overwhelming appearance.
Early mobilization.
Noncompliance.
A nurse is caring for client who had open reduction and internal fixation for the radius 7 days ago. Which of following is a sign of infection:
Swelling at the site of incision.
Erythema and edema at the site of incision.
Loss of function.
Loss of sensation.
A nurse is caring for a client who has a fracture of the right forearm that was recently casted. The client complains of more pain after cast. What action should the nurse do?
Remove cast and reassessment.
Change another cast and reassessment.
Loosening cast and reassessment.
Remove cast and use another immobilizer.
An indication of traction for the arm fracture exclude:
Type of traction.
Traction time.
Traction weight.
Pin site care.
Traction is more effective than cast in:
Decreasing pain.
Decreasing muscle spasm.
Preventing neurovascular injury.
Promoting circulation.
The most valuable sign to diagnose radius fracture is:
Swelling.
Crepitus.
Pain.
Tenderness.
The most valuable sign to diagnose humerus fracture is:
Loss of forearm function.
Deformity of the arm.
Arm bruising
Swelling.
The most effective of procedure to diagnose arm fracture is:
Two view x-rays.
Bone scan.
MRI.
Ultrasound.
A nurse is caring for a client who has fracture of the right arm that was recently applied standard side-arm skeletal traction. The client complains of more pain after traction. What action should the nurse do?
Maintain body alignment and realign.
Remove weights.
Stop traction.
Give some analgesics to the client.
A nurse is caring for a client who has fracture of the right arm that was recently applied standard side-arm skeletal traction. The client complains of severe pain after traction. What action should the nurse do?
Reduce some weights of traction.
Remove traction, apply cast.
Notify this problem to provider.
Give some analgesics and muscle relaxants to the client.
What makes for displaced fractures?
Large muscle groups spasm
Disrupted muscles
Fractures fragments
Broken bone size
How many stages occur during bone healing?
4
5
6
3
What time period the stage 3 takes place?
1–3 days
3 days to 2 weeks
2–6 weeks
6 weeks to 1 years
“Callus formation” occurs in:
stage 1
stage 2
stage 3
stage 4
“Fibrocartilage formation” occurs in:
stage 1
stage 2
stage 3
stage 4
Which of the following is the UNFAVORABLE factors for bone healing process?
Minimal damage to soft tissue
Anatomic reduction possible
Effective immobilization
Fragments widely separated
Which of the following is the FAVORABLE factors for bone healing process?
Fragments distracted by traction
Severe comminuted fracture
Bone loss from injury or surgical excision
Anatomic reduction possible
The following factors AFFECT the bone healing process, except:
Weight bearing on long bones
Location
Sex
Decreased blood supply
Which of the following is the most significant signs of fracture?
Bruising
Muscle spasm
Abnormal mobility and crepitus
Pain
Which of the following is the GOALS of medical management:
Discover all injuries
Reduction and stabilization of the fracture
Monitoring for complications
a+b+c
Which of the following is INCORRECT?
Assessment and treatment are performed simultaneously
During primary assessment, the rescuer focuses on airway management, bleeding, and manifestations of the shock
Any potentially life-threatening injuries must be stabilized immediately
An injured client should be moved although the current location is not safe
Which of the following is the GOALS of reduction?
To restore alignment, position, and length
To make sure that the bone have been broken
To permit the client can walk
To rescue the client from shock
Which of the following is INCORRECT for closed reduction?
To perform closed reduction, a health care provider applies manual traction to move the fracture fragments and restore bone alignment
Closed reduction should be performed as soon as possible
Fracture reduction is an emergency procedure
An immobilization device must be applied after x-ray
Which of the following is INCORRECT for closed reduction?
The immobilizer most commonly used after closed reduction is a traction
The immobilizer most commonly used after closed reduction is a cast
The immobilizer most commonly used after closed reduction is a polymer of plaster
Cast are used for prevention or correction of deformity; maintenance; support; and protection of realigned bone
Which of the following is CORRECT for Open Reduction and Internal Fixation?
The surgeon makes an incision and realigns the fracture fragments under direct visualization
Realignment of the fracture fragments without any incision
Open reduction is usually performed in combination with internal fixation by plates, screws, nails, wires
Internal fixation provides essential immobilization and helps to prevent deformity, but it is not a substitute for bone healing
Which of the following is NOT complication after fracture?
