| A | B |
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| What instructions would a nurse provide to a patient following Arthrocentesis? | To rest the joint for 8 to 24 hours post procedure, report fever, redness swelling of joint. |
| What position would a nurse place a client following myelography? | Oil or water soluble contrast: place the client with head elevated. Air contrast: keep head lower than the trunk. |
| What initial care should a nurse provide to a client with compound fracture? | Immobilize affected extremity with cast or splint, assess the neurovascular status of the extremity, cover the wound with a sterile dressing. |
| List the interventions/care the nurse would provide to the equipment, while caring for a client on traction. | Maintain proper body alignment, weights hang freely,do not touch the floor, do not remove or lift the weight without MD orders, ensure pulleys are not obstructed, ropes in the pulley move freely, place knots in the ropes to prevent slipping, check ropes for fraying. |
| List the interventions a nurse would provide to a client on skeletal traction | Monitor color, motion, and sensation of the affected extremity, monitor insertion site for redness, swelling, drainage or increased pain. Provide insertion care. |
| What instructions should a nurse provide to the client with a cast? | Instruct the client not to stick objects inside the cast, Petal cast or apply mole skin, keep the cast clean and dry, perform isometric exercises to prevent muscle atrophy |
| What are the signs of infection a nurse would monitor for in a client with cast? | increased temperature, hot spots on the cast, foul odor or changes in pain. |
| What are the signs of circulatory compromise a nurse would monitor for in a client with a cast? | Pain, swelling, discoloration, tingling, numbness, coolness, or diminished pulse. |
| What are the signs and symptoms of a client with pulmonary embolism? | Restlessness, hypoxemia, mental status changes, tachycardia, hypotension, dyspnea, tachypnea, Petechial rash over the upper chest and neck. |
| What are the complications of fracture? | Avascular necrosis, compartment syndrome, fat embolism, pulmonary embolism, infection and osteomyelitis. |
| What position would the nurse place a client in post hip fracture surgery? | Maintain hip and leg in proper alignment, prevent internal or external rotation, and avoid extreme hip flexion. |
| What instructions would a nurse provide to a client using crutches? | Never to rest the axillae on the axillary bar, client should look up and outward when ambulating, place the crutches diagonally in front of the foot, stop ambulation if the client experiences numbness or tingling in the hands or arms. |
| A common cause for a client to develop contractures in lower extremity post amputation is | Prolonged residual limb elevation |
| A Client with rheumatoid arthritis describes the pain as -------- | inflammation, tenderness, and stiffness of the joint, moderate to severe pain with morning stiffness lasting longer than 30 minutes. |
| What exercises should a client perform post above knee amputation? | Range of motion and upper body strengthening. |
| How should a nurse assist a client to cope with loss of a body part, post amputation? | Verbalize feelings; identify coping mechanisms to deal with the loss. |
| What interventions should a nurse perform if a client develops s/s of infection/osteomyelitis? | Notify MD, long term IV antibiotic therapy, hyperbaric oxygen therapy to promote healing, bone grafts/surgery |
| If a client develops pain and decreased sensation post fracture, what complication will the nurse suspect? | Avascular necrosis. |
| - What are the signs and symptoms of compartment syndrome? | unrelieved or increased pain in the limb, tissue distal to the injury becomes pale, dusky or edematous, pain with passive movement, paresthesia, pulselessness(Late sign) |
| - What nursing interventions should the nurse performs as soon as the client develops signs of compartment syndrome? | Notify MD, loosen tight dressings or bivalve restrictive calf, and assist the MD with fasciotomy. |
| The neurovascular damage due to compartment syndrome is irreversible if not treated within ------- Hours | within 4 to 6 hours of onset of compartment syndrome. |
| The neurovascular assessment post hip fracture surgery includes --------- | Color, pulses, capillary refill, movement and sensation. |
| What instructions would a nurse include for a client post open reduction and internal fixation of hip? | avoid weight bearing on the affected leg, use walker, avoid crossing the legs, and avoid activities that require bending over. |
| How should a nurse position a client post op hip surgery while sitting or getting out of bed? | Keep the operative leg extended, supported and elevated when getting out of bed. Avoid flexion greater than 90 degrees and avoid low chairs when out of bed. |
| - What diet should a client with gout avoid? | Organ meats, wines, aged cheese. Provide low purine diet. Client should avoid alcohol and starvation. |
