A female patient is sufficiently stable to be transferred from the PACU to the postsurgical unit following her total hip replacement surgery early this morning.
When preparing to admit this patient, the nurse on the postsurgical unit should anticipate that the patient will require what positioning?
A) Supine with her knees slightly elevated
B) With her legs slightly abducted
C) In a high Fowler's position with knees elevated
D) With a low head-of-bed and with her knees touching each other
Question 2An orthopedic trauma patient is receiving lower-body skeletal traction and will continue to do so for several weeks. When planning the patient's care, what nursing diagnosis should be prioritized?
A) Risk for impaired skin integrity
B) Risk for ineffective protection
C) Risk for self-care deficit, feeding
D) Risk for bowel incontinence
Question 3The nurse is caring for a patient who has been NPO for 2 days pending a diagnostic procedure that has been repeated cancelled. When evaluating this patient's urinalysis, what would the nurse anticipate?
A) A fluctuating urine specific gravity
B) A fixed urine specific gravity
C) A decreased urine specific gravity
D) An increased urine specific gravity
Question 4A 14-year-old boy has come to the cast clinic with his mother for the scheduled removal of his arm cast. In preparation for this procedure, what teaching point should the nurse provide to the boy?
A) Don't be surprised if your arm looks skinnier than it normally does.
B) There usually a little bit of blood under the cast, but that's nothing to be alarmed about.
C) I'll give you some pain pills around half an hour before the removal.
D) I'll give you some medicine to relax you for the procedure, and it will ensure that you won't remember it.
Question 5The nurse is providing preprocedure teaching about an ultrasound. The nurse informs the patient that, in preparation for an ultrasound of the lower urinary tract, the patient will require what?
A) Increased fluid intake to produce a full bladder
B) IV administration of radiopaque contrast agent
C) In-and-out urinary catheterization
D) The injection of a radioisotope
Question 6Four hours after his fractured radius was fit with a cast, a 20-year-old man has returned to the cast clinic stating that his arm hurts even more than when I broke it.
The nurse's gentle manipulation of the patient's fingers causes his excruciating pain. What action should the nurse take?
A) Administer 5 mg oxycodone PO.
B) Apply warm compresses the patient's hand and reassess in 15 minutes.
C) Document the patient's complaint and implement distraction techniques.
D) Report the patient's symptoms to the primary care provider.
Question 7A nurse who provides care on a reconstructive orthopedic unit has walked past the room of a patient who is receiving balanced suspension traction for the treatment of a femoral head fracture.
The nurse observes a nursing assistant lifting the suspended weights to facilitate positioning a bedpan under the patient. How should the nurse best follow-up this observation?
A) Ensure the nursing assistant knows that such transfers must be performed quickly and efficiently.
B) Assess the patient for the ability to transfer to a commode rather than using a bedpan.
C) Teach the nursing assistant that weights should not be removed from traction, except in an emergency.
D) Teach the nursing assistant to apply temporary weights to compensate for positional changes.
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