Nokea
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.
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Which would you consider to be significant findings when caring for a patient with skeletal traction?
- A. Redness and swelling at the pin insertion sites
- B. A small amount of serosanguineous drainage at the pin insertion sites
- C. Purulent drainage at the pin insertion sites
- D. Mild discomfort when the patient moves the limb in traction
Correct Answer: A,C
Rationale: Redness, swelling, and purulent drainage at pin sites indicate potential infection, which is significant. Mild discomfort and serosanguineous drainage are expected.
You are caring for a patient who had a partial knee replacement 2 days ago. She has orders for CPM for 2 hours four times per day at 35 degrees of flexion. Which would concern you the most?
- A. The patient's leg and the CPM machine are in alignment with the rest of the patient's body.
- B. The patient complains of severe pain with each flexion of the knee.
- C. The patient is using relaxation breathing to prevent tensing of the leg muscles while on the CPM machine.
- D. The platform of the CPM machine is centered beneath the patient's knee.
Correct Answer: B
Rationale: Severe pain during CPM use suggests potential complications (e.g., improper settings or joint issues), requiring immediate assessment. Other options indicate proper use or management.
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.
You know a patient's crutches fit correctly when
- A. There is a three-fingerbreadth gap of space between the axillary pad and the patient's axilla.
- B. There is a slight bend in the patient's elbows when standing with the crutches next to his or her feet.
- C. The crutches fit snugly into the axilla when the patient is standing with the crutch tips next to the heels.
- D. There is a 6-inch or larger gap between the patient's axilla and the top of the crutch.
Correct Answer: A,B
Rationale: Correct crutch fit includes a three-finger gap under the axilla and a slight elbow bend (15-30 degrees) for comfort and safety.
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.