39

28問 • 1年前39

問題一覧

The nurse directs the immobilized patient in frequent deep breathing exercises during the day in order to combat:

hypostatic pneumonia.

The nurse explains that range of motion exercises are necessary so that movement improves venous circulation by:

compression of muscles on venous walls.

A nurse enters the room of a patient who is in Buck‘s traction (skin traction). An error in the traction setup observed would be:

feet resting against the foot of the bed.

The daughter of an older woman with a diagnosis of a fractured tibia asks why her mother is in Buck‘s traction. The nurse‘s most informative response would be that Buck‘s traction:

reduces muscle spasm that accompanies fractures.

An anxious patient in skeletal traction is distressed by the clear fluid drainage that is oozing from the pin sites. The nurse‘s best intervention would be to:

assure the patient that such drainage is expected.

A patient who just underwent a left arm cast change to a synthetic fiberglass cast asks when the cast should be dry. The best response is that it should be hardened enough to be durable within:

30 minutes.

When handling a freshly applied plaster cast while assisting a patient from stretcher to bed, the nurse should handle the cast using:

palms and flat parts of fingers.

A patient who fractured a leg several weeks ago is scheduled for cast removal after he returns home. The nurse should explain to the patient to expect the skin underneath the cast to appear:

dry and dirty.

The nurse explains that an air-fluidized mattress would not be advocated for the patient with:

a spinal cord injury.

The nurse points out that the major advantage of the low air loss mattress is that it reduces the incidence of:

friction

The nurse placing a patient following knee replacement surgery into a continuous passive motion (CPM) machine has the responsibility to:

set the proper flexion and extension limits.

A nurse performing a head to toe neurovascular check on a patient in a long leg cast notes an indication of altered perfusion as evidenced by:

numbness of distal limb.

The nurse assesses a patient as having delayed capillary refill if the blanching lasts longer than:

5 seconds.

A patient has just had a leg cast applied with plaster of Paris. The nurse can best reduce the incidence of edema by:

elevating the leg on one to two pillows.

A nurse is applying an elasticized bandage to the leg of a patient. To perform this procedure correctly, the nurse should:

overlap turns of the bandage equally.

A nurse applying a pressure bandage for a patient should terminate the wrap by a:

circular turn.

A patient needs to have a triangular bandage applied. The nurse should position the sling so that the hand is inch(es) below the elbow.

When transferring a patient from bed to chair using a mechanical lift, the nurse should:

widen the stance of the lift‘s base and lock it.

A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient‘s elbows are bent to which angle while the patient is upright and grasping the handgrips?

15 to 30 degrees

A nurse giving instructions to a patient who will be using stairs while ambulating with crutches will instruct the patient:

―Bring the good leg up first when going up stairs.

A certified nursing assistant (CNA) is assisting a patient into a wheelchair. The nurse intervenes if the CNA has:

left the brakes of the wheelchair unlocked.

The nurse plans for an immobilized patient who suffered a cerebrovascular accident to be protected from skin disruption by the use of: (Select all that apply.)

sheepskin pads., water mattresses., pulsating air pads.

A patient has a hip spica cast and will be discharged home to family. The nurse would include in the home education plan information relative to: (Select all that apply.)

protecting the cast from soiling., grasping the cast over the leg to help in turning., turning frequently to the prone position.

The nurse designs care for the immobilized patient to help combat the major dangers of immobilization, which include: (Select all that apply.)

pressure injuries., loss of bone mass., pneumonia., permanent loss of function.

When cleaning the pins on a patient in skeletal traction, the nurse should: (Select all that apply.)

clean closest to the skin puncture site in a circular motion., secure ends of wire with cork or adhesive tape.

The nurse is aware that the maximum weight that can be applied with a skin traction is ________ pounds.

The nurse demonstrates a crutch walking technique by advancing the left crutch and the right foot and then the right crutch and the left foot. This is the _____ gait.

two point

The nurse, in order to prevent the cast from chafing, will instruct the patient for home care to _____ the rough edges with adhesive tape.

petal

study

ユーザ名非公開 · 61問 · 1年前

study