Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 25- Mechanical Immobilization
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is assisting a physician in applying an emergency splint to a client who injured his leg while skateboarding. Which of the following actions should the nurse remember when applying an emergency splint? | |
| A) | Avoid changing the position of the injured part. | |
| B) | Remove the client’s high-top shoe in case of ankle injury. | |
| C) | Avoid covering the open wound at the injury site. | |
| D) | Select a flexible splinting material. | |
| Ans: | A | |
| Feedback: | ||
| When applying an emergency splint, the nurse should avoid changing the position of the injured part to prevent additional injuries. The nurse should leave a high-top shoe in place in case of ankle injury to reduce pain and swelling. Open wounds should not be left open but rather should be covered with a clean dressing to prevent dirt and pathogens from entering. The nurse should select rigid splinting material such as a flat board or a broom handle to provide support while restricting movement. | ||
| 2. | A nurse is cleansing the skin around the pin site of a client. Which of the following signs confirms the need to obtain a wound culture? | |
| A) | Numbness at the site | |
| B) | Cool temperature at the site | |
| C) | Swelling distal to the site | |
| D) | Purulent drainage from the site | |
| Ans: | D | |
| Feedback: | ||
| The presence of purulent drainage at the pin site indicates the need to obtain a wound culture. Redness, swelling, and increased tenderness around the pin site are also signs that provide data for current and future comparisons. The nurse should also check if the client has a temperature and pain as it indicates the possibility of infection. | ||
| 3. | A nurse is collaborating with a cast technician in applying a fiberglass cast to a client. Which of the following is a feature of a fiberglass cast as compared to a plaster of Paris (POP) cast? | |
| A) | Inexpensive | |
| B) | Easy to apply | |
| C) | Durable | |
| D) | Non-porous | |
| Ans: | C | |
| Feedback: | ||
| A fiberglass cast is durable, lightweight, porous, allows immediate weight bearing, and is unaffected by water. It is expensive compared to a POP cast, which is inexpensive. A POP cast is easy to apply but heavy and is prone to cracking and crumbling. Although fiberglass is porous, it is not recommended for severe injuries or those accompanied by excessive swelling. | ||
| 4. | A nurse is caring for a client with pin insertions in his left thigh. Which of the following actions should the nurse perform to prevent infection to the pin site? | |
| A) | Avoid removing crusted secretions. | |
| B) | Avoid applying moisturizing ointment to pin sites. | |
| C) | Teach the client to cleanse the pin sites. | |
| D) | Cleanse the skin at the pin sites moving inward. | |
| Ans: | B | |
| Feedback: | ||
| In order to prevent infection to the pin site, the nurse should avoid applying ointment to pin sites unless prescribed because it reduces moisture at the site and occludes drainage. The nurse should gently remove crusted secretions because it helps in removing debris that supports the growth of microorganisms. The nurse should teach the client not to touch the pin sites in order to prevent the transmission of pathogens. The nurse should cleanse the skin at the pin sites moving outward in a circular manner to prevent microorganisms from moving toward the areas of open skin. | ||
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