ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 66 Questions
Question 1 of 5
The nurse is planning an educational session related to foot problems at a local senior's club. Which of the following information should the nurse include in the session related to why the older adult is prone to developing foot problems? (Select all that apply.)
Correct Answer: A,C,E
Rationale: The older adult is prone to developing foot problems because of poor circulation, atherosclerosis, and decreased sensation in the lower extremities. Inactivity and foot hygiene are personal choices and are not age-related changes.
Question 2 of 5
The nurse is caring for a patient following a laminectomy with a spinal fusion who reports numbness and tingling of the right lower leg. Which of the following actions should the nurse do first?
Correct Answer: A
Rationale: Numbness and tingling should be immediately reported to the surgeon rather than documented and rechecked in two hours. Numbness and tingling are not symptoms associated with hemorrhage at the site. Turning the patient will not relieve the numbness.
Question 3 of 5
Which of the following statements by a patient with osteosarcoma of the right tibia who is scheduled for an above-the-knee amputation indicates that patient teaching is needed?
Correct Answer: A
Rationale: The statement that the patient did not have bone cancer until the leg broke indicates a misunderstanding, as osteosarcoma is a primary bone cancer that may lead to fractures, not vice versa. The other statements reflect appropriate understanding of the need for chemotherapy, physical therapy, and pain management post-surgery.
Question 4 of 5
The nurse is caring for an older female adult patient who has a family history of osteoporosis and is diagnosed with osteopenia following densitometry testing. Which of the following explanations should the nurse provide when teaching the patient about osteoporosis?
Correct Answer: D
Rationale: Progression of osteoporosis can be slowed by increasing calcium intake and weight-bearing exercise. Estrogen replacement therapy does help prevent osteoporosis, but it is not the only treatment and is not appropriate for some patients. Corticosteroid therapy increases the risk for osteoporosis.
Question 5 of 5
The nurse is teaching a patient with a bunion how to prevent further deformity. Which of the following patient statements indicates that more teaching is required?
Correct Answer: C
Rationale: The patient can wear shoes that have a wide forefoot. The other patient statements indicate that the teaching has been effective.