30 notecards = 8 pages (4 cards per page)
The nurse is caring for an elderly pt with a fractured femur. The nurse recognizes that which of the following is an early sign of fat embolism?
altered mental status
The clinic nurse counsels a client c/o low back pain. Which of the following statements made by the ct would require a f/u by the nurse.
"I work full time as a checker at the grocery store."
During an acute flare up of gouty arthritis, the nurse would expect the affected foot to appear...
The nurse assesses a pt with osteoarthritis. The nurse expects to observe which of the following s/s?
fever, rash and nodules over body prominences
The nurse cares for a pt in balanced, suspention traction. The pt c/o pain in the effected extremity, and the nurse admin. a prescribed medication. An hour later the pt states that they are not having any relief from the pain. Which action should the nurse take first?
perform a neurovascular assessment
The nurse cares for a pt after a right BKA. The nurse is MOST concerned with which of the following?
the pt c/o persistent pain at the operative site
The nurse cares for a pt w/degenerative joint disease after a total hip replacement. The nurse should intervene if which is observed?
the pt's heels are lying on the bed w/toes pointed upward
The nurse cares for a pt in Buck's Traction. It is MOST important for the nurse to take what action?
allow wts to hang freely at all times
The nurse makes a home care visit to a ct w/osteoarthritis. She would further assess which statement made by the spouse.
"I can tell that my husband has been worrying because he is wringing his hands."
Prednisone 2mg QD is prescribed for a client w/RA. What important points should the nurse include when teaching the client about this medication?
the dosage of prednisone must be increased and decreased gradually
The nurse prepares discharge teaching for a pt w/a fx'd femure in a cast. The pt asks how to keep the muscles of the leg strong while in the cast. What is the BEST response by the nurse?
"I'll teach you how to do isometric exercises."
The nurse is caring for a pt w/osteoarthritis. The physician orders celecoxib (Celebrex). The nurse is concerned about which of the following statements?
"I am allergic to aspirin."
The nurse cares for a client with a newly applied plaster cast to the lower extremity. Which action should be taken by the nurse?
elevate the leg on pillows and leave it open to air
The nurse performs a home care visit for a client w/a fx'd right femur, and assess the client's safety while using crutches. The nurse should intervene is which of the following is observed.
Before sitting in a chair, the ct stands on the unaffected leg and transfers both crutches in the hand opposite the unaffected leg
Which of the following nursing interventions is MOST appropriate for a pt Dx w/RA?
assist the pt w/heat application and ROM exercises
A client is evaluated in the clinic for RA. Which of the following finding should assume the highest priority for the nurse when assessing and planning the client's care?
slight contracture of the right wrist
3 hrs after arriving at the orthopedic unit, a pt c/o of a hot feeling under the cast. Which action should the nurse take FIRST.
check the circulation in the casted extremity and change the pt's position
A nurse returns to the parking lot after getting groceries and witnesses a car vs pedestrian accident. As the nurse approaches the pedestrian, they call out, "I think my leg is broken!" Which action should the nurse take FIRST.
cut away the client's pant leg on the affected side
A pt asks the nurse, "What is the difference b/t RA and osteoarthritis?" Which response is best?
RA is systemic and OA is not
When teaching a pt with a BKA to care for the residual limb at home, the nurse should advise the pt to do which of the following?
expose the residual limb to air
The nurse in the out patient clinic is measuring the ht of an older woman. She is surprised that she is one inch shorter than she used to be. Which of the following statements by the nurse is BEST?
you are shorter as a result of Paget's disease
The nurse cares for a pt 8 days after an open reduction and internal fixation of the right hip. The nurse should intervene if which is observed?
the pt is not wearing elastic stockings
Aspirin is prescribed to a client, it should be given with what liquid?
a glass of milk
Total hip arthroplasty is scheduled for a client w/degenerative joint disease of the left femoral head. It is MOST important for the nurse to place the ct's left leg in which of the following positions?
abducted with toes pointed upward
A pt with type I diabetes is scheduled for a right BKA d/t gangrenous toe. The pt wants to know why the amputation is so extensive. The nurse's response should be based on which of the following?
A BKA results in better circulation and healing
The nurse cares for a client w/an amputation w/an immediate prosthetic fitting. The nurse should include which of the following in the ct's plan of care.
provide cast care on the affected extremity
The nurse prepares the pt for a total hip replacement. Which of the following observations by the nurse necessitates contacting the physician.
the pt c/o burning w/urination
An elderly female pt undergoes an open reduction and internal fixation (ORIF) of the left femoral head after a fx. Which action by the nurse is BEST.
encourage the pt to cough and deep breath q2h
The nurse in the outpt clinic is teaching a client receiving probenecid (Benemid). What is MOST important for the nurse to relay to the pt?
drink 6-8 glasses of water each day
The nurse evaluates care given to a pt after a left BKA. The nurse should intervene if she observes this
a tourniquet is placed in the pt's bedside table