ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 66 Questions
Question 1 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 2 of 5
The nurse is teaching a patient with persistent back pain, whose work involves lifting, about proper body mechanics. Which of the following patient statements indicates that the teaching has been effective?
Correct Answer: A
Rationale: Exercises can help to strengthen the muscles that support the back. Flexion of the hips and knees places less strain on the back. Modifications in the way the patient lifts boxes is needed as well as reminding that sitting for prolonged periods can aggravate back pain. The patient should not lift above the level of the elbows.
Question 3 of 5
The nurse is caring for a patient who underwent a laminectomy and discectomy for a herniated intervertebral disc. Following the surgery, which of the following actions should the nurse implement when positioning the patient on their side?
Correct Answer: C
Rationale: The spine should be kept in correct alignment after laminectomy. The other positions will create misalignment of the spine.
Question 4 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.
Question 5 of 5
Which of the following assessment findings should alert the nurse to the presence of osteoporosis in an older adult patient?
Correct Answer: A
Rationale: Osteoporosis occurring in the vertebrae produces a gradual loss of height. Bowed legs are associated with osteomalacia. Low intake of dairy products is a risk factor for osteoporosis, but it does not indicate that osteoporosis is present. Frequent falls increase the risk for fractures but are not an indicator of osteoporosis.