Nokea
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.
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You are caring for a young child with hip dysplasia who is in a spica cast. An important nursing concern is
- A. Assessing circulation to the fingers and hands.
- B. Moving the patient carefully without using the abductor bar.
- C. Keeping the patient's hips elevated above the heart.
- D. Aligning the hips each time the patient is turned.
Correct Answer: B
Rationale: In a spica cast, the abductor bar maintains hip alignment and should not be used to move the patient, as this could disrupt the cast or alignment. Circulation is assessed in the toes, not fingers.
What is the purpose of wrapping a stump after an amputation?
- A. To shape it to fit correctly into the prosthesis
- B. To prevent healing in a squared-off shape
- C. To prevent the incision from breaking open while wearing a prosthesis
- D. To promote healing of the incision
Correct Answer: A
Rationale: Wrapping a stump shapes it for prosthetic fitting by reducing swelling and promoting a conical shape.
A patient comes into the clinic where you are working for a follow-up visit after breaking her ankle. She has been using crutches for the past 2 weeks and is complaining of pain and tingling in her forearms and hands. What is the most likely cause of these symptoms?
- A. Poor crutch fit causing nerve compression.
- B. Muscle strain from overuse.
- C. Infection from crutch use.
- D. Poor circulation due to immobility.
Correct Answer: A
Rationale: Pain and tingling in the forearms and hands are likely due to poor crutch fit, causing pressure on nerves (e.g., radial or ulnar nerve compression). Muscle strain, infection, or circulation issues are less likely causes.
A patient has skeletal traction applied to his left lower leg. Why is pin site care critical for this patient?
- A. To prevent infection at the pin insertion sites.
- B. To promote faster bone healing.
- C. To reduce pain during traction.
- D. To maintain traction alignment.
Correct Answer: A
Rationale: Pin site care is critical to prevent infection, as pins penetrate skin and bone, creating an infection risk. Other options are not directly related to pin site care.
You are working with a patient whose left leg is weak. You are instructing her on walker use. Which instruction is most appropriate?
- A. Move your right leg forward with the walker, and then move your left leg.
- B. Move the walker forward, and then move your left leg forward, followed by your right leg.
- C. Move the walker forward, and then move your right leg forward, followed by your left leg.
- D. Move the walker and your left leg forward at the same time, and then move your right leg forward.
Correct Answer: C
Rationale: The correct instruction is to move the walker forward, then the unaffected (right) leg, followed by the weak (left) leg for stability.