Chapter 32 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 32 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• The nurse is caring for a client with a fracture of cervical vertebrae The client is connected to 1)

traction via:

1. A) Pearson B) Buck’s extension.
2. C) Thomas D) Crutchfield tongs.

Answer: D

Explanation: A)       Crutchfield tongs connect to the skull and help to maintain stability of the fractured cervical vertebrae. Pearson attachment connects to a Thomas splint for leg traction. Buck’s traction is used to stabilize the hip.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Crutchfield tongs connect to the skull and help to maintain stability of the

fractured cervical vertebrae. Pearson attachment connects to a Thomas splint for leg traction. Buck’s traction is used to stabilize the hip.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Crutchfield tongs connect to the skull and help to maintain stability of the

fractured cervical vertebrae. Pearson attachment connects to a Thomas splint for leg traction. Buck’s traction is used to stabilize the hip.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Crutchfield tongs connect to the skull and help to maintain stability of the

fractured cervical vertebrae. Pearson attachment connects to a Thomas splint for leg traction. Buck’s traction is used to stabilize the hip.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 32-1: Define the key terms used in the skills of cast care and traction.

 

• The nurse observes the physician apply a cast made of strips of open-weave cotton saturated with 2) powdered calcium sulfate crystals, and documents the application of a:

1. A) Plaster of B) Synthetic cast.
2. C) Fiberglass D) Thermoplastic cast.

Answer: A

Explanation: A)      The cast described is a plaster of Paris cast.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The cast described is a plaster of Paris

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The cast described is a plaster of Paris

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The cast described is a plaster of Paris

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 32-1: Define the key terms used in the skills of cast care and traction.

• The nurse would anticipate a plaster cast would be used for which of the following clients? 3)

1. The client with a diagnosis of amyotrophic lateral sclerosis (ALS)
2. The client who had a compound fracture and multiple lacerations
3. The elderly client with muscle wasting secondary to cancer
4. The construction worker with a fractured femur who plans to return to work before cast

removal

Answer: B

Explanation: A)      Plaster of Paris casts are used when a window must be cut in the cast to monitor wound healing, such as with the client with the compound fracture and multiple lacerations. The client with ALS or muscle wasting would benefit from the lighter weight of the synthetic casts, and the construction worker who plans to return to work would benefit from the synthetic cast’s ability to tolerate moisture.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. Plaster of Paris casts are used when a window must be cut in the cast to monitor wound healing, such as with the client with the compound fracture and multiple The client with ALS or muscle wasting would benefit from the lighter weight of the synthetic casts, and the construction worker who plans to return to work would benefit from the synthetic cast’s ability to tolerate moisture.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. Plaster of Paris casts are used when a window must be cut in the cast to monitor wound healing, such as with the client with the compound fracture and multiple The client with ALS or muscle wasting would benefit from the lighter weight of the synthetic casts, and the construction worker who plans to return to

work would benefit from the synthetic cast’s ability to tolerate moisture.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. Plaster of Paris casts are used when a window must be cut in the cast to monitor wound healing, such as with the client with the compound fracture and multiple The client with ALS or muscle wasting would benefit from the lighter weight of the synthetic casts, and the construction worker who plans to return to

work would benefit from the synthetic cast’s ability to tolerate moisture.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 32-2: Identify indications for using plaster versus synthetic casts.

• The nurse working in the Emergency Department is providing discharge teaching for a client with 4) a newly applied cast to the left Which of the following statements by the client indicates additional teaching is required?

1. “When I take a shower, I will put a plastic bag over my cast and keep it “
2. “When my fingers feel cold, I will cover them with a “
3. “I will go home today and put ice on the cast over the fracture and prop it on “
4. “If I lose sensation in my fingers, I will call my “

Answer: B

Explanation: A)      The client needs to understand the importance of performing neurovascular checks, and of the signs of compromise, including cold, pale fingers. The nurse would instruct the client that if the fingers of the casted arm feel colder than the other hand, the physician should be notified. All of the other statements would reflect understanding of home care.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Evaluation

1. The client needs to understand the importance of performing neurovascular

checks, and of the signs of compromise, including cold, pale fingers. The nurse would instruct the client that if the fingers of the casted arm feel colder than the other hand, the physician should be notified. All of the other statements would reflect understanding of home care.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Evaluation

1. The client needs to understand the importance of performing neurovascular

checks, and of the signs of compromise, including cold, pale fingers. The nurse would instruct the client that if the fingers of the casted arm feel colder than the other hand, the physician should be notified. All of the other statements would reflect understanding of home care.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Evaluation

1. D) The client needs to understand the importance of performing neurovascular

checks, and of the signs of compromise, including cold, pale fingers. The nurse would instruct the client that if the fingers of the casted arm feel colder than the other hand, the physician should be notified. All of the other statements would reflect understanding of home care.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Evaluation

Objective: Learning Outcome 32-3: List nursing measures to care for and prevent problems for clients with

casts.

• The nurse working in an orthopedic clinic received a call from a client complaining of itching 5) under the cast and asking for advice on how to relieve the The nurse would instruct the

client to:

1. Use a back scratcher to scratch under the
2. Use a wooden spoon to scratch inside the
3. Blow air from a hair dryer set to cool under the cast, or apply
4. Take an antihistamine to reduce

Answer: C

Explanation: A)      Strategies for dealing with itching include a hair dryer set on cool, applying ice, or blowing air from a vacuum set on reverse. Nothing should be inserted into the cast, even if it is not sharp, because it can scratch the skin or bunch the padding. An

antihistamine will not resolve the itching if it is not related to an allergy.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Strategies for dealing with itching include a hair dryer set on cool, applying ice, or blowing air from a vacuum set on Nothing should be inserted into the cast, even if it is not sharp, because it can scratch the skin or bunch the padding. An

antihistamine will not resolve the itching if it is not related to an allergy.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Strategies for dealing with itching include a hair dryer set on cool, applying ice, or blowing air from a vacuum set on Nothing should be inserted into the cast, even if it is not sharp, because it can scratch the skin or bunch the padding. An

antihistamine will not resolve the itching if it is not related to an allergy.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Strategies for dealing with itching include a hair dryer set on cool, applying ice, or blowing air from a vacuum set on Nothing should be inserted into the cast, even if it is not sharp, because it can scratch the skin or bunch the padding. An

antihistamine will not resolve the itching if it is not related to an allergy.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 32-3: List nursing measures to care for and prevent problems for clients with

casts.