Category Archives: Physiological Integrity

Physiological Integrity Q 41

A client with a fractured hip has been placed in Buck’s traction. Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:         A. Utilizes a Steinman pin      B. Requires that both legs be secured      C. Utilizes Kirschner wires      D. Is used primarily to heal the fractured hips        … Read More »

Physiological Integrity Q 42

A client has had a unilateral adrenalectomy to remove a tumor. To prevent complications, the most important measurement in the immediate postoperative period for the nurse to take is:         A. Blood pressure      B. Temperature      C. Output      D. Specific gravity           Correct Answer: A. Blood pressure Blood pressure is the best… Read More »

Physiological Integrity Q 43

The nurse is assessing the client with a total knee replacement 2 hours postoperative. Which information requires notification of the doctor?         A. Bleeding on the dressing is 3cm in diameter.      B. The client has a temperature of 100.6°F (38.1°C).      C. The client’s hematocrit is 26%.      D. The urinary output has been… Read More »

Physiological Integrity Q 44

An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:         A. Administer oxygen via nasal cannula      B. Have narcan (naloxone) available      C. Prepare to administer blood products      D. Prepare to do cardio resuscitation     … Read More »

Physiological Integrity Q 45

A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?         A. Daily weights      B. Intake/output measurements      C. Sodium and potassium levels monitored      D. Glucometer readings… Read More »