A middle-aged woman sustained an elbow fracture in a bicycle crash and has required reduction and fixation to aid healing. The nurse is aware of the need for vigilant neurovascular assessment.
How should the nurse assess the function of the patient's ulnar nerve?
A) Ask the patient to clench and unclench her fist several times.
B) Ask the patient to rotate her hand at the wrist.
C) Touch the back of the patient's hand with a pen and ask if the patient is able to feel the sensation.
D) Ask the patient to spread her fingers as widely as possible.
Question 2Three areas of the ureters have a propensity for obstruction. Prompt management of renal calculi is most important when the stone is located where?
A) In the ureteropelvic junction
B) In the ureteral segment near the sacroiliac junction
C) In the ureterovesical junction
D) In the urethra
Question 3A 77-year-old man is recovering in the hospital after a recent femoral fracture and has rung his call light. The nurse has entered the room to find the patient in distress, clutching his chest while struggling to say, I can't breathe.
The nurse should take prompt action based on the knowledge that this patient may be experiencing what complication of lower extremity fractures?
A) Thromboembolism
B) Unstable angina
C) Acute respiratory distress syndrome (ARDS)
D) Ischemic stroke
Question 4A patient with renal insufficiency has been hospitalized on a medical unit. The patient knows that renal function depends upon the functional status of nephrons.
The patient asks the nurse when she will need to start dialysis based upon loss of nephron function. How should the nurse respond?
A) When about 50 of the nephrons are no longer functioning.
B) When about 60 of the nephrons are no longer functioning.
C) When about 70 of the nephrons are no longer functioning.
D) When about 80 of the nephrons are no longer functioning.
Question 5The nurse is conducting a scheduled assessment of a female patient who has been admitted to the unit following surgical repair of her fractured humerus.
Which of the following assessment findings should prompt the nurse to contact the patient's care provider?
A) The patient's capillary refill in her fingers is 1 to 2 seconds.
B) The patient is able to wiggle each of her fingers and her thumb.
C) There is a moderate amount of edema in the patient's hand and fingers.
D) The patient states that her hand and her fingers are numb.
Question 6The nurse is planning the care of a patient who has a diagnosis of chronic pancreatitis. As part of this patient's early discharge planning, the nurse is identifying goals for self-care in collaboration with the patient.
Which of the following goals is the most likely priority?
A) The patient will plan a nutritionally balanced diet.
B) The patient will abstain from drinking alcohol.
C) The patient will demonstrate the correct technique for blood glucose testing.
D) The patient will demonstrate aseptic technique of a dressing change.
Question 7An older adult man has been diagnosed with a femoral head fracture after falling outside his home, and his health care provider has chosen open reduction with internal fixation (ORIF).
How should the nurse best explain this procedure to the patient?
A) The surgeon will give you an anesthetic and then apply a cast.
B) The surgeon will place plates or rods outside your hip and keep you in traction until your bones heal.
C) The surgeon will use pins and rods to keep your bones in place until they heal.
D) The surgeon will use a scope inserted through punctures in your skin to remove any bone fragments.