RNSG 1443 Exam 4 Actual ExamsQuestions With Complete Solutions

RNSG 1443 Exam 4 Actual ExamsQuestions With Complete Solutions

The nurse is preparing a client who sustained a hip fracture for discharge. The nurse should teach
the client to avoid which of the following groups of activities to prevent dislocation of the hip?
A. crossing legs, bending at hips, and sitting on low toilet seats
B. taking leisurely walks, low chair seats, and bending at hips
C. using reachers for applying shoes and socks, and sitting in chairs with arms
D. all exercises, bedrest, and using raised toilet seats - ANS- A.crossing legs, bending at hips, and
sitting on low toilet seats
A client in traction slides down in the bed so that the feet touch the foot of the bed. What should the
nurse do to ensure that the pull of traction remains uninterrupted?
A. release the weights, pull the client up in bed, and then reapply weights
B. ask the physician for a change in the amount of weight ordered
C. move the client up in bed without releasing the pull of traction on the extremity
D. elevate the client's feet on a pillow - ANS- C.move the client up in bed without releasing the pull
of traction on the extremity
The nurse is assessing a casted extremity of a patient. Which sign is indicative of infection?
A. Dependent edema
B. Diminished distal pulse
C. Presence of a "hot spot" on the cast
D. Coolness and pallor of the extremity - ANS- C. Presence of a "hot spot" on the cast
Signs and symptoms of infection under a casted area include odor or purulent drainage from the cast
or the presence of "hot spots," which are areas of the cast that are warmer than others. The health
care provider should be notified if any of these occur.
Signs of impaired circulation in the distal limb include coolness and pallor of the skin, diminished
distal pulse, and edema.
A patient being measured for crutches asks the nurse why the crutches cannot rest up underneath
the arm for extra support. The nurse responds that knowing that which would most likely result from
this improper measurement?
A. A fall and further injury
B. Injury to the brachial plexus nerves

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