Question 1 of 16 Incorrect
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:
Your Answer
Considering opioid alternatives, such as, acetaminophen, anti-inflammatories and ice
Your Answer
Using restraints to manage behaviors
Your Answer
Having patient wear glasses or hearing aids
Your Answer
Ensuring adequate rest
Question 2 of 16 Correct
Post surgical Total Shoulder Precautions include all except:
Your Answer
Active Range of Motion (AROM)
Question 3 of 16 Incorrect
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
Spinal headache, CSF leak
Correct Answer
Pulmonary embolus
Question 4 of 16 Incorrect
Performance Measures for Hip Fracture include:
Your Answer
Early mobilization within 24 hours post-op
Your Answer
Scheduled acetaminophen
Your Answer
Nutrition Education
You Missed
Early mobilization within 10 hours upon return from PACU
You Missed
Avoiding Readmissions
Question 5 of 16 Correct
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 6 of 16 Correct
Patients and caregivers are encouraged to attend a pre-operative class to learn about:
Your Answer
All of the above
Question 7 of 16 Incorrect
Post-operative treatment goals for total joint arthroplasty include:
Your Answer
Reducing postoperative pain and discomfort
Your Answer
Reducing the risk of venous thromboembolism and infection
Your Answer
Promoting return to patient’s functional goal
Your Answer
Providing appropriate nutrition and emotional support
You Missed
Preventing constipation
Question 8 of 16 Incorrect
Hip precautions after posterolateral approach surgery include avoiding:
Your Answer
Hip flexion greater than 90 degrees
Your Answer
Crossing legs
You Missed
Adduction/internal rotation
You Missed
Pivoting or turning toes inwards on the operative leg
You Missed
Low, soft chairs
Question 9 of 16 Correct
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 10 of 16 Correct
An early postoperative complication of total knee arthroplasty is arthrofibrosis, which:
Your Answer
Is the formation of excessive scar tissue after surgery or injury
Your Answer
Limits range of motion
Question 11 of 16 Correct
Knee precautions after surgery include avoiding:
Your Answer
Pillows under the knee
Your Answer
Ambulation without an assistive device
Your Answer
Kneeling on the surgical leg
Your Answer
Exercises with high impact
Your Answer
Prolonged sitting without elevation
Question 12 of 16 Incorrect
Performance Measures for Spine Fusion include all except:
Your Answer
Patient Pre-Operative class attendance
Correct Answer
Eat a Regular diet
Question 13 of 16 Incorrect
The
Orthopedic Service Line at El Camino Health has programs certified for
care of Total Hip and Total Knee Arthroplasty at both campuses, Hip
Fracture care at Mountain View campus, and Spine Fusion care at the Los
Gatos campus.
Your Answer
False
Correct Answer
True
Question 14 of 16 Correct
Performance Measures for Total Hip and Total Knee Arthroplasty include:
Your Answer
All of the above
Question 15 of 16 Correct
Certified
programs, including the Orthopedic and Spine Care Programs, must meet
core requirements including standards, clinical practice guidelines, and
performance measurements every:
Your Answer
2 years
Question 16 of 16 Incorrect
Orthopedic and spine patients should receive discharge instructions related to:
Your Answer
Diagnosis and weight bearing status and precautions
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
You Missed
Discharge diet, activity, bathing and incision care
