ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
Which action will the nurse take in order to evaluate the effectiveness of Buck’s traction for a patient who has an intracapsular fracture of the right femur?
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.
Question 2 of 5
After a motorcycle accident, a patient arrives in the emergency department with severe swelling of the left lower leg. Which action will the nurse take first?
Correct Answer: C
Rationale: The correct action is to assess leg pulses and sensation first because it is crucial to determine if there is compromised blood flow or nerve damage. This assessment helps in identifying any immediate threats to the patient's limb and guides further interventions. Elevating the leg or applying compression bandage without ensuring adequate circulation could worsen the condition. Placing ice packs is not appropriate for a potentially compromised limb.
Question 3 of 5
Which finding in a patient with a Colles’ fracture of the left wrist is most important to communicate immediately to the health care provider?
Correct Answer: D
Rationale: The correct answer is D because prolonged capillary refill indicates compromised blood flow, potentially leading to ischemia or compartment syndrome. It is crucial to communicate this immediately to prevent tissue damage. Swelling (A) and severe pain (B) are common in fractures and should be managed but may not indicate immediate danger. A deformed appearance (C) is expected in a Colles' fracture and usually does not require immediate intervention.
Question 4 of 5
The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee amputation. Which statement by a patient indicates additional patient teaching is needed?
Correct Answer: C
Rationale: Rationale for Correct Answer (C): The statement "I did not have this bone cancer until my leg broke a week ago" indicates a lack of understanding about osteosarcoma, a type of bone cancer. Osteosarcoma does not develop as a result of a broken bone; rather, it is a primary bone cancer that arises from bone cells. This statement suggests a misunderstanding of the nature of the disease, indicating a need for further patient education. Summary of Incorrect Choices: A: Choice A is correct as physical therapy is typically recommended after amputation to aid in rehabilitation and improve mobility. B: Choice B is not indicative of a need for additional teaching as chemotherapy is often part of the treatment plan for osteosarcoma. D: Choice D is also not a sign for additional teaching as PCA is commonly used for postoperative pain management after amputation surgery.
Question 5 of 5
The nurse evaluating effectiveness of prescribed calcitonin and ibandronate (Boniva) for a patient with Paget’s disease will consider the patient’s
Correct Answer: D
Rationale: The correct answer is D: pain intensity. In Paget's disease, bone pain is a common symptom. Monitoring pain intensity helps assess the effectiveness of treatment. Changes in pain levels can indicate disease progression or response to medication. Oral intake (A), daily weight (B), and grip strength (C) are not direct indicators of Paget's disease progression or treatment effectiveness. Pain intensity is a key factor in evaluating the patient's response to calcitonin and ibandronate therapy.