Mdc1

A client arrives in the ED with a suspected bone fracture of the right arm . How does the nurse expect the client to decribes the pain ?

Sharp and piercing

The client presents with an exaggeration of the lumbar spine curve . How does the nurse interpret this finding ? .

lordosis

The older client asks the nurse how best to maintain strong bones . What is the nurse best response ?

weight - bearing exercises can strengthen bones " .

The nurse is providing instructions to the client who is being prepared for skeletal traction . Which statement by the client indicates teaching was effective ?

" Metal pins will go through my skin to the bone

A nurse is teaching a client who was recently diagnosed with carpal tunnel syndrome . Which statement should the nurse include ?

" ergonomic changes can be incorporated into your workday to reduce stress on your wrist . "

What is the term for a rhythmic contraction of a muscle ?

clonus

A client was playing softball and dislocated four of his fingers when diving for a ball . The physician manipulated the fingers into alignment and applied a splint to maintain alignment . What types of procedures does the nurse document this as ?

closed reduction

The nurse is performing a neurovascular assessment of a client's injured extremity . Which would the nurse report

dusky or mottled skin color

A client with a fractured ankle is having a fiberglass cast applied . The client starts yelling " My leg is burning , take it Off . " What action by the nurse is most appropriate ?

explain that the sensation being felt is normal and will not burn the client .

A patient has has a stroke and is unable to move the right upper and lower extremity . During assessment the nurse pick up the arm and it is limp and without tine . How would the nurse document this finding ?

flaccidity

46. A nurse notices a client lying on the floor at the bottom of the stairs . The client is alert an oriented and denies pain other than in the arm , which is swollen and appears deformed . After calling for help , what should the nurse do ?

immobilize the client's arm

Radiography evaluation of a client's fracture reveals that a bone fragment has been driven into another bone fragment . The nurse identifies this as which type of fracture ?

impacted

Which of the following is the most important nursing diagnosis for an elderly patient diagnosed with osteoporosis ?

risk for injury related to fractures due to osteoporosis

Which client would the nurse identify as having the greatest risk for osteoporosis ?

small framed thin 45 year - old white women

A nurse is teaching a client about preventing osteoporosis . Which teaching point is correct ?

the recommended daily allowance of calcium may be found in a wide variety of food

The nurse is preparing a client to have his cast cut off after having it for 6 weeks to treat a fractured tibia . What should the nurse inform the client prior to the cast being removed

the skin may be covered with a yellowish crust that will shed in a few days

11. A client has severe osteoarthritis in the left hip and is having surgery to replace both articular surfaces of the hip . What type of surgical procedure will the nurse prepare the client for ?

total arthroplasty

The nurse is checking the traction apparatus for a client in skin traction . Which finding would require the nurse to intervene ?

weighting hanging and touching the floor

26. A client is experiencing muscle weakness in the upper extremities . The client raises an arm above the head but then loses the ability to maintain the position . muscular dystrophy is suspected . Which diagnostic test would evaluate muscle weakness or deterioration ?

- an electromyography

After a person experiences a closure of the epiphyses which statement is true

- no further increase in bone length occurs .

A is brought to the EM by a softball team member who states the client , and another player ran in each other , and the client is having severe pain in the right shoulder . What symptoms of a fractured clavicle does the nurse recognized ?

- right shoulder slopes downward and droops inward

47. The nurse teaches the client with a high risk for osteoporosis about risk - lowering strategies , including with action ?

- walk or perform weight bearing exercises outdoors

What food can the nurse suggest to the client at risk for osteoporosis ?

broccoli

A nurse is caring for a client placed in traction to treat a fractured femur . Which nursing intervention has the highest priority ?

Assessing the extremity for neurovascular integrity

16. A client with a long are cast continues to complain of unrelieved throbbing pain even after receiving opioids pain medication . Which is the priority action by the nurse ?

