NUR 160 Fundamental Concepts of Practical Nursing II
Final Exam
Question:
When assessing a patient with osteoarthritis, the following assessment
findings do not correlate with that diagnosis: increased uric acid lab values
Answer:
Increased uric acid lab values would indicate gout
Question:
patient recently diagnosed with rheumatoid arthritis and asked the LPN about the goal of treatment. The patient needs further teaching if the patient
makes the following statement:
Answer:
will use pillows under my knees when I'm in bed."
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Question:
When reinforcing teaching to a patient who had a total hip replacement about potential postoperative complications, the following statements
indicate the patient understands the teaching:
Answer:
"I will call the doctor if I experience increased warmth or redness in my leg"
"I will use my hip abduction splint to keep my hip in alignment."
Question:
When caring for a patient with a recent hip replacement, it is important for the nurse to remember when transferring
Answer:
patient that they allow the patient to dangle their feet off the side of the bed for several minutes prior to standing.
Question:
When caring for a patient who has a cast placed on the left upper extremity, what is the priority assessment?
Answer:
Assess the capillary refill of the affected extremity.
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Question:
When obtaining a health history of a patient diagnosed with rheumatoid arthritis, the patient states "when I'm in pain I take 200 mg of Motrin
(ibuprofen)." The following response is appropriate by the LPN:
Answer:
Ibuprofen will help decrease the pain from inflammation.
Question:
The following statements made by a patient with osteoporosis regarding the use of
Fosamax indicate understanding:
Answer:
I take this medication once a week," 2) "I take the medication with a full glass of water," 3) "I take this medication upon rising in themorning.
Question:
Osteoporosis is a disease process that indicates the need for the bone mineral density diagnostic exam.
Answer:
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Question:
When caring for a patient with a fractured hip, which statement by the patient supports the idea that a pathological fracture has occurred?
Answer:
just noticed my hip hurting but I don't remember falling.
Question:
The LPN is educating a patient who had hip surgery five days ago, the
following statements by the patient indicates the need for further teaching:
Answer:
1) ok here is your call light let me know when you're ready to lay down,"
2) "you are only allowed out of bed for therapy,"
3) "your abduction pillow needs to be in place while sitting in the chair,"
4) "its ok you can sit up for 2-3 hours after two days.'
Question:
What should the LPN reinforce to the patient with a total hip replacement regarding postoperative complications?
Answer:
Avoid hyperflexion of the hip to protect the integrity of the new joint
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