Question 1 of 16Correct
The Orthopedic service line at El Camino Health has programs certified for care of Total Hip, Total Knee, and Total Shoulder Arthroplasty at both campuses, Hip Fracture care at Mountain View campus, and Spine Fusion care at the Los Gatos campus.
Your Answer
True
Question 2 of 16Correct
Patients and caregivers are encouraged to attend a pre-operative class to learn about:
Your Answer
All of the above
Question 3 of 16Incorrect
Certified programs, including the Orthopedic and Spine Care Programs, must meet core requirements including standards, clinical practice guidelines, and performance measurements every:
Your Answer
3 years
Correct Answer
2 years
Question 4 of 16Correct
Orthopedic and spine patients should receive discharge instructions related to: select all that apply
Your Answer
Diagnosis and weight bearing status and precautions
Your Answer
Discharge diet, activity, bathing and incision care
Your Answer
Home medications (including “next dose due info”)
Your Answer
Signs and symptoms of possible complications and what to report to your doctor
Your Answer
Discharge therapy plan (home exercises vs. home health PT vs. outpatient PT)
Your Answer
Follow-up appointments
Question 5 of 16Incorrect
Knee precautions after surgery include avoiding: select all that apply
Your Answer
Pillows under the knee
Your Answer
Kneeling on the surgical leg
Your Answer
Exercises with high impact
Your Answer
Prolonged sitting without elevation
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Ambulation without an assistive device
Question 6 of 16Correct
Performance Measures for Total Hip and Total Knee Arthroplasty include:
Your Answer
All of the above
Question 7 of 16Correct
Post-operative treatment goals for total joint arthroplasty include: select all that apply
Your Answer
Reducing postoperative pain and discomfort
Your Answer
Reducing the risk of venous thromboembolism and infection
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Preventing constipation
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Promoting return to patient’s functional goal
Your Answer
Providing appropriate nutrition and emotional support
Question 8 of 16Correct
Neutral spine principles following lumbar spine fusion include all of the following except:
Your Answer
No log rolling (rolling in bed side-to-side with your shoulders, hips, and knees together as one unit)
Question 9 of 16Incorrect
Delirium is a common complication in hospitalized older adults, occurring in as much as 61% of patients with hip fracture. Nursing interventions to reduce delirium risk include the following: select all that apply
Your Answer
Using restraints to manage behaviors
Your Answer
Providing additional auditory stimulation in a darkened environment
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Considering opioid alternatives, such as, acetaminophen, anti-inflammatories and ice
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Having patient wear glasses or hearing aids
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Ensuring adequate rest
Question 10 of 16Incorrect
Performance Measures for Hip Fracture include: select all that apply
Your Answer
Early mobilization by POD 1
Your Answer
Early mobilization within 4 hours after surgery
You Missed
Avoiding Readmissions
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Scheduled multimodal analgesic
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Nutrition Education
Question 11 of 16Correct
Performance Measures for Spine Fusion include all except:
Your Answer
Eat a Regular diet
Question 12 of 16Correct
12. A good ____________________________ assessment can alert caregivers to the development of potential complications and prevent permanent damage to the function of the limb. Assessments include pulse strength, motor strength, color, temperature, and capillary refill.
Your Answer
Neurovascular
Question 13 of 16Correct
Post surgical Total Shoulder Precautions include all except:
Your Answer
Active Range of Motion (AROM)
Question 14 of 16Correct
A potential complication after lumbar fusion is ___________________. If this complication occurs, your patient will “look sick” and have feelings of impending doom, as well as, be diaphoretic and tachycardic with decreased oxygen saturations.
Your Answer
Pulmonary embolus
Question 15 of 16Correct
An early postoperative complication of total knee arthroplasty is arthrofibrosis, which: select all that apply
Your Answer
Is the formation of excessive scar tissue after surgery or injury
Your Answer
Limits range of motion
Question 16 of 16Correct
Hip precautions after posterolateral approach surgery include avoiding: select all that apply
Your Answer
Hip flexion greater than 90 degrees
Your Answer
Adduction/internal rotation
Your Answer
Crossing legs
Your Answer
Pivoting or turning toes inwards on the operative leg
Your Answer
Low, soft chairs
