A client has just had an arthroscopy performed to assess a knee injury. What nursing intervention should the nurse perform following this procedure?

Wrap the joint in a compression dressing.

Perform passive range of motion exercises.

Maintain the knee in flexion for up to 30 minutes.

Apply heat to the knee

Answer and Explanation

The Correct Answer is A

A. Wrap the joint in a compression dressing: After arthroscopy, a compression dressing helps reduce swelling, control bleeding, and support the joint. This is a standard post-procedural intervention to promote healing and prevent complications such as joint effusion or hematoma.

B. Perform passive range of motion exercises: Passive range of motion is not initiated immediately after the procedure. Early movement depends on the surgeon’s orders and the extent of intra-articular work done. Premature motion could increase discomfort or disrupt healing.

C. Maintain the knee in flexion for up to 30 minutes: Maintaining knee flexion after arthroscopy is not recommended, as it can increase swelling and impede circulation. Elevation in a neutral or slightly extended position is preferred to reduce edema.

D. Apply heat to the knee: Heat is contraindicated in the immediate post-procedure phase, as it can worsen inflammation and increase bleeding. Cold therapy (ice packs) is recommended within the first 24–48 hours to minimize swelling and pain.

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Correct Answer is A

Explanation

A. Increase fluid intake: Increasing fluid intake helps restore cerebrospinal fluid volume that may have been lost during the lumbar puncture, which often causes post-lumbar puncture headaches. Hydration supports healing of the puncture site and can reduce the intensity and duration of the headache.

B. Administer pain medication: Pain medication can provide symptomatic relief but does not address the underlying cause of the headache, which is cerebrospinal fluid leakage and decreased pressure. While useful, it is not the primary intervention to facilitate resolution.

C. Darken the client's room and close the door: This action can help reduce sensory stimuli and provide comfort during a headache but does not directly treat the cause of a post-lumbar puncture headache. It is an adjunct comfort measure rather than a primary treatment.

D. Elevate the head of the bed to 30 degrees: Elevating the head may actually worsen a post-lumbar puncture headache by promoting further cerebrospinal fluid leakage. Typically, keeping the client flat or slightly elevated is recommended to reduce symptoms.

A. Staphylococcus aureus. B. Proteus. C. Pseudomonas. D. Escherichia coli.

Correct Answer is A

Explanation

A. Staphylococcus aureus: Staphylococcus aureus is the most common pathogen responsible for osteomyelitis due to its ability to invade bone tissue through open wounds, bloodstream infections, or surgical sites. It can adhere to bone and produce biofilms, making infections hard to eradicate.
B. Proteus: Proteus species are gram-negative bacteria that may contribute to urinary tract or wound infections but are less frequently associated with bone infections compared to S. aureus.
C. Pseudomonas: Pseudomonas is commonly linked to chronic osteomyelitis, particularly in cases involving puncture wounds or diabetic foot ulcers. However, it is still less common than S. aureus in general bone infections.
D. Escherichia coli: E. coli is mainly associated with gastrointestinal and urinary tract infections. While it can cause osteomyelitis in rare hematogenous cases, it is not the leading causative organism.

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A client has just had an arthroscopy performed to assess a knee injury. What nursing intervention should the nurse perform following this procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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