Nokea
Which of the following statements by a patient with osteosarcoma of the right tibia who is scheduled for an above-the-knee amputation indicates that patient teaching is needed?
- A. I did not have this bone cancer until my leg broke a week ago.
- B. I wish that I did not have to have chemotherapy after this surgery.
- C. I know that I will need to participate in physical therapy after surgery.
- D. I will use the patient-controlled analgesia (PCA)
Correct Answer: A
Rationale: The statement that the patient did not have bone cancer until the leg broke indicates a misunderstanding, as osteosarcoma is a primary bone cancer that may lead to fractures, not vice versa. The other statements reflect appropriate understanding of the need for chemotherapy, physical therapy, and pain management post-surgery.
You may also like to solve these questions
The nurse is caring for a patient who has had a surgical reduction of an open fracture of the left tibia. Which of the following assessment findings is most important to report to the health care provider?
- A. Left leg muscle spasms
- B. Serious wound drainage
- C. Left leg pain with movement
- D. Temperature 38.6°C (101.5°F)
Correct Answer: D
Rationale: An elevated temperature is suggestive of possible osteomyelitis. The other clinical manifestations are typical after a repair of an open fracture.
The nurse is caring for a patient who has Paget's disease and is prescribed salmon calcitonin and acetaminophen. Which of the following assessment information will the nurse obtain to evaluate the effectiveness of these medications?
- A. Pain level
- B. Oral intake
- C. Daily weight
- D. Grip strength
Correct Answer: A
Rationale: Bone pain is one of the common early manifestations of Paget's disease, and the nurse should assess the pain level to determine whether the treatment is effective. The other information will also be collected by the nurse, but will not be used in evaluating the effectiveness of the therapy.
Which of the following assessment findings should alert the nurse to the presence of osteoporosis in an older adult patient?
- A. Measurable loss of height
- B. Presence of bowed legs
- C. Aversion to dairy products
- D. Statements about frequent falls
Correct Answer: A
Rationale: Osteoporosis occurring in the vertebrae produces a gradual loss of height. Bowed legs are associated with osteomalacia. Low intake of dairy products is a risk factor for osteoporosis, but it does not indicate that osteoporosis is present. Frequent falls increase the risk for fractures but are not an indicator of osteoporosis.
The nurse is caring for a patient who underwent a laminectomy and discectomy for a herniated intervertebral disc. Following the surgery, which of the following actions should the nurse implement when positioning the patient on their side?
- A. Instruct the patient to move their legs before turning the rest of the body.
- B. Have the patient turn by grasping the side rails and pulling the shoulders over.
- C. Place a pillow between the patient's legs and turn the entire body as a unit.
- D. Turn the patient's head and shoulders first, followed by the hips, legs, and feet.
Correct Answer: C
Rationale: The spine should be kept in correct alignment after laminectomy. The other positions will create misalignment of the spine.
The nurse is caring for a patient who has acute osteomyelitis and is receiving tobramycin 80 mg IV twice daily. Which of the following actions should the nurse take before administering the gentamicin?
- A. Ask the patient about any nausea.
- B. Obtain the patient's oral temperature.
- C. Change the prescribed wet-to-dry dressing.
- D. Review the patient's blood urea nitrogen (BUN) and creatinine levels.
Correct Answer: D
Rationale: Gentamicin is nephrotoxic and can cause renal failure. Monitoring the patient's temperature before gentamicin administration is not necessary. Nausea is not a common adverse effect of IV gentamicin. There is no need to change the dressing before gentamicin administration.