Deck 27: Orthopedic Interventions

Question 1

Special care for the client with a cervical collar includes

A)Keeping the client supine.
B)Removing the collar at night.
C)Precautions due to limited visibility.
D)Keeping the client NPO.

Answer 1

Precautions due to limited visibility.

Question 2

Spiral bandage wraps are safer than circular wraps because circular wraps tend to

A)Create a tourniquet effect.
B)Loosen over time.
C)Utilize more bandage.
D)Be bulky and uncomfortable.

Answer 2

Create a tourniquet effect.

Question 3

A wet cast should be

A)Placed on a firm surface.
B)Handled with the palms of the hands.
C)Dry in 3-4 hours.
D)Kept covered until dry.

Answer 3

Handled with the palms of the hands.

Question 4

Mr.Levin is going to have an above-the-knee amputation.Preoperatively,you can assist the client by all the following except

A)Teaching the importance of maintaining stump abduction.
B)Advise him of the possibilities of phantom limb sensation.
C)Have him lift weights.
D)Listen to his concerns about his loss.

Question 5

Major differences in synthetic and plaster casts are

A)Synthetic casts are less stabilizing.
B)Plaster casts are less restrictive.
C)Synthetic casts are less expensive.
D)Plaster casts are less likely to indent into skin.

Question 6

When applying a sling,place the apex,or point,of the triangle toward the __________ and bring the opposite end around the affected arm and __________.

A)Wrist,anchor at neck.
B)Elbow,over affected shoulder.
C)Wrist,over affected shoulder.
D)Elbow,anchor at back of neck.

Question 7

When applying a roller bandage to an injured foot and ankle,the nurse should ensure that

A)The wrap is too tight to allow a finger to slip under.
B)The part remains dependent during bandage application.
C)Two fingers can be slipped under the wrap.
D)The toes and heel are enclosed in the wrap.

Question 8

Proper application of a back brace includes

A)Maintaining it in place 24 hours a day.
B)Applying it with client supine.
C)Applying it over clothing.
D)Applying it with the client standing.

Question 9

Bandages are rewrapped every __________ hours or when loose.

Question 10

Care following cast removal includes

A)Extremity elevation and gentle handling.
B)Ice application to prevent edema and pain.
C)Dependent positioning to promote circulation.
D)Vigorous skin cleansing to remove accumulated exudate.

Question 11

One of the earliest signs of acute compartment syndrome is

A)Decreased peripheral pulses.
B)Pallor of distal digits.
C)Paresthesia of distal digits.
D)Pain with extremity elevated.

Question 12

In the event of suspected development of acute compartment syndrome,the nursing action is to

A)Keep the affected part elevated.
B)Apply warm moist packs to the distal digits.
C)Have the client actively exercise distal digits.
D)Notify the physician immediately.

Question 13

List four safety measures for a client in Halo traction.
a.__________
b.__________
c.__________
d.__________

Question 14

The repair process following a bone fracture begins with

A)The laying down of the organic matrix.
B)Formation of a blood clot.
C)Osteoblast formation.
D)Fibroblast development.

Question 15

When testing peroneal nerve function,the nurse should instruct the client to

A)Plantarflex the foot.
B)Dorsiflex the foot.
C)Contract pelvic muscles.
D)Contract the thigh.

Question 16

The mnemonic treatment as it relates to RICE,sprains and strains,refers to

A)R
B)I
C)C
D)E

Question 17

Your client states that his casted extremity pain is worsening and is not relieved by pain medication.You should suspect possible

A)Drug dependency.
B)Inadequate pain management.
C)Cast shrinkage with drying.
D)Compartment syndrome.

Question 18

When assessing a skeletal traction apparatus,the nurse understands the traction is functioning properly in all of the situations except

A)Weights are hanging free.
B)Rope is on the pulley.
C)Foot plate is not resting against the pulley.
D)Pins should be moveable.

Question 19

List parameters for assessing circulation,motion and sensation (CMS)of an involved extremity.
a.circulation
b.motion
c.sensation