ATI Musculoskeletal

SHOW HINT FLAG A nurse is caring for a client who had a below-the-knee amputation for gangrene of the right foot. The client reports sensations of burning and crushing pain in the toes of the right foot. Which of the following statements should the nurse make? "An anticonvulsant medication can be helpful in relieving this type of pain." "Try to look at the surgical wound as a reminder the limb is gone." "Use a cold compress intermittently to decrease these pain sensations." "Grief over the lost limb can sometimes cause denial that the limb is really gone."

"An anticonvulsant medication can be helpful in relieving this type of pain."

A nurse is caring for a client who is postoperative following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions should the nurse provide the client? "Keep your arm bent at the elbow." "Use a pillow to prop your shoulder up close to your ear." "Hold your arm against the side of your body." "Position your arm with the shoulder at a 90-degree angle."

"Hold your arm against the side of your body."

A nurse is reinforcing preoperative teaching with a client who is scheduled for total knee arthroplasty. Which of the following statements by the client should the nurse identify as understanding the teaching? "I will begin using a continuous movement machine on my knee one day after surgery." "I should avoid taking NSAID medications for pain." "I should wear elastic stockings on both of my legs." "I will have a small weight attached to my leg to hold the joint in place after surgery."

"I should wear elastic stockings on both of my legs."

A nurse is reinforcing teaching with a client who has a new prescription for alendronate for treatment of osteoporosis. Which of the following statements by the client indicates understanding of the teaching? "I will take the medication in the evening." "I will drink a full glass of milk with the medication." "I will take the medication at mealtime." "I will sit upright after taking the medication."

"I will sit upright after taking the medication."

A nurse in an urgent care clinic is reinforcing teaching with a client following a Grade II (moderate) ankle sprain. Which of the following instructions should the nurse plan to include? Perform passive range-of-motion exercises of the ankle hourly. Keep the affected extremity in a dependent position. Wrap a loose dressing around the affected ankle. Apply cold compresses to the extremity intermittently.

Apply cold compresses to the extremity intermittently.

A nurse is caring for a client who is postoperative following a total knee arthroplasty and is prescribed a continuous passive motion (CPM) machine and PCA. The client tells the nurse, "I am in so much pain." Which of the following actions should the nurse take first? Remind the client to push the button for the PCA device. Discuss activities the client may use to distract from the pain. Ask the client to describe the characteristics of the pain. Pause the CPM machine briefly to apply a cold pack to the client's knee.

Ask the client to describe the characteristics of the pain.

SHOW HINT FLAG A nurse is performing medication reconciliation for a newly admitted client who has rheumatoid arthritis (RA). Which of the following medications should the nurse identify as a treatment for this condition?

Celecoxib i

A nurse in an ambulatory clinic is caring for a client who has facial trauma to the nose. Which of the following actions should the nurse take first? Determine the client's ability to take deep breaths. Place a cold compress on the nasal area. Palpate the nasal area for crepitation. Offer the client an analgesic medication.

Determine the client's ability to take deep breaths.

A nurse is caring for a client who was in a motor-vehicle crash 2 days ago and sustained fractures to his tibia, ulna, and several ribs. The client is disoriented to time and place, has a SaO2 of 87%, and the nurse notes generalized petechiae on the client's skin. Which of the following complications should the nurse suspect? Hypovolemic shock Fat embolism syndrome Thrombophlebitis Osteomyelitis

Fat embolism

A nurse is caring for a client who is in skeletal traction following a femur fracture. The nurse finds the client has slid down toward the foot of the bed and the traction weight is resting on the floor. Which of the following actions should the nurse take? Remove the weight temporarily to reposition the client to the correct alignment in bed. Have the client use a trapeze to pull himself up while ensuring the weight hangs freely. Lift the rope off the pulley while the client rocks back and forth to reposition. Lift the weight manually while another staff member moves the client up in bed.

Have the client use a trapeze to pull himself up while ensuring the weight hangs freely.

A nurse is reviewing the medical record of a female client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? Decreased intake of sodium Spending several hours in the sun daily Increased estrogen levels History of anorexia nervosa

History of anorexia nervosa

A nurse is discussing the difference between rheumatoid arthritis (RA) and osteoarthritis with a newly hired nurse. Which of the following information should the nurse include about osteoarthritis? "Osteoarthritis is caused by autoimmune processes." "Osteoarthritis causes joints to become red and hot." "Osteoarthritis affects other organ systems." "Osteoarthritis can impair a joint on a single side of the body."

Osteoarthritis can impair a joint on a single side of the body."

A nurse is caring for a client immediately following application of a plaster cast. The nurse should monitor for and report which of the following findings as an indication of compartment syndrome? Sensation of heat on the surface of the cast Paresthesias of the extremity Pruritus of the extremity

Paresthesias of the extremity

A nurse is caring for a client who has a pelvic fracture. The client reports sudden shortness of breath, stabbing chest pain, and anxiety. The nurse should notify the charge nurse that the client is experiencing which of the following complications? Pneumonia Pulmonary embolus Tension pneumothorax Tuberculosis

Pulmonary embolus

A nurse is caring for a client who is 3 days postoperative following a right total hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should examine the client for which of the following manifestations of dislocation of the hip prosthesis? Bulging in the area over the surgical incision Shortening of the right leg Sensation of warmth over the surgical incision Pallor following elevation of the right leg

Shortening of the right leg

A nurse is collecting data from a client who is 48 hr postoperative following open reduction and internal fixation of a fractured tibia. Which the following findings should the nurse report to the provider? Toes cold to the touch Serous drainage from the pin sites Blanching of the toenail beds with pressure Pink tissue around the fixator insertion sites

Toes cold to the touch

A nurse is reviewing the medical record of a client who has a prescription for probenecid to treat gout. The nurse should identify that which of the following medications can interact with probenecid? Colchicine Naproxen Aspirin Prednisone

aspirin

A nurse is collecting data from a client who is 24 hr postoperative following an above-the-elbow amputation. Which of the following findings should the nurse identify as the priority? Report of muscle spasms Inability to get dressed without assistance Report of feelings of anger Refusal to look at the affected limb

report musle spasam

A nurse is caring for a client who had a fiberglass cast placed on her left arm several hours ago and now reports itching under the cast. Which of the following actions should the nurse plan to take? Use a hair dryer on a cool setting to blow air into the cast. Ask the provider to bivalve the cast. Provide the client with a sterile cotton swab to rub the affected skin. Wrap the extremity with a dry heating pad.

use a hair dryer on a cool setting to blow air into the cast

A nurse is reinforcing teaching with a client who has osteomyelitis of an open wound on his heel. Which of the following information should nurse include? "You will need to apply a cold pack to the site three times per day." "Your provider might ask you to walk frequently to increase circulation to the area." "You will need to limit consumption of high-protein foods." "Your provider might prescribe a central catheter line for long-term antibiotic therapy."

your provider might prescribe a central catheter line for long-term antibiotic therapy."