Orthopedic

11 Questions | Total Attempts: 3917

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Orthopedic

Exam


Questions and Answers
  • 1. 
           1)   An expected outcome of cast application that the nurse evaluates is:
    • A. 

      Skin irritation at the cast edges

    • B. 

      Decreased capillary refill and pallor

    • C. 

      Tingling and numbness distal to the cast

    • D. 

      Slight edema, soreness, and limitation of range of motion

  • 2. 
           2)   An appropriate technique for the nurse to implement for the client who is being casted is to:
    • A. 

      Apply ice to the top of the cast

    • B. 

      Maintain the extremity below heart level

    • C. 

      Handle the wet cast with the fingertips

    • D. 

      Fold the stockinette or padding over the outer cast edges

  • 3. 
           3)   When teaching cast care, the nurse instructs the client to:
    • A. 

      Blow dry the wet cast on the “hot” setting

    • B. 

      Report changes in sensation or mobility to the area

    • C. 

      Use only soft objects to slide down the cast for scratching

    • D. 

      Cut away the edges of the cast if the skin becomes irritated

  • 4. 
           4)   For cast removal, the nurse correctly instructs the client that:
    • A. 

      Discomfort will be felt from the cast saw

    • B. 

      An enzyme wash may be applied to intact skin

    • C. 

      The skin will be scrubbed very well after the removal

    • D. 

      Aggressive range-of-motion exercises will be performed after removal

  • 5. 
           5)   A nurse anticipates that the type of traction that will be used for a 32-lb child with a fractured femur is:
    • A. 

      Bryant’s traction

    • B. 

      Dunlop’s traction

    • C. 

      Weil sling

    • D. 

      Buck’s extension traction

  • 6. 
           6)   A nurse anticipates that the type of traction that will be used for an adult client with a fractured humerus is:
    • A. 

      Bryant’s traction

    • B. 

      Dunlop’s traction

    • C. 

      Weil sling

    • D. 

      Buck’s extension traction

  • 7. 
           7)   For a client who is to be placed in Russell’s traction the nurse prepares the:
    • A. 

      Occipital area

    • B. 

      Arm and forearm

    • C. 

      Back and abdomen

    • D. 

      Lower extremities

  • 8. 
           8)   An appropriate technique for the nurse to implement for a client being placed in traction is to:
    • A. 

      Apply a traction boot tightly

    • B. 

      Drop the weights after the traction is attached

    • C. 

      Assess the neurovascular status every 1 to 2 hours for the first day

    • D. 

      Shave the hair off the area where the traction is to be placed

  • 9. 
           9)   While in Buck’s extension traction, the client may be positioned:
    • A. 

      On the back, with the knees flexed 45 degrees

    • B. 

      On the back, turning to the unaffected side for 10- to 15-minute periods

    • C. 

      On the back, with the buttocks slightly elevated off the bed

    • D. 

      On the back, with the bed tilted toward the side that is opposite the traction

  • 10. 
         10)   For a client with a fractured femur, a nurse is alert to the possibility of a fat embolus. The nurse specifically watches for:
    • A. 

      Bradypnea

    • B. 

      Restlessness

    • C. 

      Bradycardia

    • D. 

      Hypertension

  • 11. 
         11)   For a client in traction who has skeletal pins, a nurse should:
    • A. 

      Use povidone-iodine to cleanse the pin site

    • B. 

      Apply antiseptic ointment and cover with a split dressing

    • C. 

      Use hydrogen peroxide as a rinse before a dressing is applied

    • D. 

      Do both pin sites at the same time, with the same swab and solution