Orthopedic
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Exam
- 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
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