Nurse Jessie is caring for an elderly woman who has had a fractured hip repaired. In the first few days following the surgical repair, which of the following nursing measures will best facilitate the resumption of activities for this client?

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Question 1 of 5

Nurse Jessie is caring for an elderly woman who has had a fractured hip repaired. In the first few days following the surgical repair, which of the following nursing measures will best facilitate the resumption of activities for this client?

Correct Answer: D

Rationale: Exercise is important to keep the joints and muscles functioning and to prevent secondary complications. Using the overhead trapeze prevents hazards of immobility by permitting movement in bed and strengthening of the upper extremities in preparation for ambulation. Sitting in a wheelchair would require too great hip flexion initially. Asking her family to visit would not facilitate the resumption of activities. Sitting in a chair would cause too much hip flexion initially; the client needs to be in a low Fowler's position or taking a few steps (as ordered) with the aid of a walker.

Question 2 of 5

A 40-year-old man who is scheduled for repair of a tendon laceration of the left hand has complete anesthesia in the median, radial, and ulnar nerve distributions after supraclavicular block. Two hours of tourniquet inflation are required for completion of the procedure. The most appropriate NEXT step is an additional block of which of the following nerves?

Correct Answer: B

Rationale: The intercostobrachial nerve (T2) innervates the medial upper arm, often spared in supraclavicular blocks, and must be blocked to prevent tourniquet pain.

Question 3 of 5

The nurse is caring for a postoperative patient with an abdominal incision. The nurse provides a pillow to use during coughing. Which activity is the nurse promoting?

Correct Answer: B

Rationale: Correct Answer: B - Splinting Rationale: 1. Splinting supports the incision site during coughing, reducing pain. 2. The pillow provides external support, decreasing strain on the incision. 3. By promoting splinting, the nurse helps prevent wound dehiscence. 4. Pain relief, distraction, and anxiety reduction are not the primary focus in this scenario.

Question 4 of 5

While en route back to your station from a call, you discover that you forgot to include important patient information on your patient care report. Which of the following would be most appropriate at this point?

Correct Answer: C

Rationale: The correct answer is C: Complete an addendum, and return to the hospital to add it to the report. This is the most appropriate action because it ensures that the missing patient information is accurately documented in the patient care report. By completing an addendum, you are providing a formal and transparent way to add the information to the report, maintaining the integrity of the documentation. Returning to the hospital to add the information also allows for any necessary follow-up or clarification with the patient or medical staff. Explanation of why the other choices are incorrect: A: Document the information on the back of your original patient care report - This option does not provide a formal and standardized way to update the patient care report and may not be considered a valid amendment to the original documentation. B: Contact the emergency department staff and notify them of your error - While it is important to communicate the error, contacting the emergency department staff alone does not address the issue of correcting the patient care report. D: Do nothing since you

Question 5 of 5

An adult asthma patient is experiencing laryngospasm and ineffective respirations, making orotracheal intubation impossible. So, you quickly decide to perform nasotracheal intubation. Which of the following tubes would be most appropriate for the procedure for an average height and weight adult?

Correct Answer: D

Rationale: The correct answer is D: Cuffed 7-8 mm endotracheal tube. Rationale: 1. Cuffed tubes provide a better seal in the trachea, reducing the risk of aspiration and air leak. 2. A larger diameter tube (7-8 mm) is more appropriate for an average adult, ensuring adequate airflow. 3. Nasotracheal intubation requires a tube with a cuff to prevent nasal secretions from entering the lungs. Summary: A: A cuffed tube is needed for nasotracheal intubation to prevent complications. The diameter is too small for an adult. B: An uncuffed tube may not provide a secure seal in the trachea, increasing the risk of aspiration. C: An uncuffed tube is not suitable for nasotracheal intubation in an adult due to the risk of air leak and aspiration.

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