Nokea
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.
You may also like to solve these questions
You are caring for a patient who had a partial knee replacement 2 days ago. She has orders for CPM for 2 hours four times per day at 35 degrees of flexion. Which would concern you the most?
- A. The patient's leg and the CPM machine are in alignment with the rest of the patient's body.
- B. The patient complains of severe pain with each flexion of the knee.
- C. The patient is using relaxation breathing to prevent tensing of the leg muscles while on the CPM machine.
- D. The platform of the CPM machine is centered beneath the patient's knee.
Correct Answer: B
Rationale: Severe pain during CPM use suggests potential complications (e.g., improper settings or joint issues), requiring immediate assessment. Other options indicate proper use or management.
The components of the hip joint that form the ball and socket are the
- A. Pelvis and greater trochanter.
- B. Femur and patella.
- C. Acetabulum and lesser trochanter.
- D. Head of the femur and the acetabulum.
Correct Answer: D
Rationale: The hip joint's ball and socket are formed by the femoral head (ball) and the acetabulum (socket). Other options include incorrect bone pairings.
Explain the purpose of an abduction pillow.
- A. To maintain hip alignment post-surgery.
- B. To elevate the legssome text missing legs.
- C. To reduce pain during movement.
- D. To support the back during recovery.
Correct Answer: A
Rationale: An abduction pillow maintains hip alignment post-surgery (e.g., hip replacement) to prevent dislocation. It does not primarily elevate legs, reduce pain, or support the back.
Fill in the acronym for the care of a sprain.
- A. Rest, Ice, Compression, Elevation
- B. Reduce, Immobilize, Cool, Elevate
- C. Rest, Inspect, Compress, Exercise
- D. Relax, Ice, Compress, Extend
Correct Answer: A
Rationale: The acronym for sprain care is RICE: Rest, Ice, Compression, Elevation, which reduces swelling and promotes healing. Other options include incorrect components.
Care of the pin insertion sites includes
- A. Cleaning the area with hydrogen peroxide or normal saline solution as ordered.
- B. Applying antibiotic ointment to the site.
- C. Inspecting the site for signs and symptoms of infection.
- D. Shaving the hair around the site.
Correct Answer: A,C
Rationale: Pin site care involves cleaning with ordered solutions (e.g., saline) and inspecting for infection. Antibiotic ointment is not routine, and shaving may increase infection risk.