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The nurse, caring for the client who had bilateral THRs 2 days ago, determines that the client will need a referral to manage exercises and stairs when at home. The nurse should plan to initiate a referral with which interdisciplinary team member?
- A. Occupational therapist
- B. Social worker
- C. Physical therapist
- D. Health care provider
Correct Answer: C
Rationale: C. The physical therapist is the team member with expertise to assist in exercises and ambulating with assistive devices.
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The client has a fractured right ankle that has just been casted. The nurse is instructing the client in crutch walking techniques. Which method is most appropriate?
- A. Move the right crutch, then the left foot, then the left crutch, and finally the right foot.
- B. Balance weight on the left foot and move right foot and both crutches forward, then bear weight on both crutches and move the left foot forward.
- C. Move the right crutch and left foot forward together; then move the left crutch and right foot.
- D. Move the right crutch and right foot together; then move the left crutch and the left foot.
Correct Answer: A
Rationale: The correct crutch walking technique (three-point gait) involves moving the right crutch, then the left foot, followed by the left crutch, and finally the right foot, protecting the fractured ankle.
The occupational health nurse is teaching a class on the risk factors for developing osteoarthritis (OA). Which is a modifiable risk factor for developing OA?
- A. Being overweight.
- B. Increasing age.
- C. Previous joint damage.
- D. Genetic susceptibility.
Correct Answer: A
Rationale: Excess weight increases joint stress, a modifiable risk for OA. Age, prior damage, and genetics are nonmodifiable.
The nurse supervises a nursing assistant who is applying the client's antiembolism stockings. What is the correct technique for applying these stockings?
- A. The nursing assistant applies the stockings before getting the client out of bed.
- B. The nursing assistant applies the stockings just before helping the client do leg exercises.
- C. The nursing assistant applies the stockings after nursing that the client's legs are cool.
- D. The nursing assistant applies the stockings at night before the client's bedtime.
Correct Answer: A
Rationale: Applying antiembolism stockings before the client gets out of bed ensures compression is in place during upright positions when venous pooling is most likely. Applying them later or based on leg temperature is less effective.
While caring for multiple clients, the nurse delegates client skin care to the UAP on a musculoskeletal unit. Which client is most appropriate for the nurse to delegate skin care to the UAP?
- A. The client with osteomyelitis of the tibia who needs a wound dressing change
- B. The client with an inoperable hip fracture who is in Buck's traction
- C. The client with a pelvic fracture who is in skeletal traction
- D. The client with a femur fracture who has an external fixator in place
Correct Answer: B
Rationale: B. Buck's traction is skin traction. Because there is no open site that needs care with this type of traction, it would be appropriate to delegate skin care.
The client with arthritis is receiving sodium salicylate and asks the nurse what the drug will do for her. The nurse's reply should include information that the drug is given for which of the following effects?
- A. Antipyretic
- B. Antibiotic
- C. Anticoagulant
- D. Anti-inflammatory
Correct Answer: D
Rationale: Sodium salicylate is primarily used for its anti-inflammatory effects in arthritis, reducing joint pain and swelling.