Nokea
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.
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What is the purpose of wrapping a stump after an amputation?
- A. To shape it to fit correctly into the prosthesis
- B. To prevent healing in a squared-off shape
- C. To prevent the incision from breaking open while wearing a prosthesis
- D. To promote healing of the incision
Correct Answer: A
Rationale: Wrapping a stump shapes it for prosthetic fitting by reducing swelling and promoting a conical shape.
You are working with a patient whose left leg is weak. You are instructing her on walker use. Which instruction is most appropriate?
- A. Move your right leg forward with the walker, and then move your left leg.
- B. Move the walker forward, and then move your left leg forward, followed by your right leg.
- C. Move the walker forward, and then move your right leg forward, followed by your left leg.
- D. Move the walker and your left leg forward at the same time, and then move your right leg forward.
Correct Answer: C
Rationale: The correct instruction is to move the walker forward, then the unaffected (right) leg, followed by the weak (left) leg for stability.
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.
You see the following orders for a patient with a newly applied cast to the right arm after a surgery to the humerus. Which order would you question as to its accuracy?
- A. May petal cast if necessary.
- B. Support right arm on pillows until the cast is dry.
- C. Keep the right arm elevated at all times.
- D. Do neurovascular checks every 4 hrs ?4, then every 8 hrs ?2.
Correct Answer: C
Rationale: Keeping the arm elevated at all times is impractical and could cause discomfort or complications. Other orders are standard for cast care.
When a walker is correctly fitted to a patient, which of the following is true?
- A. The walker will come to the patient's hip.
- B. The top bar of the walker will reach the patient's waist.
- C. The patient's elbows will be bent at a 30-degree angle when his or her hands are on the handles.
- D. The patient's elbows will be bent at a 90-degree angle when the patient is pushing the walker.
Correct Answer: C
Rationale: Correct walker fit includes elbows bent at 15-30 degrees when hands are on handles for comfort and control.