Med-Surg Week 9 PP

A nurse is caring for a client who sprained an ankle while playing basketball. Which intervention should the nurse implement first?

Implement the RICE protocol

Which injury involves damage to a ligament?

Sprain

A client has a muscle injury after lifting heavy furniture. The nurse recognizes this injury as a:

Strain

The emergency department nurse is caring for a client with a suspected tibia fracture. Which action is the priority before transport?

Immobilize the fracture

A client has an open femur fracture. Which intervention has the highest priority?

Start prophylactic IV antibiotics

The nurse assesses the "5 Ps" following fracture reduction. Which findings are included? (Select the best answer.)

Pain, pallor, pulselessness, paresthesia, paralysis

Which assessment finding suggests compartment syndrome?

Severe pain with passive movement

A nurse suspects fat embolism syndrome after a femur fracture. Which finding requires immediate intervention?

Hypoxemia, confusion, petechiae

Which fracture places the client at greatest risk for hypovolemic shock?

Femur fracture

Which factor delays fracture healing?

Smoking

The nurse is teaching fracture healing. Which factor promotes bone healing?

Adequate blood supply

A client with a pelvic fracture suddenly becomes hypotensive. What is the nurse's priority concern?

Hemorrhage

Which assessment finding is most consistent with a hip fracture?

Shortened, externally rotated leg

Which intervention should the nurse avoid following a total hip replacement?

Flex hip greater than 90°

Which postoperative finding after hip arthroplasty requires immediate intervention?

Fever of 102°F

Which nursing intervention best prevents postoperative DVT following total hip replacement?

Leg exercises

The nurse knows ambulation typically begins after joint replacement:

Within 24 hours

Which intervention helps prevent hip prosthesis dislocation?

Use abduction pillow

A nurse is caring for a client following below-knee amputation. Which position prevents hip flexion contracture?

Prone position several times daily

A client reports, "My amputated foot feels like it's burning." What is the nurse's best response?

"Phantom limb pain is real."

Which medication is commonly used for phantom limb pain?

Antiseizure medications

Which nursing intervention best promotes positive body image after amputation?

Encourage expression of feelings

A nurse is caring for a postoperative amputee. Which finding requires immediate intervention?

Temperature 101.9°F

Which complication is the client with an amputation at highest risk for during prolonged bedrest?

DVT

A nurse is teaching a client about exercises after amputation. Which statement indicates understanding?

"I'll strengthen my upper body for crutch use."