Med Surg 2 Final ATI Musculoskeletal

A nurse is providing discharge teaching to a client who has osteoarthritis. Which of the following instructions should the nurse include?

"Rest frequently after periods of activity."

A nurse is caring for a client who is 72 hr postoperative following an above-the-knee amputation. Which of the following actions should the nurse take?

Assist the client into a prone position every 4 hr

A nurse is talking with an older adult client who has an elevated risk for osteoporosis about strategies for preventing bone loss. Which of the following instructions should the nurse provide?

Begin a program of brisk walking

A nurse is caring for a client who has a fractured right hip. Which of the following types of traction should the nurse expect the client to have prior to hip arthroplasty surgery?

Buck's traction

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 the treatment for this condition?

Celecoxib

A nurse in the emergency department is caring for a client who reports pain in her left leg following a motor-vehicle crash. The client's left leg has bruising, swelling, and displacement of the bones. Which of the following actions should the nurse take first?

Check neurovascular status distal to the injury

A nurse is assessing a client who has a fractured left femur and is in skeletal traction. Which of the following findings should the nurse report to the provider?

Chest petechiae

A nurse is assessing 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?

Client report of muscle spasms

A nurse in the emergency department is assessing a client who was in a motor-vehicle crash 2 days ago and sustained fractures of his tibia, ulna, and several ribs. The client is now disoriented to time and place and has a SaO2 of 87%. The nurse notes generalized petechiae on the client's skin. Which of the following complications should the nurse suspect?

Fat embolism syndrome

A nurse is caring for a client who has osteoporosis and a new prescription for calcium supplements. Which of the following foods should the nurse recommend to promote calcium absorption?

Fortified milk

A nurse is providing teaching for a client following a below-the-knee amputation. Which of the following pieces of information should the nurse include in the teaching?

Instruct the client to lie prone while in bed

A nurse is caring for a client who is postoperative following a lumbar disk excision. Which of the following interventions should the nurse include in the client's plan of care?

Logroll the client in bed for care procedures

A nurse is assessing a client who has several risk factors for osteoporosis. Which of the following findings indicates that the client requires further evaluation for this disorder?

Lower back pain

A nurse is caring for a client who is scheduled to undergo surgery to repair an open hip fracture. In which of the following positions should the nurse plan to place the client postoperatively?

With the leg on the affected side abducted

A nurse is preparing a client for a bone scan. Which of the following statements indicates that the client understands the pre-procedure teaching? (Select all that apply.)

"A special camera will scan the bones in my entire body." "I'll have to drink a lot of water to help get the radiation out of my body." "I understand the radiation is harmless, and I don't have to worry about it."

A nurse is teaching a client with arthritis who is experiencing joint pain that impairs mobility. Which of the following instructions should the nurse include?

"Apply heat to your joints prior to exercising."

A nurse is teaching a group of clients at a senior center about the risk factors for osteoporosis. Which of the following statements should the nurse include in the teaching?

"Extended periods of immobility increase your risk of osteoporosis."

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 share with the client?

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

A home health nurse is performing an assessment on a client who is 1 week postoperative following a total knee replacement. Which of the following statements by the client indicates an understanding of the teaching?

"I plan to use a walker to help me get around."

A nurse is preparing a client who is postoperative following total hip arthroplasty for discharge. Which of the following statements indicates that the client understands the instructions?

"I'll use a reacher to help me pick up anything I drop on the floor."

A nurse is preparing a client for discharge who is postoperative following a conventional lumbar disk excision. Which of the following statements indicates that the client understands the nurse's instructions?

"I'll use my heating pad if I feel any muscle spasms in my back."

A nurse is discussing the difference between rheumatoid arthritis (RA) and osteoarthritis with a newly licensed nurse. Which of the following pieces of information should the nurse include about osteoarthritis?

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

A nurse in the emergency department is preparing to discharge a client following a Grade II (moderate) ankle sprain. Which of the following instructions should the nurse plan to give to the client?

Apply cold compresses to the extremity intermittently

A nurse in an acute care clinic is talking with a client who reports that the osteoarthritis pain in her knees is increasing each day. The client wants to discuss non-pharmacological approaches to help relieve her pain. Which of the following interventions should the nurse suggest?

Applying warm compresses to sore joints

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?

Aspirin

A nurse is preparing an in-service presentation about the basics of bone injuries. Which of the following types of fractures is especially common in children?