Assess for complications

A group of students is studying for a test on traction . The student demonstrate understanding of the types of traction when they identify which of the following as an example of skin traction

Buck's

Which would be consistent as a component of self care activities for the client with a cast ?

Cushion rough edges of the cast with tape

1. A client's left leg is in skeletal traction with a Thomas leg splint and Pearson Attachment . Which intervention should the nurse include in this client's care plan ?

D - teach the client how to prevent problems caused by immobility

The nurse is conducting the admission assessment for a client who is to undergo an arthrogram . What is the priority questioning the nurse should ask ?

Do you have any allergies ?

Which diagnostic test would the nurse expect to be order for a client with lower extremity muscle weakness

Electromyography ( EMG )

A client is reporting pain following orthropedic surgery . Which intervention will help relieve pain ?

Elevate the affected extremity and use cold applications

A client asks the nurse why his residual limb cannot be elevated on a pillow . What is the best response by the nurse ?

Elevating the leg might lead to flexion contracture

The client displays manifestation of compartment syndrome . What treatment nuse expect the client to be scheduled for ?

Fasciotomy

Which assessment finding would cause the nurse to suspect compartment syndrome in the client following a bone biopsy ?

Increased diameter of the calf

Which is a benefit of a continuous passive motion CPM ) device when applied after knee surgery ?

It promotes healing by increasing circulation and movement of the knee joint

The nurse is screening children for scoliosis . What nursing assessment finding is indicative of scoliosis ?

Lateral curvature of the spine .

A client's facture was reduced by surgically exposing the bone and realigning it . What type of treatment does the nurse identity this as ?

Open Reduction

A client with a right leg fracture is returning to the orthopedist to have the cast removed . During cast removal , it is important for the nurse to assure :

The client that he or she won't be cut

A client with a musculoskeletal injury is instructed to after the diet . The objective of altering the diet is to facilitate the absorption of calcium form food and supplements . Considering the food intake objective , which food item should the nurse encourage the client to include in the diet ?

Vitamin D fortified milk

patient sustains a fracture of the arm . When does the nurse anticipate pendulum exercise should begin ?

a - as soon as tolerated , after a reasonable period of immobilization .

A client has had surgical repair of a hip injury after joint manipulation was unsuccessful . After surgery , the nurse implements measures to prevent complications . Which complications is the nurse seeking to prevent ? Select all that apply

a - skin breakdown b - wound infection c - pneumonia

Which statement describes paresthesia ?

abnormal sensations

A client is admitted with acute osteomyelitis that developed after an open fracture of the right femur . When planning this client care , the nurse should anticipate which measure

administering large doses of I.V. antibiotics as ordered

The is providing care to a client following a knee arthroscopy . What would the nurse expect to include in the client's plan of care ?

administering the prescribed analgesic

Which orthopedic surgery is done to correct and align a fracture after surgical dissection and exposure of the facture ?

open reduction

48. A nurse is caring for a client following foot surgery . Which nursing intervention is most important for the nurse to include in the nursing care plan ?

perform neuromuscular assessment every hour

Which of the following presents with an onset of heel pain with the first steps of the morning ?

plantar fasciitis

The nurse is caring for a patient who had a total hip replacement . What lethal postoperative complication should the nurse closely monitor for ?

pulmonary embolism

39. A client has just undergone arthrography . What is the most important instruction for the nurse to include in the teaching plan ?

report joint crackling or clicking noises occurring after the second day .

A client has experienced increasing pain and progressing inflammation of the hands and feet . The rheumatologist has prescribed NSAID use to treat the condition . What client education is most important for the nurse to address with the use of these medications ?

common adverse effects

50. A nurse is planning discharge instructions for the client with osteomyelitis . What instructions should the nurse include in the discharge teaching ?

d- " you will receive IV antibiotics for 3 to 6 weeks .

A client is undergoing skeletal traction reports pressure on bony areas . Which action would be most appropriate to provide comfort for the client ?

the client Changing the client's position within prescribed limits