The orthopedic office nurse provides care to a patient who sustained an injury after a fall on an icy patch of sidewalk a year ago. The patient states. "I still cannot move my knee well because of the pain and swelling." Which diagnostic test should the nurse anticipate will be prescribed by the health care provider?

Ultrasound

Arthroscopy

Serum Alkaline Phosphatase Test

Bone Biopsy

Answer and Explanation

The Correct Answer is B

A. Ultrasound: Ultrasound can be used to visualize soft tissue injuries and fluid accumulation but is not typically the first choice for long-term joint issues.
B. Arthroscopy: Arthroscopy is a minimally invasive procedure that allows direct visualization and treatment of joint problems. It is likely to be prescribed because it can help diagnose persistent pain and swelling in the knee.
C. Serum Alkaline Phosphatase Test: This blood test is used to evaluate bone growth and liver function. It is not specific for diagnosing joint pain or swelling.
D. Bone Biopsy: A bone biopsy is used to diagnose bone infections or cancer, which are not indicated in this scenario of persistent knee pain and swelling after an injury.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Apply heat during the first 24 hr. Applying heat can increase swelling and should be avoided initially. Ice is recommended to reduce swelling.

B. Place moderate weight on the affected leg when walking. The affected leg should not bear weight until the initial acute phase of the injury has passed and pain/swelling has decreased.

C. Elevate the affected ankle to the level of the heart. Correct. Elevating the ankle helps to reduce swelling and promote venous return.

D. Apply the elastic compression dressing tight enough so the toes and ankle become numb. The compression dressing should be snug but not so tight that it restricts blood flow, which can lead to numbness and further injury.

A. Explain the use of assistive devices. B. Clean skin with antibacterial skin cleaning cloths. C. Teach postoperative exercises. D. Ask if a consent form was signed.

Correct Answer is B

Explanation

A. Explain the use of assistive devices. While explaining the use of assistive devices is important, it is not the primary preoperative care focus.

B. Clean skin with antibacterial skin cleaning cloths. Correct. Preoperative skin cleaning with antibacterial cloths is crucial to reduce the risk of postoperative infections.

C. Teach postoperative exercises. Teaching postoperative exercises is important but is typically part of preoperative education rather than immediate preoperative care.

D. Ask if a consent form was signed. Ensuring that consent forms are signed is necessary but is not the primary preoperative care focus.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has an ankle sprain. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

The nurse is providing preoperative care for a patient who is scheduled for joint replacement the next day. What should the nurse include with care?

Correct Answer is B

Explanation

A nurse is caring for a client who is 3 days post-operative from a right hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should examine the client for which of the following manifestations of dislocation of the hip prosthesis.

What is an appropriate nursing intervention for postoperative care of a patient with a fractured leg?

A nurse is collecting data from a client who has multiple fractures in his left leg and reports severe pain and tingling in the extremity. The nurse should suspect which of the following complications?

A client returns to the surgical unit from the PACU in skeletal traction. The nurse should take this action to correct which of the following problems with the traction setup?

A nurse is caring for a client with a hip fracture. The client is scheduled for surgery. When performing an ORIF procedure of a hip. what is the purpose of the internal fixation?

The nurse collects data on a patient's left knee and notes redness, swelling, and pain. The health-care provider suspects septic arthritis and will perform a diagnostic procedure to aspirate synovial fluid for laboratory analysis. Which procedure does the nurse anticipate for this patient?

A nurse is caring for a client who is postoperative following a right total hip arthroplasty. In which of the following positions should the nurse place the client's right leg?

At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)