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
The nurse is caring for a client who had an amputation of the left leg above the knee. What position can the nurse place the client in several times per day to promote stump extension and prevent contractures?
Correct Answer: C
Rationale: Place the client with leg amputation in the prone position several times a day. This position promotes stump extension and prevents contractures. The other positions do neither of these things.
Question 2 of 5
A client is having traction applied to a fractured left lower extremity prior to surgery. What outcome(s) does the nurse expect from the application of the traction for the client? Select all that apply.
Correct Answer: B,C,D
Rationale: Traction is used to relieve muscle spasm, align bones, and maintain immobilization when used properly. It will not replace surgery to correct the fracture. The client will still require pain medication prior to surgical correction.
Question 3 of 5
A client had a surgical amputation of an arm and is having a myoelectric arm applied. What does the nurse understand is the benefit(s) of this type of device? Select all that apply.
Correct Answer: A,B,C
Rationale: The myoelectric arm has three advantages: eliminates the need to wear a harness, the terminal device looks natural, and it has somewhat better function than the cosmetic hand. Despite its advantages, the myoelectric arm is not rugged enough to do the work of the mechanical terminal device, and it does not last longer than other devices.
Question 4 of 5
A client has just undergone a leg amputation. What will the nurse closely monitor the client for during the immediate postoperative period?
Correct Answer: B
Rationale: Hematoma, hemorrhage, and infection are potential complications in the immediate postoperative period. Sleeplessness, nausea, and vomiting may occur but are adverse reactions, not complications. Chronic osteomyelitis and causalgia are potential complications that are likely to arise in the late postoperative period. A neuroma occurs when the cut ends of the nerves become entangled in the healing scar. This would occur later in the postoperative course.
Question 5 of 5
A client has a cast that extends from below the elbow to the palmar crease and is secured around the base of the thumb. The thumb is also casted. The nurse identifies this as which type of cast?
Correct Answer: B
Rationale: A gauntlet cast is a short arm cast that extends from below the elbow to the palmar crease and is secured around the base of the thumb, with the thumb also being casted. A short arm cast extends from below the elbow to the palmar crease and is secured around the base of the thumb. A body cast is a larger form of a cylinder cast that encircles the trunk from about the nipple line to the iliac crests. A hip spica cast surrounds one or both legs and the trunk.