Chapter 48 Medical Surgical Nursing Preparation For Practice 2nd Edition

Chapter 48  Medical Surgical Nursing Preparation For Practice 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
A patient is newly diagnosed with arthritis of the cervical vertebrae. The nurse plans to assess which type of joint?
1. Spheroidal
2. Synovial
3. Fibrous
4. Cartilaginous
Correct Answer: 4
Rationale 1: Spheroidal joints are located in the hip and shoulder.
Rationale 2: Synovial joints are between bones that do not come in contact with each other, such as in the knee.
Rationale 3: Fibrous joints occur where bones are joined together, such as the sutures of the skull.
Rationale 4: Cartilaginous joints are only slightly movable and are located between the vertebrae.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48-1

Question 2
Type: MCSA
A patient tells the nurse that he has damaged cartilage in his knee. How should the nurse respond to this information?
1. “It will take a few months for the damage to heal.”
2. “That is considered a strain and will heal itself in a few weeks.”
3. “Exercise will increase the healing time for the cartilage.”
4. “Did the doctor talk with you about treatment options?”
Correct Answer: 4
Rationale 1: Once damaged, cartilage does not heal.
Rationale 2: A strain occurs with a tendon.
Rationale 3: Exercise will not increase the healing time for the cartilage.
Rationale 4: In some instances, cartilage damage in the knee requires arthroscopic surgery or knee replacement. Other treatment options may be available. The nurse should establish baseline information for the plan of care.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 48-1

Question 3
Type: MCSA
A patient recovering from hip replacement surgery is prescribed a pillow between the legs. The nurse explains that the pillow will facilitate which positioning?
1. Adduction
2. Abduction
3. Extension
4. Flexion
Correct Answer: 2
Rationale 1: Adduction moves an extremity toward the midline of the body. Placement of a pillow between the legs would not bring them closer together.
Rationale 2: Abduction is the movement of an extremity away from the midline of the body. A pillow between the legs holds them apart, away from the midline, maintaining the integrity of the new hip.
Rationale 3: Extension is straightening the extremity at a joint. Placement of a pillow between the legs will not impact extension.
Rationale 4: Flexion is bending an extremity at a joint. Placement of a pillow between the legs will not impact flexion.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 48-1

Question 4
Type: MCSA
The nurse is preparing to conduct a history on a patient being seen for hip pain and reduced range of motion. For which purpose does the nurse conduct this history?
1. To determine if the patient needs assistive devices
2. To evaluate the degree of pain the patient is experiencing
3. To determine the patient’s level of function so care can be planned
4. To allow the patient to talk about symptoms
Correct Answer: 3
Rationale 1: The possible use of assistive devices will be discussed during the history, but this is not the primary reason the history is obtained.
Rationale 2: The history may reveal the patient’s level of pain, but this is not the primary reason the history is obtained.
Rationale 3: A detailed history of the musculoskeletal system determines a patient’s ability to function, which plays an important role in developing an effective plan of care.
Rationale 4: The nurse should develop a caring relationship so that the patient will talk about the ailment; however, that is not the purpose of the history.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 48-2