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

Apply warm compresses to the fractured leg

Encourage the patient to bear weight on the affected leg

Monitor the surgical incision for signs of infection

Assist the patient with ambulation using crutches or a walker

Answer and Explanation

The Correct Answer is C

A. Apply warm compresses to the fractured leg: Warm compresses are not typically recommended immediately after surgery due to the risk of increasing inflammation and swelling.

B. Encourage the patient to bear weight on the affected leg: Weight bearing should be done according to the physician's orders. Early weight bearing can cause complications if not appropriately timed.

C. Monitor the surgical incision for signs of infection: This is a critical nursing intervention to prevent and detect postoperative infections early.

D. Assist the patient with ambulation using crutches or a walker: Assisting with ambulation using crutches or a walker is important for safety and promoting mobility, but it should be done following weight-bearing restrictions.

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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.

A. "This will help to decrease the frequency of dressing changes." B. "This will improve your ability to ambulate sooner." C. "This will decrease the chance of you experiencing phantom limb pain." D. "Placing this now will improve the fit of the prosthesis."

Correct Answer is B

Explanation

A. "This will help to decrease the frequency of dressing changes." The placement of a prosthesis does not impact the frequency of dressing changes, which are based on wound care needs.

B. "This will improve your ability to ambulate sooner." Early prosthesis placement can aid in quicker rehabilitation and earlier ambulation.

C. "This will decrease the chance of you experiencing phantom limb pain." Prosthesis placement does not necessarily decrease the occurrence of phantom limb pain, which is a common phenomenon after amputation.

D. "Placing this now will improve the fit of the prosthesis." The fit of the prosthesis is more related to the residual limb's healing and shaping, not necessarily the timing of initial placement.

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

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Naxlex Comprehensive Predictor Exams

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 reinforcing teaching about placement of a prosthesis with a client who is having a below the knee amputation. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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

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