Traumatic injuries suffered in a workplace accident have required a 30-year-old man to have a below-the-knee (BKA) amputation. At what point following surgery should the nurse begin range-of-motion (ROM) exercises with this patient?
A) As soon as possible following surgery
B) Once the patient has been fitted with a prosthesis
C) After it has been determined that there are no postsurgical complications
D) Four to six weeks after surgery
Question 2The nurse is conducting a focused assessment of a male patient who has a history of poorly controlled hypertension. Which of the following findings would indicate the presence of renal artery bruits?
A) S1 and S2 sounds over the kidneys
B) A whooshing sound over the kidneys
C) A lack of audible sounds over the kidneys
D) Gurgles and clicks over the kidneys
Question 3A patient with a history of chronic foot ulcers secondary to diabetes has been admitted to the preoperative clinic in preparation for a metatarsal amputation.
The patient appears stoic and avoids making eye contact with the nurse, while answering assessment questions with one-word answers. How should the nurse best respond to this patient's demeanor?
A) Ask the patient if he would like to have a p.r.n. benzodiazepine.
B) Ask the patient if he is experiencing signs and symptoms of depression.
C) Reassure the patient that many individuals with amputations lead fulfilling lives.
D) Try to gently assess the patient's feelings around this procedure.
Question 4A kidney biopsy has been scheduled for a patient with a history of acute renal failure. The patient asks the nurse why this test has been scheduled. What is the nurse's best response?
A) A biopsy is routinely ordered for all patients with renal disorders.
B) A biopsy is generally ordered following abnormal X-ray findings of the renal pelvis.
C) A biopsy is often ordered for patients before they have a kidney transplant.
D) A biopsy is sometimes necessary for diagnosing and evaluating the extent of kidney disease.
Question 5The nurse is providing health education for a male patient who is preparing to be discharged home following a recovery from total hip replacement surgery.
When reviewing the guidelines for safe mobility and positioning to prevent injury, the nurse should teach the patient to:
A) Perform sit-ups to build core muscle strength.
B) Resume normal sexual activity after waiting 1 week.
C) Perform stair-climbing to build muscle strength.
D) Avoid crossing his legs for the next several months.
Question 6A patient is recovering in the hospital following a total hip replacement that was performed 2 days ago.
In an effort to prevent the common complications associated with the surgical procedure, the nurse should implement which of the following interventions, as ordered?
A) Passive range-of-motion (ROM) exercises with the affected leg
B) Provision of a low-fiber, high-calorie diet
C) Application of sequential compression devices
D) Intermittent urinary catheterization to prevent urinary retention
Question 7A geriatric nurse is performing an assessment of an 85-year-old patient. The nurse realizes that what particular change is an age-related effect on the renal or urinary system?
A) Increased ability to concentrate urine
B) Increased bladder capacity
C) Urinary incontinence
D) Decreased glomerular filtration rate
Quick Reply
