A type of external fixator composed of metal rings on the outside of the limb with rods and wires attached that penetrate through the skin into the bone is a(n)
- A. External immobilizer.
- B. Buck's traction setup.
- C. Skin traction setup.
- D. Ilizarov frame.
Correct Answer: D
Rationale: An Ilizarov frame is an external fixator with metal rings, rods, and wires penetrating the bone to stabilize fractures. Other options describe different devices.
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Care of the pin insertion sites includes
- A. Cleaning the area with hydrogen peroxide or normal saline solution as ordered.
- B. Applying antibiotic ointment to the site.
- C. Inspecting the site for signs and symptoms of infection.
- D. Shaving the hair around the site.
Correct Answer: A,C
Rationale: Pin site care involves cleaning with ordered solutions (e.g., saline) and inspecting for infection. Antibiotic ointment is not routine, and shaving may increase infection risk.
When you care for a patient prior to surgery, one of your primary concerns is
- A. Researching the exact surgery that will take place.
- B. Ensuring that all preoperative orders are carried out correctly.
- C. Showing the family where to wait during the surgery.
- D. Explaining the surgical techniques that will be used with the patient.
Correct Answer: B
Rationale: Ensuring preoperative orders are followed is critical to prepare the patient safely for surgery. Researching surgery details, showing family waiting areas, or explaining techniques are not primary nursing responsibilities.
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 quarter-size amount of drainage on her cast. The next day the amount of drainage has increased to 2 inches (5 cm) in diameter. The nurse would be most concerned about
- A. Swelling beneath the cast.
- B. Neurovascular impairment.
- C. Infection under the cast.
- D. Placing tape petals over the edges of the cast.
Correct Answer: C
Rationale: Increasing drainage on a cast suggests possible infection, requiring immediate attention. Swelling or neurovascular issues are less directly tied to drainage.
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.
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