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 sustained a stable fracture of the cervical spine and is having skeletal traction applied. What type of traction does the nurse educate the client about?
Correct Answer: D
Rationale: Crutchfield tongs are used for skeletal traction in the case of a cervical spine fracture to stabilize the spine and maintain alignment. Kirschner wires and Steinmann pins are typically used for skeletal traction in other areas, such as limbs. A Thomas splint is used for femoral fractures and is a form of skin traction, not skeletal traction.
Question 2 of 5
A client is harbouring a fractured tibia is to be placed in skin traction. Which of the following is a type of skin traction that the nurse might expect to be used?
Correct Answer: A
Rationale: Buck's traction is a type of skin traction commonly used for temporary immobilization and pain relief in fractures, such as a fractured tibia, until definitive treatment like surgery can be performed. Skeletal traction involves pins inserted into the bone, external fixation involves a frame outside the body, and cast application is not a form of traction.
Question 3 of 5
The nurse is caring for a patient with a fractured right femur who is not a candidate to repair the femur immediately. What intervention should the nurse anticipate the physician will order to relieve muscle spasm and pain until surgery is performed?
Correct Answer: B
Rationale: If surgery for a fracture cannot be performed right away, Buck's traction or other skin traction may be applied to relieve muscle spasm and pain until surgery is performed. The other distractors all require surgical intervention.
Question 4 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 5 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.