Nokea
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.
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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.
A patient has a quarter-size amount of drainage on her cast. The next day the amount of drainage has increased to 2 inches (5 cm) in diameter. The nurse would be most concerned about
- A. Swelling beneath the cast.
- B. Neurovascular impairment.
- C. Infection under the cast.
- D. Placing tape petals over the edges of the cast.
Correct Answer: C
Rationale: Increasing drainage on a cast suggests possible infection, requiring immediate attention. Swelling or neurovascular issues are less directly tied to drainage.
A 10-year-old has a fractured left leg with no trauma occurring to cause it. The health-care provider diagnoses a pathological fracture, possibly from a bone tumor. What type of diagnostic test would be ordered in this situation?
- A. CT scan
- B. MRI
- C. Bone scan
- D. Electromyelogram
Correct Answer: B
Rationale: An MRI is best for evaluating soft tissue and potential bone tumors causing a pathological fracture. CT scans focus on bone structure, bone scans detect bone activity, and electromyelograms assess nerve function.
A patient has had reconstructive surgery on her right foot and must be non-weight-bearing for 6 to 8 weeks. She has problems with balance at times. Which device(s) would be most helpful to her during this period?
- A. Knee walker
- B. Crutches
- C. Wheeled walker
- D. Abductor pillow
- E. Splint
Correct Answer: A,C
Rationale: A knee walker or wheeled walker supports non-weight-bearing mobility and balance. Crutches are less stable for patients with balance issues.
Which of the following would you include when you teach a patient about using a cane?
- A. Hold the cane on your affected side.
- B. Move the unaffected leg and the cane together, and then move the affected leg.
- C. Lean to the side the cane is on for best support.
- D. Hold the cane on the unaffected side, move it with the unaffected leg, then move the affected leg.
Correct Answer: D
Rationale: The cane is held on the unaffected side, moved with the unaffected leg, then followed by the affected leg for proper support and balance.