ATI RN
ATI Med Surg 102 Questions
Extract:
Question 1 of 5
A client is admitted to the orthopedic unit with a fractured femur after a motorcycle accident. The client has been placed in traction until his femur can be rodded in surgery. For what early complications should the nurse monitor this client? Select all that apply.
Correct Answer: B,C,D,E
Rationale: B: Compartment syndrome is an early risk due to swelling in confined spaces. C: Fat embolism is a concern with long bone fractures. D: DVT is a risk due to immobility. E: Pulmonary emboli can result from DVT. A: Malunion is a later complication.
Question 2 of 5
An emergency department client is diagnosed with a hip dislocation. The client's family is relieved that the client has not suffered a hip fracture, but the nurse explains that this is still considered to be a medical emergency. What is the rationale for the nurse's statement?
Correct Answer: A
Rationale: Prolonged dislocation complicates reduction due to muscle spasms and tissue changes, making prompt intervention critical.
Question 3 of 5
A nurse notes increasing edema in the calf of a client who has multiple fractures of the leg. The nurse should recognize that increasing edema is a manifestation of which of the following complications?
Correct Answer: C
Rationale: Increasing edema in a fractured leg suggests acute compartment syndrome due to pressure buildup in muscle compartments.
Question 4 of 5
A client is brought to the emergency department by ambulance after stepping in a hole and falling. During the assessment, the nurse notes that the right leg is shorter than the left leg the right hip is noticeably deformed and acute pain is noted. Imaging does not reveal a fracture. What is the most likely explanation for this client's signs and symptoms?
Correct Answer: A
Rationale: Right hip dislocation causes the femoral head to be displaced from the acetabulum, leading to leg shortening, deformity, and acute pain without a fracture, as seen in this client.
Question 5 of 5
A provider orders a diagnostic test for a client with a urinary tract infection. The test will determine the strain of bacteria causing the infection and determine the antibiotic that will treat the infection. The nurse knows this test is called which of the following?
Correct Answer: A
Rationale: Urine culture and sensitivity identifies the bacterial strain and effective antibiotics for UTI treatment.