Please indicate whether the following statement is true or false.
A nurse working on the orthopedic floor understands that a gastrointestinal assessment should be done every three days.

False

Maybe

Perhaps

True

Answer and Explanation

The Correct Answer is A

A. False

A GI assessment should be done daily, especially in post-op clients or those on narcotics, which can slow bowel motility.

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Correct Answer is D

Explanation

A. Turn their foot and leg away from their other leg

This movement is called external rotation, not hyperextension.

B. Move their leg forward and up

This action is flexion of the hip.

C. Move their leg medially toward their other leg

This describes adduction, moving the limb toward the body's midline.

D. Move their leg behind their body

Hyperextension of the hip involves moving the leg backward beyond the normal range of extension.

A. Place the stockings on the client after the client ambulated to the restroom B. Ensure the client's toes are visible after placing the stockings on the client C. Measure the client's calf circumference and leg length from heel to knee. D. After applying the stockings, place two fingers between the client's leg and stocking to check the fit.

Correct Answer is C

Explanation

A. Place the stockings on the client after the client ambulated to the restroom.

Stockings should be applied before the client gets out of bed in the morning to prevent venous stasis and swelling.

B. Ensure the client's toes are visible after placing the stockings on the client.

Visible toes allow for monitoring of circulation, color, and temperature, which helps detect complications like restricted blood flow.

C. Measure the client's calf circumference and leg length from heel to knee.

Although the stocking should not constrict the toes, having them visible is not the primary indication of a proper fit. The focus is on ensuring proper compression around the calf and knee areas.

D. After applying the stockings, place two fingers between the client's leg and stocking to check the fit.

Unlike anti-embolism devices like TED hose, these stockings are meant to be snug to ensure adequate compression. The two-finger rule is more applicable to items like restraints, not compression stockings.

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Please indicate whether the following statement is true or false. A nurse working on the orthopedic floor understands that a gastrointestinal assessment should be done every three days.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse stands facing a client to demonstrate active range-of-motion exercises. Which of the following actions should the nurse take to demonstrate hyperextension of the hip?

Correct Answer is D

Explanation

A nurse is caring for a client who has a prescription for knee-length antiembolic stockings. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Please indicate whether the following statement is true or false.
A nurse working on the orthopedic floor understands that a gastrointestinal assessment should be done every three days.