Instructions:
* Read the article on page 6.
* Take the test, recording your answers in the test answers section (Section B) of the CE enrollment form. Each question has only one correct answer.
* Complete registration information (Section A) and course evaluation (Section C).
* Mail completed test with registration fee to: Lippincott Professional Development, CE Group, 74 Brick Blvd., Bldg., 4 Suite 206, Brick, NJ 08723.
* Within 4-6 weeks after your CE enrollment form is received, you will be notified of your test results.
* If you pass, you will receive a certificate of earned contact hours and answer key. If you fail, you have the option of taking the test again at no additional cost.
* A passing score for this test is 13 correct answers.
* Need CE STAT? Visit http://www.nursingcenter.com for immediate results, other CE activities, and your personalized CE planner tool.
* No Internet access? Call 800-787-8985 for other rush service options.
* Questions? Contact Lippincott Professional Development: 800-787-8985
Registration Deadline: December 4, 2020
Provider Accreditation:
Lippincott Professional Development (LPD) will award 1.5 contact hours for this continuing nursing education activity.
LPD is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.5 contact hours. LWW is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida #50-1223.
Disclosure: The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
This article has been approved by the Orthopaedic Nurses Certification Board for Category A credit toward recertification as an ONC.
Payment and Discounts:
* The registration fee for this test is $7.50 for NAON members and $15.00 for nonmembers.
* If you take two or more tests in any nursing journal published by LWW and send in your CE enrollment forms together, you may deduct $0.95 from the price of each test.
* We offer special discounts. Send in 6 tests together and the least expensive one is free; send in 12 tests and the 2 least expensive ones are free, etc. We also offer institutional bulk discounts for multiple tests. Call 800- 787-8985 for more information.
CE TEST QUESTIONS
GENERAL PURPOSE: To present health care providers with essential information about discharge readiness following total knee replacement surgery (TKR).
LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:
1. Discuss components of discharge readiness following TKR.
2. Summarize potential complications after TKR that may lead to hospital readmission and further functional declines.
1. Patients at high risk for in-hospital falls are those who
a. have surgery at large urban hospitals.
b. are female.
c. are older.
2. Hamel and colleagues reported that patients undergoing total hip and total knee replacement need about how many days to return to independence with housework?
a. 38
b. 49
c. 60
3. Stockwell and colleagues found that, at 12 months after knee replacement, 28% of patients still perceived that they were not able to complete which of the following?
a. kneeling on their surgical lower extremity
b. fully flexing their surgical lower extremity
c. fully extending their surgical lower extremity
4. Multiple sources report that the main causes of readmission after TKR are infection, deep vein thrombosis, and
a. falls.
b. arthrofibrosis.
c. unrelieved pain.
5. The risk for readmission after TKR is increased for patients who
a. are male.
b. had a shorter hospital stay.
c. have a history of transient ischemic attacks.
6. Clarke and colleagues have linked preoperative education to reducing the incidence of which of the following occurrences in-hospital after TKR?
a. falls
b. infection
c. deep vein thrombosis
7. When Ingadottir and colleagues compared patients' knowledge expectations prior to TKR with what they received in preoperative education, they found that their expectations
a. were lower than the education they received.
b. matched the education they received.
c. exceeded the education they received.
8. According to Matassi and colleagues, the strongest predictor of range of motion (ROM) after surgery is
a. ROM before surgery.
b. analgesia prior to postoperative ROM.
c. education about the importance of ROM.
9. Dorsey and Bradshaw reported that including which of the following in perioperative care for TKR resulted in reduced length of stay (LOS) and increased health-related quality of life scores?
a. physical therapy
b. occupational therapy
c. strong social support
10. Johnson and colleagues and others reported that family members and patients have expressed feeling which of the following about changes in their social roles following total joint replacement?
a. motivated
b. challenged
c. overwhelmed
11. Compared with the readmission rates among patients who are discharged to home from the acute care setting, those who require inpatient rehabilitation after TKR have rates that are
a. higher.
b. about the same.
c. lower.
12. When Chan and colleagues compared continuous femoral nerve blocks (cFNB) to a single-dose femoral nerve block (FNB), they found no statistically significant differences in which of the following outcomes?
a. degrees of flexion
b. pain relief
c. LOS
13. According to Chan and colleagues, patients who received which of the following had the lowest odds of achieving 90 degrees of knee flexion on their surgical lower extremity?
a. patient-controlled analgesia (PCA) alone
b. cFNB plus PCA
c. FNB plus PCA
14. When Kirkness and colleagues compared local infiltration analgesia (LIA) to cFNB, they found a statistically significant improvement in which of the following outcomes with LIA?
a. pain management
b. average walking distance
c. rehabilitation requirement
15. Otten and Dunn reported the best pain control with which of the following therapies?
a. adductor canal block (ACB)
b. FNB
c. LIA plus ACB
16. Schwarzkopf and colleagues and others reported that which of the following groups is most likely to be discharged to home after TKR rather than to a non-home setting after surgery?
a. females
b. younger patients
c. African-Americans
17. According to Gong and Dong, which of the following personality traits predisposes patients to responding negatively to setbacks such as pain or weakness during exercise after surgery?
a. anxious
b. cautious
c. analytical
18. An increased LOS and a slower functional recovery following TKR are common among patients who are
a. male.
b. obese.
c. extroverted.