Nokea
Which explanation most accurately explains to the client the primary purpose of the splints?
- A. Splints are used to correct joint deformities.
- B. Splints are used to slow joint deterioration.
- C. Splints are used to improve hand strength.
- D. Splints are used to increase range of motion.
Correct Answer: B
Rationale: Splints immobilize joints to reduce inflammation and slow deterioration.
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Which illustration demonstrates abduction for a 10-year-old who had an SCI?
- A. ROM-1.png
- B. ROM-2.png
- C. ROM-3.png
- D. ROM-4.png
Correct Answer: A
Rationale: Abduction involves moving a limb away from the body's midline, as shown in the correct illustration.
The client is taken to the emergency department with an injury to the left arm. Which intervention should the nurse implement first?
- A. Assess the nailbeds for capillary refill time.
- B. Remove the client's clothing from the arm.
- C. Call radiology for a STAT x-ray of the extremity.
- D. Prepare the client for the application of a cast.
Correct Answer: A
Rationale: Assessing capillary refill evaluates neurovascular status, the priority in arm injury to detect compromise. Clothing removal, x-rays, and casting follow assessment.
The nurse knows that elderly women have a high incidence of hip fracture for which reason?
- A. Decreased progesterone secretion
- B. Decreased mobility due to arthritic conditions
- C. Increased calcium absorption
- D. Osteoporosis in the skeletal structure
Correct Answer: D
Rationale: Osteoporosis, common in elderly women, weakens bones, increasing hip fracture risk.
Which statement should the nurse include in the instructions for parents of an infant with osteogenesis imperfecta (OI)?
- A. "Check the color of your infant's nailbeds and mucous membranes for signs of circulatory impairment."
- B. "If you note signs of infection, bring your infant to the clinic because the infant has a significant immune dysfunction."
- C. "Protect your infant from injury and handle your baby carefully because your infant's bones can break very easily."
- D. "Notify your physician if your infant does not respond to sound because the infant's CNS fails to develop completely."
Correct Answer: C
Rationale: OI causes brittle bones, so careful handling is essential to prevent fractures.
The client is to be discharged after receiving treatment for right shoulder tendonitis. Which actions indicate to the nurse that the client is ready for discharge? Select all that apply.
- A. Verbalizes about resuming normal activities within a day or two
- B. Demonstrates proper use of an arm sling and the need to wear it during sleep
- C. Verbalizes to keep the arm extended and flat on the mattress when lying in bed
- D. Demonstrates how to properly apply the ice packs on the shoulder joint
- E. States will take ibuprofen every four to six hours as needed for pain
Correct Answer: B,D,E
Rationale: B. An arm sling helps to rest the joint and keep it stabilized, especially during sleep. D. Ice application reduces joint inflammation and pain associated with tendonitis. E. NSAIDs such as ibuprofen (Motrin) are effective for controlling pain and reducing inflammation with tendonitis.