An older adult patient with a squamous cell carcinoma (SCC) on the lower arm has a Mohs procedure in the dermatology clinic. Which nursing action will be included in the postoperative plan of care?

Correct Answer: D

Rationale: The correct answer is D: Teach the use of cold packs to reduce bruising and swelling. Cold packs can help reduce inflammation, bruising, and swelling after a surgical procedure like Mohs surgery. This promotes healing and comfort for the patient. A: Scheduling daily appointments for dressing changes is not necessary for a post-Mohs procedure care plan as the dressing changes are typically done less frequently. B: Describing the use of topical fluorouracil is not relevant in the postoperative care of a patient who had a Mohs procedure as it is used for treating precancerous skin lesions, not for postoperative wound care. C: Teaching sterile technique to clean the suture line is important, but it is not the immediate priority in the postoperative care of a patient who had a Mohs procedure.

Correct Answer: A

Rationale: The correct answer is A because having a pacemaker can pose a significant risk during an MRI due to potential interference with the device's function. Pacemakers can malfunction or heat up during the MRI procedure, leading to serious complications. Consulting with the healthcare provider is crucial to determine if special precautions or alternative imaging methods are needed. Choices B, C, and D are incorrect because: B: Claustrophobia can be managed with medication or relaxation techniques, and open MRI machines are available for claustrophobic patients. C: Hearing aids are generally safe during an MRI, and can be removed before the procedure if necessary. D: Allergies to shellfish do not pose a direct risk during an MRI unless contrast dye containing shellfish is used, in which case alternative contrast agents can be used.

Correct Answer: B

Rationale: The correct answer is B: "You will begin work with a physical therapist tomorrow." This is the correct answer because early physical therapy is crucial for restoring range of motion and strength after rotator cuff surgery. The therapist will guide the patient in exercises to prevent stiffness and promote healing. Choice A is incorrect as it is overly pessimistic and does not reflect the potential for recovery with proper rehabilitation. Choice C is incorrect because immobilizing the shoulder for too long can lead to stiffness and reduced range of motion. Choice D is incorrect as the drop-arm test is used to assess rotator cuff tears before surgery, not to determine the success of surgery.

Correct Answer: A

Rationale: The correct answer is A: Assess for hip pain. This is because evaluating the patient's level of hip pain is a crucial indicator of the effectiveness of Buck's traction in managing the intracapsular fracture of the right femur. Decreased pain can suggest proper alignment and traction application. Checking peripheral pulses (B) is important for assessing circulation but not specific to evaluating traction. Assessing for contractures (C) is relevant for long-term care but not immediate effectiveness. Monitoring for hip dislocation (D) is important but not the primary indicator of traction effectiveness.

Correct Answer: C

Rationale: The correct answer is C: "I will be able to use my fingers with more flexibility to grasp things." This answer is correct because arthroplasty surgery aims to improve joint function and mobility rather than correcting deformities or changing the appearance of the fingers. Patients with ulnar drift caused by RA typically have limited mobility and flexibility in their fingers, so the goal of the surgery is to enhance the ability to use the fingers for daily tasks. Choice A is incorrect because while the surgery may improve finger function, it may not fully correct all deformities caused by RA. Choice B is incorrect because hand exercises are typically an important part of the post-operative rehabilitation process to regain strength and mobility. Choice D is incorrect because while the surgery may improve the alignment of the joints, it may not significantly change the size or shape of the fingers.