When the nursing student asks the RN what an arthroplasty is, what is the best description the RN can give the student?
- A. Surgical fusion of a joint to relieve pain
- B. Correction of bone deformity by removal of a wedge or slice of bone
- C. Reconstruction or replacement of a joint to relieve pain and correct deformity
- D. Used in rheumatoid arthritis to remove the tissue involved in joint destruction
Correct Answer: C
Rationale: Arthroplasty reconstructs or replaces the joint.
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When is a fat embolism most likely to occur?
- A. 24 to 48 hours following a fractured tibia
- B. 36 to 72 hours following a skull fracture
- C. 4 to 5 days following a fractured femur
- D. 5 to 6 days following a pelvic fracture
Correct Answer: A
Rationale: Fat embolism is most common after tibial fractures within 24-48 hours.
Patients who work in settings that require repetition of the same hand movements over a long period of time have an increased risk for which of the following disorders?
- A. Osteomyelitis.
- B. Osteoporosis.
- C. Carpal tunnel syndrome.
- D. Fracture of the overused area.
Correct Answer: C
Rationale: Repetitive strain can lead to median nerve compression causing carpal tunnel syndrome.
For what purpose would the nurse use the Mini-Mental State Examination to evaluate a patient with cognitive impairment?
- A. It is a good tool to determine the etiology of dementia.
- B. It is a good tool to evaluate mood and thought processes.
- C. It can help to document the degree of cognitive impairment in delirium and dementia.
- D. It is useful for initial evaluation of mental status but additional tools are needed to evaluate changes in cognition over time.
Correct Answer: C
Rationale: The MMSE documents cognitive impairment in delirium and dementia
The patient works on a computer 8 hours each day. What kind of repetitive strain injury would be expected in this patient?
- A. Meniscus injury
- B. Rotator cuff injury
- C. Radial-ulnar fracture
- D. Carpal tunnel syndrome
Correct Answer: D
Rationale: Carpal tunnel syndrome is a common repetitive strain injury associated with prolonged computer use.
During muscle strength testing, the patient has active movement against gravity and some resistance to pressure. What score should the nurse give this finding?
- A. 2
- B. 3
- C. 4
- D. 5
Correct Answer: C
Rationale: Grade 4 indicates movement against gravity and moderate resistance.