Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who is scheduled for an arthroplasty. The nurse asks the client to state if he understands the procedure that is being performed. Which of the following statements by the client indicates an understanding of the procedure?
A. "This procedure will prevent further joint damage."
Choice A reason: This is incorrect because an arthroplasty does not prevent further joint damage, but rather treats existing damage by replacing the damaged joint with an artificial one.
B. "This procedure will fuse my joint to reduce my pain."
Choice B reason: This is incorrect because an arthroplasty does not fuse the joint, but rather removes the damaged joint and replaces it with a prosthesis. A fusion is a different type of surgery that joins two or more bones together.
C. "This procedure will replace my joint to improve function."
Choice C reason: This is correct because an arthroplasty is a surgical procedure that replaces a damaged joint with an artificial one, which can improve the function and mobility of the joint and reduce pain.
D. "This procedure will determine the extent of joint damage."
Choice D reason: This is incorrect because an arthroplasty does not determine the extent of joint damage, but rather treats it by replacing the joint. The extent of joint damage can be determined by other methods, such as imaging tests or physical examination.
This question is an excerpt from Nurse Dive's nursing test bank - NY BSN Proctored Exam. Take the full exam now
Similar Questions
A nurse on the day shift is preparing to change a client's total parenteral nutrition (TPN) solution, but the new TPN solution has not arrived from the pharmacy. The client receives additional IV fat emulsion during the night shift.
Which of the following actions should the nurse take?
A. Hang the IV fat emulsion solution.
Choice A reason: This is incorrect because hanging the IV fat emulsion solution alone will not provide adequate calories, electrolytes, vitamins, and minerals for the client who needs TPN. The fat emulsion is an adjunct to TPN, not a substitute.
B. Call the provider for new TPN orders.
Choice B reason: This is incorrect because calling the provider for new TPN orders is not necessary unless there is a change in the client's condition or nutritional needs. The nurse should contact the pharmacy to expedite the delivery of the new TPN solution.
C. Hang dextrose 10% in water (D10W) until the TPN solution is delivered.
Choice C reason: This is correct because hanging D10W until the TPN solution is delivered will prevent hypoglycemia and maintain fluid balance in the client who needs TPN. D10W has a similar osmolarity to TPN and can be safely infused through the same IV catheter.
D. Saline lock the IV catheter after discontinuing the TPN solution.
Choice D reason: This is incorrect because saline locking the IV catheter after discontinuing the TPN solution will interrupt the continuous infusion of nutrition and fluids for the client who needs TPN. This can cause hypoglycemia, dehydration, and infection. The nurse should maintain patency of the IV catheter until the new TPN solution is delivered.
A nurse is caring for a client following a right total hip arthroplasty. Postoperatively, the nurse should maintain the
right leg in which of the following positions?
A. Abduction.
Choice A reason: This is correct because abduction is the movement of the leg away from the midline of the body. This position prevents dislocation of the new hip joint and promotes healing and stability.
B. Adduction.
Choice B reason: This is incorrect because adduction is the movement of the leg toward the midline of the body. This position can cause dislocation of the new hip joint and increase pain and complications.
C. Internal rotation.
Choice C reason: This is incorrect because internal rotation is the movement of the leg inward, with the toes pointing toward each other. This position can also cause dislocation of the new hip joint and impair circulation and nerve function.
D. External rotation.
Choice D reason: This is incorrect because external rotation is the movement of the leg outward, with the toes pointing away from each other. This position can also cause dislocation of the new hip joint and damage the surrounding tissues and muscles.
A nurse is caring for a client who has a fractured right femur and is in balanced suspension traction. The client is reporting pain from muscle spasms. Which of the following actions should the nurse take first?
A. Obtain a prescription to adjust the weight amount.
Choice A reason: This is incorrect because obtaining a prescription to adjust the weight amount is not the first action the nurse should take. The weight amount should be prescribed by the provider based on the type and severity of the fracture and should not be changed without a valid reason.
B. Offer a muscle relaxant to the client.
Choice B reason: This is incorrect because offering a muscle relaxant to the client is not the first action the nurse should take. A muscle relaxant can help reduce muscle spasms and pain, but it can also cause side effects such as drowsiness, dizziness, and weakness.
C. Administer an opioid analgesic.
Choice C reason: This is incorrect because administering an opioid analgesic is not the first action the nurse should take. An opioid analgesic can help relieve pain, but it can also cause side effects such as respiratory depression, constipation, and dependence.
D. Realign the client's position.
Choice D reason: This is correct because realigning the client's position is the first action the nurse should take. The pain from muscle spasms can be caused by improper alignment of the traction or the client's body. The nurse should check that the traction is set up correctly and that the client is in a comfortable and balanced position. This can help relieve pain and prevent complications such as nerve damage or skin breakdown.