ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 65 Questions
Question 1 of 5
The nurse is counseling a patient about ways to prevent fractures. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Comfortable shoes with good support will help decrease the risk for falls. Throw rugs should be eliminated, not just tacked down. Most falls occur inside the home, and activities of daily living do not necessarily provide sufficient range of motion to prevent fractures.
Question 2 of 5
The nurse is caring for a patient in the emergency department with repetitive strain injury to the left elbow as a result of his employment as a checkout clerk in the grocery. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Treatment for a repetitive strain injury includes changing the ergonomics of the activity. Elbow injections and surgery are not initial options for this type of injury. A wrist splint might be used for hand or wrist pain, not elbow injuries.
Question 3 of 5
The nurse is providing health-promotion teaching to a patient whose job involves many hours of word processing. Which of the following actions should the nurse include in the patient teaching plan?
Correct Answer: D
Rationale: Repetitive strain injuries caused by prolonged times working at a keyboard can be prevented by the use of a pad that will keep the wrists in a straight position. Stretching exercises during the day may be helpful, but these would not be needed before starting. Use of a compression bandage is not needed, although a splint may be used for carpal tunnel syndrome. NSAIDs are appropriate to use to decrease swelling but are not a preventive measure.
Question 4 of 5
The nurse is preparing a patient for discharge from the emergency department with a sprained wrist. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Elevation of the arm will reduce the amount of swelling and pain. Compression bandages are used to decrease swelling. For the first 24-48 hours, cold packs are used to reduce swelling. The wrist should be rested and kept immobile to prevent further swelling or injury.
Question 5 of 5
The nurse is caring for a patient who is a baseball pitcher and had an arthroscopic repair of a rotator cuff injury performed in same-day surgery. Which of the following information should be included in the patient's postoperative teaching plan?
Correct Answer: A
Rationale: Physical therapy after a rotator cuff repair begins on the first postoperative day to prevent 'frozen shoulder.' A shoulder immobilizer is used immediately after the surgery, but leaving the arm immobilized for several days would lead to loss of range of motion (ROM). The drop-arm test is used to test for rotator cuff injury, but not after surgery. The patient may be able to return to pitching after rehabilitation.