Title WORKBOOK - ORTHO (KEY) ✅

disc When assessing this client’s back pain, the nurse should ask: A. “Is there any tenderness in the calf of your legs?” B. “Do you have any pain in the right lower quadrant of your abdomen?” C. “Does your pain begins in your flank and move around your groin?” D. “Have you had any burning sensation on urination?” 31. The nurse is teaching a client with a long leg cast how to use crutches properly when descending a staircase. The nurse should tell the client to: A. Advance both legs first B. Advance the unaffected leg first C. Advance the affected leg first D. Advance both crutches first 32. Helena J. was prescribed with use of a crutch as a mobility aid. She is using this mobility aid correctly if the client places weight on the: A. Palms of the hands and axillary regions B. Palms of the hand C. Axillary regions D. Feet, which are set apart 33. A nurse is evaluating the client’s use of a cane for left-sided weakness. The nurse would intervene if the nurse observes that the client: A. Holds the cane on the right side B. Moves the cane when the right leg is moved C. Leans on the cane when the right leg swings through D. All options are wrong 34. Marissa N has gouty arthritis on her right leg and a walker is being discharged from the orthopedic unit to home. The nurse must teach the client how to use a walker properly. Which explanation demonstrates safe walker use? A. Using a walker for support while rising from a chair B. Adjusting the height of the walker so the arms aren’t bent when the hands rest on the walker grips C. Moving the walker, stepping with the affected leg, then stepping with the unaffected leg D. Moving the walker, stepping with the unaffected leg, then stepping with the affected leg 35. When preparing the teaching plan for a client about crutch waling using a 2 - point gait pattern, which of the following would the nurse include? A. Advance the crutch on one side and then advance the opposite leg, repeat on opposite side B. Advance the crutch on one side and simultaneously advance and bear weight on the opposite leg, repeat on the opposite side C. Advance both crutches together and then follow by lifting both lower extremities to the level of the crutches D. Advance both crutches together and then follow by lifting both lower extremities past the level of the crutches 36. Kelly F sustained multiple injuries after being domestically abused by her husband. She is now admitted for open reduction of a fractured femur. During postoperative assessment, the nurse monitors for signs and symptoms of fat embolism syndrome, which include: A. Pallor and coolness of the affected leg B. Nausea and vomiting after eating C. Hypothermia and bradycardia D. Restlessness and petechiae 37. During a scoliosis screening in a college health center, a student asks the public health nurse about the consequence of untreated scoliosis. The nurse would be accurate by identifying one of the direct complications as: A. Osteoporosis of the vertebra B. Secondary viral infection C. Spontaneous spinal cord injury D. Pott’s disease 38. Clara S was diagnosed with SLE. Which of the following should be included in the teaching plan? A. Take prednisone with low potassium diet B. Increase sodium and water intake C. Walk in shaded areas D. Avoid going to the beach 39. Alendronate (Fosamax) is a prescribed for a client with post-menopausal osteoporosis. The nurse provides information to the client about the medication and tells the client to take the medication: A. Every morning before breakfast, with a full glass of water B. At bedtime with orange juice to enhance absorption C. Every morning after breakfast, then lie down for 30 minutes D. At bedtime on upright position with a full glass of water 40. The nurse is caring for an elderly female client with osteoporosis. When teaching the client, the nurse should include information about with major complication? I. Bone fracture II. Loss of estrogen III. Calcium imbalance IV. Dowager’s hump A. 2 and 3 B. 1 and 4 C. 1 only D. 4 only 41. You are currently conducting a health screening for osteoporosis. Which client is at greatest risk of developing this problem? A. Amaia, 15-year-old woman who lifts weights. B. Robert, 20 year old man who has family history of asthma C. Serena, a 70-year-old woman with Parkinson’s D. A sedentary 65-year-old woman who smokes cigarettes 42. While supervising a student nurse, the student asks you about what to do when you suspect a leg fracture in a hit and run victim. You answer that: A. He should try to reduce the fracture manually B. Stay with the victim and encourage to stay still C. Put a tourniquet on the area of suspected fracture D. Try to assess by manipulating the bone according to its range of motion carefully. 43. Amanda just had a plaster cast applied on her left leg. Which of the following statements from Amanda indicates that the health teaching was effective? A. I should let the cast to dry for 24-72 hours B. Numbness and tingling is normal since the cast prevents my leg from feeling sensations. C. In drying my cast, I should put it in hot setting to facilitate drying. D. I will use a soft, padded object that will fit under the cast to scratch the skin under the cast. 44. Which of the following pin sites requires a prompt referral to the physician? A. Redness in pin site B. Pain on palpation of pin sites C. Clear drainage D. Yellow drainage from pin site 45. In using the crutches, a patient cannot rest up underneath the arm for extra support. Which of the following findings indicate a complication from this practice A. History of falls B. Pressure ulcer at axilla C. Wrist drop D. Axillary lymphadenopathy 46. Enecita E was diagnosed with osteoporosis after seeking consult for a fractured vertebra. She has been advised to increase the amount of calcium in her diet. Which food provides the most calcium? A. 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