Blood Vessel injury
Nerve injury
Brain-sick
Compartment Syndrome
Which of the following NEEDN’T in care of the client in a Cast?
Neurovascular Assessment
Assessment of Pain
Assessment of the Cast
Assessment of the Knee Movement
Which statement best describes the preoperative period?
It begins when the patient makes the appointment with the surgeon to discuss the need for surgery.
It is the time during which the patient receives education and testing related to the impending surgery.
It is a time during which the patient’s need for surgery and willingness to have it is established
It begins when the patient is scheduled for surgery and ends at the time of transfer to the surgical suite.
The patient is scheduled for resection of nerve roots. What type of surgery is this?
Palliative
Restorative
Diagnostic
Ablative
Specify whether the urgency of the surgery is elective (EL), urgent (U), or emergent (EM): A 22-year-old nursing student is scheduled for an appendectomy.
EL
U
EM
Specify whether the urgency of the surgery is elective (EL), urgent (U), or emergent (EM): A 77-year-old woman is scheduled for a total knee replacement.
EL
U
EM
Specify whether the urgency of the surgery is elective (EL), urgent (U), or emergent (EM): A 55-year-old man is scheduled for a colon resection due to a small bowel obstruction.
EL
U
EM
The nurse screens the preoperative patient for conditions that may increase the risk for complications during the perioperative period. Which condition is a possible risk factor
The patient is 70 years old and obese.
The procedure planned is a bunionectomy.
The patient is 5 feet tall and weighs 100 pounds.
The surgery is planned as an ambulatory/same-day surgical procedure
The nurse functions as the patient advocate by reporting to the surgeon and anesthesiology personnel any abnormalities found on the physical assessment.
T
F
Throughout the physical assessment, the nurse focuses on the problem areas identified from the patient’s history that are limited to body systems affected directly by the surgical procedure.
T
F
In the preoperative setting, the nurse is functioning as a patient advocate when the patient’s home environment, self-care capabilities, and support systems are assessed and used in the discharge planning process.
T
F
As a patient advocate, the nurse can provide the patient with educational materials appropriate to the patient’s ability to learn.
T
F
When the nurse evaluates preoperative laboratory test values, only abnormal values related to the surgery need to be reported to the surgeon and anesthesia personnel.
T
F
Patients who have had minor outpatient surgery do not usually require discharge planning.
T
F
Which statement is true regarding the patient who has given consent for a surgical procedure?
Information necessary to understand the nature of and reason for the surgery has been provided.
The length of stay in the hospital has been preapproved by the managed care provider.
Information about the surgeon’s experience has been provided.
The nurse has provided detailed information about the surgical procedure.
Which statement best describes the collaborative roles of the nurse and surgeon when obtaining the informed consent?
The nurse is responsible for having the in-formed consent form on the chart for the physician to witness.
The nurse may serve as a witness that the patient has been informed by the physician before surgery is performed.
The nurse may serve as witness to the patient’s signature after the physician has the consent form signed before preoperative sedation is given and before surgery is performed.
The nurse has no duties regarding the consent form if the patient has signed the informed consent form for the physician, even if the patient then asks additional questions about the surgery.
The nurse has received the patient in the holding area who is scheduled for a left breast biopsy. What is the priority safety measure for this patient before surgery?
Ensure the patient knows who will be performing the surgery.
Ask the patient to mark the site with a marker.
Instruct the patient to perform leg exercises to prevent a deep vein thrombosis.
Determine who the support persons are for the patient.
The diabetic patient is scheduled for surgery in the morning. Which procedure does the nurse expect on the morning of surgery?
Usual dose of insulin will be given to maintain the patient’s blood glucose level.
Increased dose of insulin will be given to offset the physical stress caused by the procedure.
Modified dose of insulin will be given, based on the patient’s blood glucose.
No insulin will be given because the patient is NPO.
What percentage of all hospital trauma admissions involve renal trauma?
Approximately 3%.
Approximately 10%.
Approximately 13%.
Approximately 20%.
What is the key clinical symptom of the kidney trauma?
Flank pain
Hematuria (gross or microscopic)
Abdominal distention
Fever
What is the following finding on clinical examination indicating possible renal involvement ?
Fever
Flank ecchymoses or abdominal mass
Flank pain
Abdominal distention
True or False: The presence or absence of hematuria is not a good indicator of traumatic injury
True
False
