Question 1

A client is scheduled for surgery to fuse a joint. The nurse identifies this as which of the following?

Accepted Answer

Arthrodesis is the surgical fusion of a joint to eliminate motion and is typically done to manage joint pain or instability. Osteotomy involves cutting and repositioning bones, while arthroplasty involves the replacement of a joint with artificial materials. Open reduction internal fixation is a surgical procedure to fix a fracture by placing metal screws, plates, or rods internally.

Question 2

A nurse is caring for a client who is scheduled to have a below the knee amputation. The client is visibly upset and angry and shouts at the nurse. Which of the following responses would be most appropriate?

Accepted Answer

Acknowledging the client's emotions and offering support and assistance is the most appropriate response. It shows empathy and helps to build trust with the client. Option A is dismissive of the client's feelings and option B is confrontational. Option D is premature as the client's anger may not necessarily require a sedative.

Question 3

A client is being discharged after a total knee replacement. The nurse is reviewing the client's discharge instructions. Which client statement indicates that the client has understood the instructions?

Accepted Answer

The client should call their physician if they experience sudden pain or swelling, as these could be signs of complications such as infection or a blood clot.

Question 4

A female client has had a total hip replacement. Which of the following would the nurse do to minimize the client's risk for subluxation?

Accepted Answer

Using an elevated chair helps keep the hip in a more neutral position, reducing the risk of subluxation after a hip replacement.

Question 5

A continuous passive motion (CPM) machine is being used with a client who has had a hip replacement. The nurse would ensure that the setting for flexion on the device should not exceed which of the following?

Accepted Answer

The setting for flexion on a CPM machine for a client with a hip replacement should not exceed 30º to avoid any damage or dislocation of the new joint while still allowing for gentle movement and range of motion exercises.

Quiz 61: Caring Forclients Requiring Orthopedic Treatment

A client is scheduled for surgery to fuse a joint. The nurse identifies this as which of the following?

A nurse is caring for a client who is scheduled to have a below the knee amputation. The client is visibly upset and angry and shouts at the nurse. Which of the following responses would be most appropriate?

A client is being discharged after a total knee replacement. The nurse is reviewing the client's discharge instructions. Which client statement indicates that the client has understood the instructions?

A female client has had a total hip replacement. Which of the following would the nurse do to minimize the client's risk for subluxation?

A continuous passive motion (CPM) machine is being used with a client who has had a hip replacement. The nurse would ensure that the setting for flexion on the device should not exceed which of the following?