Author Question: A high school teacher with ulnar drift caused by rheumatoid arthritis (RA) is scheduled for a left ... (Read 15 times)

newyorker26 · **on:** Jun 25, 2018

A high school teacher with ulnar drift caused by rheumatoid arthritis (RA) is scheduled for a left hand arthroplasty. Which patient statement to the nurse indicates a realistic expectation for the surgery?

a. This procedure will correct the deformities in my fingers.
b. I will not have to do as many hand exercises after the surgery.
c. I will be able to use my fingers with more flexibility to grasp things.
d. My fingers will appear more normal in size and shape after this surgery.

Question 2

The nurse is caring for a patient who is to be discharged from the hospital 5 days after insertion of a femoral head prosthesis using a posterior approach. Which statement by the patient indicates a need for additional instruction?

a. I should not cross my legs while sitting.
b. I will use a toilet elevator on the toilet seat.
c. I will have someone else put on my shoes and socks.
d. I can sleep in any position that is comfortable for me.

ricroger · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
The goal of hand surgery in RA is to restore function, not to correct for cosmetic deformity or treat the underlying process. Hand exercises will be prescribed after the surgery.

Answer to Question 2

ANS: D
The patient needs to sleep in a position that prevents excessive internal rotation or flexion of the hip. The other patient statements indicate that the patient has understood the teaching.