Nokea
A common condition that requires a joint replacement is
- A. A hairline fracture.
- B. Osteoarthritis.
- C. A comminuted fracture.
- D. An amputation.
Correct Answer: B
Rationale: Osteoarthritis, a degenerative joint disease, commonly requires joint replacement due to cartilage loss and pain. Hairline and comminuted fractures are treated with immobilization or fixation, and amputation is a procedure, not a condition.
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A patient is in skin traction. You notice that when the bed is lowered to its lowest position, the weights are on the floor. Why is this a problem?
- A. It reduces the effectiveness of the traction.
- B. It causes excessive pain to the patient.
- C. It damages the traction equipment.
- D. It increases the risk of skin breakdown.
Correct Answer: A
Rationale: Weights on the floor eliminate the pulling force needed for traction, reducing its effectiveness in aligning the bone or relieving muscle spasms.
A patient has a fresh plaster cast applied to the left leg from the thigh to the ankle. How will you prevent complications as the cast dries?
- A. Elevate the leg and monitor for swelling or neurovascular issues.
- B. Apply heat to speed drying.
- C. Keep the cast covered to prevent contamination.
- D. Allow the patient to bear weight to test cast integrity.
Correct Answer: A
Rationale: Elevating the leg and monitoring for swelling or neurovascular issues prevents complications like compartment syndrome. Heat, covering the cast, or weight-bearing could worsen outcomes.
The purpose of a trapeze bar is to
- A. Prop the linens off of the patient's legs and feet.
- B. Hold the ropes and weights in traction.
- C. Provide a hand grip for the patient to use when moving in bed.
- D. Provide attachment points for skeletal traction.
Correct Answer: C
Rationale: A trapeze bar allows patients to grip and reposition in bed, promoting independence and mobility.
What is the difference in recovery of a patient who has had a direct anterior approach hip arthroplasty and one who has had a lateral approach hip arthroplasty?
- A. Anterior approach has faster recovery due to less muscle disruption.
- B. Lateral approach has faster recovery due to better visualization.
- C. Both approaches have identical recovery times.
- D. Anterior approach requires longer immobilization.
Correct Answer: A
Rationale: The direct anterior approach involves less muscle disruption, leading to faster recovery and fewer movement restrictions compared to the lateral approach, which involves more muscle cutting.
Fill in the acronym for the care of a sprain.
- A. Rest, Ice, Compression, Elevation
- B. Reduce, Immobilize, Cool, Elevate
- C. Rest, Inspect, Compress, Exercise
- D. Relax, Ice, Compress, Extend
Correct Answer: A
Rationale: The acronym for sprain care is RICE: Rest, Ice, Compression, Elevation, which reduces swelling and promotes healing. Other options include incorrect components.