Exam 3

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1
What group is most prevalent for PTSD?
Women
2
How long does it take to be diagnosed with PTSD?
1 month
3
A patient presents at a clinic complaining of back pain that goes all the way down the back of the leg to the foot. The nurse should document the presence of what type of pain?
Sciatica
4
A nurse is caring for a patient who is being assessed following complaints of severe and persistent low back pain. The patient is scheduled for diagnosis morning. Which of the following are appropriate diagnostic tests for assessing low back pain?
  • CT
  • Ultrasound
  • MRI
  • X-Ray
5
A client is admitted to the orthropedic unit in skeletal traction for a fractured proximal femur. Which explanation should the nurse give the client about skeletal traction?
Traction involves passing a pin through the bone
6
Bisexual
people who are romanically, emotionally, or sexually attracted to both male and female genders
7
Gay
people who are romantically, emotionally, or sexually attracted to the same gender
8
Intersex
term used for a person who is born with biological traits that do not fit into those traditionally characterize either male or female
9
Lesbian
a term that gay women, or women who are romantically, emotionally, or sexually attracted to other women, may prefer to use
10
Queer
people who are romantionally, emotionally, or sexually attracted to numerous genders (male, female, transgender, intersex, etc.) or people who identify as non-heterosexual but do not want to use labels, such as gay, lesbian, or bisexual
11
Transgender
Umbrella team used to describe the full range of the people whose gender identity does not match with the sex assigned to them at birth
12
Asexual
Lack of sexual attraction to others, or low or absent interest in or desire for sexual activity
13
A client was brought to the emergency department after a fall. The client is taken to the operating room to receive a right hip prosthesis. In the immediate postoperative period, what health education should the nurse emphasize?
Make sure you don’t bring your knees close together
14
A nurse is caring for a client who is postoperative day 1 following a total arthroplasty of the right hip. How should the nurse position the client?
Place a pillow between the legs
15
A client with a total hip replacement has developed decreased breath sounds. What is the nurse’s best action?
Encourage the use of the incentive spirometer
16
The nursing care plan for a client in traction specifies regular assessments for venous thromboembolism (VTE). When assessing a client’s lower limbs, what sign or symptom is suggestive of deep vein thrombosis (DVT)?
Increased warmth of the calf
17
A nurse is caring for a client who has had a total hip replacement. The nurse is reviewing health education prior to discharge. Which of the client’s statements would indicate to the nurse that the client requires further teaching?
“I will need my husband to assist me in getting off of the low toliet seat at home.”
18
A patient is brought to the emergency department by ambulance after stepping in a hole and falling. While assessing him the nurse notes that his right leg is shorter than his left leg; his right hip is noticeably deformed and he is in acute
pain. Imaging does not reveal a fracture. Which of the following is the most plausible explanation for this patient’s signs and symptoms?
Traumatic Hip Dislocation
19
A nurse us caring for a patient who is postoperative day 1 following a right hip replacement. How should the nurse position the patient?
Keep the patient’s hips in abduction at all times
20
A patient with a right tibial fracture is being discharged home after having a cast applied. What instruction should the nurse provide in relation to the patient’s cast care?
“Keep your right leg elevated above heart level.”
21
A nurse is caring for an older adult patient who is preparing for discharge following recovery from a total hip replacement. Which of the following outcomes must be met prior to discharge?
Patient is able to perform transfers safely
22
A client is admitted to the orthopedic unit with a fractured femur after a motorcycle accident. The client has been placed in traction until the femur can be rodded in surgery. For what early complications(s) should the nurse monitor this
client?
  • Deep Vein Thrombosis
  • Compartment Syndrome
  • Fat Embolism
23
An older adult client has fallen in the home and is brought to the emergency department by ambulance with a suspected fractured hip. X-rays confirm a fracture of the left femoral neck. When planning assessments during the
client's presurgical care, the nurse should be aware of the client's heightened risk of what complication?
Avascular Necrosis
24
A client has recently been admitted to the orthopedic unit following total hip arthroplasty. The nurse assesses that the indwelling urinary catheter was removed one hour ago in the post-anesthesia care unit and that the client has not yet voided. Which action should the nurse take?
Ask if the client needs to void
25
Which is considered an individual trauma?
Abuse
26
John, a veteran of the war in Iraq, is diagnosed with PTSD. He says to the nurse "I can’t figure out why god took my buddy instead of me". From this statement, the nurse assesses which of the following in John?
Survivor’s Guilt
27
Which of the following may be influential in the predisposition to PTSD?
Severity of the stressor and availability of support systems
28
Which position should a client avoid lying in if diagnosed with low back pain?
Prone
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