Nokea
Which information is most appropriate to teach the client before the arthroscopy procedure?
- A. Signs and symptoms of arthritis
- B. Technique for using crutches
- C. Adverse effects of drug therapy
- D. The need to balance rest and exercise
Correct Answer: B
Rationale: Crutch use is critical post-arthroscopy for safe ambulation.
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Postoperatively, the client screams obscenities at the nurse after realizing that the injured forearm is missing. Which nursing action is most appropriate at this time?
- A. Leave until the client works through the anger.
- B. Stay quietly with the client at the bedside.
- C. Tell the client to gain emotional control.
- D. Call the physician and request a sedative.
Correct Answer: B
Rationale: Staying quietly supports the client emotionally during grief.
Which statement reflects the most widely recognized theory for the use of transcutaneous electric nerve stimulation (TENS)?
- A. The sensation created by the TENS unit blocks the brain's perception of pain impulses.
- B. The sensation created by the TENS unit travels to the nerve root of the injury.
- C. The sensation created by the TENS unit destroys the brain's pain center.
- D. The sensation created by the TENS unit weakens nociceptor sensory nerves.
Correct Answer: A
Rationale: The gate control theory posits that TENS blocks pain impulses by stimulating non-pain sensory nerves, reducing the brain's perception of pain from the injured area.
The nursing student is caring for the client who had a right TKR 1 day ago. Which action by the student requires the nurse to intervene?
- A. Hands the client the control for the continuous passive motion (CPM) machine
- B. Offers the client an analgesic when pain is rated at 3 on a 0 to 10 scale
- C. Repositions the leg to insert an abductor pillow between the client's legs
- D. Places an ice pack wrapped within a towel on the client's operative knee
Correct Answer: C
Rationale: C. Attempting to insert an abductor pillow may cause knee misalignment. An abductor pillow may be used for the client following a THR.
The nurse gently elevates the client's newly casted arm on a pillow and explains that this is necessary for the first 24 to 48 hours after casting. What is the chief purpose of this action?
- A. It helps a damp cast to dry more evenly.
- B. It reduces the amount of pain medication needed.
- C. Venous return is enhanced, and edema is decreased.
- D. It is more comfortable than keeping the arm dependent.
Correct Answer: C
Rationale: Elevation enhances venous return and reduces edema, the primary reason for this action. It does not directly affect cast drying, pain medication needs, or comfort alone.
Which description by the nurse most accurately states the purpose of halo-cervical traction?
- A. It restricts neck movement but enables physical activity.
- B. It allows head movement while immobilizing the spine.
- C. It accelerates healing by facilitating physical therapy.
- D. It promotes faster bone repair within a shorter time span.
Correct Answer: A
Rationale: Halo-cervical traction immobilizes the cervical spine to promote healing while allowing some physical activity (e.g., walking), unlike other options that inaccurately describe its function.