ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 61 : Caring for Clients Requiring Orthopedic Treatment Questions
Question 1 of 5
A client is seen in the orthopedic clinic for complaints of severe pain in the left hip. After a series of diagnostic tests, the client is diagnosed with severe degenerative joint disease of the left hip and suggested to have the hip reconstructed. What procedure will the nurse schedule the client for?
Correct Answer: A
Rationale: Clients with arthritis, trauma, hip fracture, or a congenital deformity may have an arthroplasty, or reconstruction of the joint. This procedure uses an artificial joint that restores previously lost function and relieves pain. An arthroscopy is not used to reconstruct a diseased hip. A closed reduction is not an invasive surgical procedure and would not be used to reconstruct the hip. An open reduction and internal fixation is not the treatment for reconstruction of the hip related to a diseased hip.
Question 2 of 5
The nurse is assigned to care for a client who has had a total knee arthroplasty yesterday. What type of pharmacologic therapy does the nurse anticipate administering to this client to prevent complications related to the surgery?
Correct Answer: D
Rationale: Anticoagulation therapy and early ambulation are very important for clients who have knee or hip replacement to prevent thrombus formation. The other therapies are not indicated for the knee or hip arthroplasty.
Question 3 of 5
A client has had a knee replacement and will be discharged in the morning. What does the nurse understand is the goal for bending the knee by discharge?
Correct Answer: D
Rationale: The goal for the client to have the ability to bend the knee 90?° by discharge. The other answers are incorrect.
Question 4 of 5
A client is scheduled for a total left knee arthroplasty in 2 weeks. When would the best time for postoperative nursing management to begin?
Correct Answer: A
Rationale: Ideally, postoperative nursing management begins before surgery with demonstrations of deep-breathing and coughing exercises and descriptions and demonstrations of the incentive spirometer. Even if the client will have postoperative physical therapy, the nurse explains and helps the client practice active and isometric leg exercises. The nurse also describes other devices that may be used after surgery, such as intravenous infusions of fluid and blood, oxygen, a wound drain, elastic stockings, or roller bandages. It also is necessary to include a discussion of the possible use of traction or the CPM machine. The other options offered do not allow adequate time for instruction.
Question 5 of 5
A patient is scheduled for hip replacement surgery in a month. Which statement made by the client demonstrates understanding for the preoperative instructions?
Correct Answer: B
Rationale: If a client is scheduled for joint replacement or other surgery, the client should be instructed to withhold aspirin prior to the surgery as per physician's instructions. The client should not be instructed to withhold antihypertensive medications to avoid a rebound hypertension. Cold packs, not heat packs, will be applied to reduce pain and edema after surgery. The client will require physical therapy after surgery and will not be able to walk until day 2 with assistance.