Six weeks after an above-the-knee (AKA) amputation, a patient returns to the outpatient office for a routine postoperative checkup. During the nurse's assessment, the patient reports symptoms of phantom pain.
To reduce the discomfort of the phantom pain, the nurse should tell the patient to:
A) Apply hot compresses to the area of the amputation.
B) Avoid rehabilitation exercises until the pain subsides.
C) Comfortably increase his level of activity.
D) Assess for a pulse in the extremity of the amputation every 4 to 6 hours.
Question 2Radiographs were ordered for a 10-year-old boy who had his right upper arm injured. The radiographs show that the humerus appears to be fractured on one side and slightly bent on the other. What type of fracture is this an example of?
A) Impacted
B) Compound
C) Compression
D) Greenstick (incomplete)
Question 3A 59-year-old male patient was diagnosed with cirrhosis several years ago.
After years of successful management of his chronic disease, he experienced a constellation of symptoms that eventually resulted in a diagnosis of hepatocellular carcinoma (HCC). What treatment holds the greatest potential for curing this patient's health problem?
A) Hepatic lobectomy
B) Radiotherapy
C) Liver transplantation
D) Laser ablation
Question 4A 60-year-old man is receiving care for cirrhosis on a medical unit. The nurse who is planning his care recognizes the risks of fluid imbalances that accompany this health problem.
Scheduled assessments of this patient's fluid balance should include:
A) Daily weights and abdominal girth measurements
B) Asking the patient to track his food intake and estimated sodium intake
C) Assessing the patient's skin turgor and skin tone each morning
D) Frequent blood pressure (BP) monitoring and sputum analysis
Question 5The patient scheduled for a Syme amputation (modified ankle disarticulation amputation) in the morning is concerned about his future ability to stand on the amputated extremity. When he asks the nurse about this, what is the nurse's best response?
A) You will be able to withstand full weight-bearing on this durable extremity after it heals.
B) You will have minimal weight-bearing on this extremity and will require the use of an assistive device.
C) You will not be able to use this extremity and will receive teaching on use of a wheelchair.
D) You will be fitted for a prosthesis, and your commitment to rehabilitation will determine your functional abilities.
Question 6The nurse at the pediatrician's office is assessing a 17-year-old soccer player who presented to the clinic stating that he sustained an injury that resulted in the knee being struck medially while his foot was firmly planted on the ground.
The nurse knows that the patient likely has experienced what?
A) Lateral collateral ligament injury
B) Medial collateral ligament injury
C) Anterior cruciate ligament injury
D) Posterior cruciate ligament injury
Question 7A 62-year-old woman was admitted to the hospital yesterday evening with a diagnosis of cirrhosis. When planning the woman's care, what desired outcome should the nurse identify?
A) Patient will remain on bed rest and remain free of the complications of immobility.
B) Patient will resume normal activity levels within 72 hours of admission.
C) Patient will express an understanding of the importance of early ambulation.
D) Patient will become independent with activities of daily living by day 5 of admission.
Question 8A 42-year-old woman was diagnosed with herpes simplex and underwent treatment. However, the woman has been admitted through the emergency department (ED) with signs and symptoms of fulminant liver failure.
The nurse in the ED should recognize which of the following characteristics of this patient and her health history?
A) The woman has likely been infected with hepatitis C without her knowledge.
B) IV drug use or unsafe sexual practices likely contributed to her liver disease.
C) Alcohol use has likely contributed to the course of the woman's illness.
D) Prior to this current illness, the woman was likely in good health.
Question 9The nurse is caring for a patient who had a right extremity below-the-knee amputation (BKA). The nurse recognizes the importance of implementing measures that focus on preventing flexion contracture of the hip and maintaining proper positioning.
Which of the following measures will achieve these goals?
A) Encouraging the patient to turn from side to side and to assume a prone position
B) Initiating range-of-motion (ROM) exercises of the hip and knee 3 months after the amputation
C) Minimizing movement of the flexor muscles of the hip
D) Encouraging the patient to sit in the chair for at least 8 hours of the day
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