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NCLEX Success Quiz # 3 Med-Surg 1.A nurse is assessing a client who is skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?Fever (if it is hot is a sign of infection) 2.A nurse is caring for a client who sustained a femur fracture in an automobile accident and is placed into skeletal traction. The nurse may remove the weights from the traction device if which of the following occurs?The client develops a life-threatening situation (it is the only time when you remove the skeletal traction. Just if there is a life-threatening situation) 3.A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching?A synthetic cast is weighs less 4.A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck’s extension traction. The nurse should include which of the following information in the teaching?Buck’s extension traction will relieve muscle spasms 5.A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching?Avoid driving until effects are known (this medication is a muscle relaxing) 6.A nurse is caring for a client who has a prescription for balanced skeletal traction with a Thomas splint for the treatment of a fractured femur.Which of the following interventions should the nurse implement to prevent pressure points from developing around the edges of the splint?Reposition the client to keep him from staying in the same position in bed (basic concept and care – safety, caring for the patient) 7.A nurse is developing a plan of care for a client who has a fracture to achieve the outcome of functional healing. To assist in meeting this goal, which of the following nursing interventions is the highest priority?Maintain immobilization and alignment (functional healing = means you want the patient to be at he was before the accident. So, you want him walking, working, and a functioning as usual) This study source was downloaded by 100000809669238 from CourseHero.com on 10-27-2022 15:45:03 GMT -05:00
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8.A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. When determining that the traction is appropriately assembled, the nurse should observe which of the following?The buttocks is elevated slightly off of the bed 9.A nurse is assessing a client who has a cast in place for a fractured tibia.Which of the following actions should the nurse take first?Checking capillary refill (check airway and circulation) 10.A nurse is assessing a client who has multiple fractures in his left leg notes increasing edema. The nurse should recognize this finding as an early manifestation of which of the following complications?Acute Compartment Syndrome 11.A nurse is caring for a client who is postoperative following an open reduction internal fixation (ORIF) of a femur fracture. Which of the following parameters should the nurse include in the evaluation of the neurovascular status of the client’s affected extremity? (select all that apply) Color Temperature Sensation 12.A nurse working on an orthopedic unit is caring for four clients. Which of the following clients should the nurse identify as being at greatest risk for skin breakdown?An older adult who has a hip fracture and is in Buck’s traction 13.A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client’s skin?Use a transfer device to lift the client up in bed 14.A nurse is caring for a client who is immobile. Which of the following actions is the priority for the nurse to include in the client’s plan of care?Auscultate breath sounds at least every 2 hours (when they are immobile, they can develop fluid in their lung) 15.The nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? (select all that apply) -Use pillows to keep heels off the bed surface -Minimize skin exposure to moisture This study source was downloaded by 100000809669238 from CourseHero.com on 10-27-2022 15:45:03 GMT -05:00
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- A nurse is caring for a client who has a stage I pressure ulcer. Which of
- A nurse is assessing a client who has a pressure ulce. The nurse
the following dressings should the nurse plan to apply?-Transparent dressing (we want to see what is happening in the wound, how it is progressing) Stage 4, 5 – the bone is expose
should recognize which of the following findings is a manifestation of a stage 3 pressure ulcer?-Necrotic subcutaneous tissue 18.A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities should the nurse expect to find in this client?-Kyphosis 19.A nurse is reviewing risk factors for osteoporosis with a group of nursing students. The nurse should include that which of the following types of medication therapy is a risk factor for osteoporosis?-Thyroid hormones 20.A nurse is teaching a client about medications that prevent osteoporosis. The nurse should instruct the client that which of the following medications is prescribed to prevent osteoporosis?-Raloxifene (prevent osteoporosis in women that are going through menopause) 21.A nurse is teaching a client about risk factors for osteoporosis. Which of the following factors should the nurse include in the teaching? (select all that apply) -Sedentary lifestyle -Aging -Caffeine intake -Secondary smoke Obesity: cause osteoarthritis (it is mainly in the JOINTS (knees, ankles) that is affecting
Osteoporosis: something in the bones that is eating itself
It looks like holes in the bones -Sedentary lifestyle -Aging -Caffeine intake -Secondary smoke This study source was downloaded by 100000809669238 from CourseHero.com on 10-27-2022 15:45:03 GMT -05:00
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22.A nurse in a provider’s office is providing teaching to a client about modifiable risk factors for osteoporosis. Which of the following factors should the nurse include? (select all that apply) -Sedentary lifestyle -Carbonated beverages -Caffeine intake -Smoking tobacco products 23.A nurse is providing nutritional teaching to a client who has osteoporosis. Which of the following foods should the nurse recommend as being the highest in calcium?-3 oz canned salmon 24.A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is experiencing flank pain.Which of the following adverse effects should the nurse suspect?-Renal stones (kidney stones) 25.A nurse is teaching a client who is scheduled for dual-energy x-ray absorptiometry (DXA) to screen for osteoporosis. Which of the following instructions should the nurse include in the teaching?-You will need to remove all jewelry before the test This study source was downloaded by 100000809669238 from CourseHero.com on 10-27-2022 15:45:03 GMT -05:00
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