Greenstick

A nurse is assessing a client who has osteoarthritis. The client's medical record indicates the presence of Heberden's nodes. Which of the following findings should the nurse expect?

Hard lumps over the joints of the fingers

A nurse is planning care for a client following a total hip arthroplasty. Which of the following interventions should the nurse include in the plan?

Place a pillow between the client's legs

A nurse is caring for a client who has a pelvic fracture. The client reports sudden shortness of breath, stabbing chest pain, and feelings of doom. This client is experiencing which of the following complications?

Pulmonary embolus

A nurse is caring for a client who is 3 days postoperative following a below-the-knee amputation. Which of the following actions should the nurse take?

Rewrap the residual limb with a bandage 3 times per day

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 assess the client for which of the following manifestations of dislocation of the hip prosthesis?

Shortening of the right leg

A nurse is determining a client's risk of developing osteoporosis. The nurse should identify which of the following as risk factors for bone loss? (Select all that apply.)

Small body frame Low vitamin D intake Smoking

A nurse is caring for a client following a hip arthroplasty. The nurse places an abduction pillow on the client for which of the following purposes?

To prevent dislocation of the hip during position changes or movement

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

A nurse is providing nutrition education to a client who has osteomalacia. The nurse should identify that this condition is caused by a deficiency in which of the following nutrients?

Vitamin D

A nurse is teaching a client who is on bed rest about preventing complications. Which of the following client statements indicates an understanding of the teaching?

"I should cough and deep-breathe every hour."

A nurse is providing discharge teaching for a client who had a left total hip arthroplasty. Which of the following client statements indicates the teaching was effective?

"I should not cross my legs at the ankles or knees."

A nurse is providing preoperative teaching for a client who is scheduled for total knee arthroplasty. Which of the following statements by the client indicates an understanding of the teaching?

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

A nurse is providing teaching about disease management to a client who has rheumatoid arthritis. Which of the following responses by the client indicates an understanding of the teaching?

"I will have handrails installed in my bathroom and hall."

A nurse is teaching a client who had an amputation of the left lower leg 3 days ago. Which of the following statements indicates that the client understands how to care for the incision and his left upper leg?

"I will lie on my stomach for 30 min a few times a day."

A nurse is teaching a client who has a new prescription for alendronate for the treatment of osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?

"I will sit upright after taking the medication."

A nurse is teaching a client who has a cast on his left arm to treat a forearm fracture. Which of the following statements indicates that the client understands the teaching?

"I'll call the doctor's office if my fingers get colder on the arm with the cast."

A nurse is providing post-procedural teaching to a client who had a diagnostic knee arthroscopy. Which of the following statements indicates that the client understands the nurse's instructions?

"I'll keep my leg elevated for the first day."

A nurse is preparing a client who is scheduled to have an arthroscopy the following day. Which of the following statements indicates that the client understands the pre-procedure teaching?

"The doctor will be able to see if I have signs of rheumatoid arthritis."

A nurse is preparing a client for an electromyogram (EMG). Which of the following statements indicates that the client understands the pre-procedure teaching?

"This test will help my doctor know if my nerves are working correctly."

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 absent right foot. Which of the following statements should the nurse make?

"This type of pain usually decreases over time as the limb becomes less sensitive."

A nurse is preparing a client for magnetic resonance imaging (MRI) of the spine. Which of the following pieces of information should the nurse give the client prior to the procedure?

"You can have a mild sedative before the procedure."

A nurse is caring for a client with a hip fracture who has Buck's extension traction in place. Which of the following pieces of information should the nurse give the client about this type of traction? (Select all that apply.)

"You'll have considerably less pain with the traction in place." "The traction will help decrease muscle spasms." "The weights act as a pulling force to keep your leg and hip still."

A nurse is discussing the plan of care with a client who has osteomyelitis of an open wound on his heel. Which of the following information should nurse include?

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

A nurse is caring for a client who is postoperative following a total knee arthroplasty and has been 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?

Ask the client to describe the characteristics of the pain

A nurse is preparing an in-service presentation about the basics of bone injuries. Which of the following types of fractures results when a client's bone breaks into multiple pieces?

Comminuted

A nurse is providing discharge instructions for a client who is postoperative following inner maxillary fixation with wiring. Which of the following pieces of information should the nurse include?

Cut the wiring if emesis occurs

A nurse is assessing a female client who reports severe joint pain. The nurse should identify that which of the following factors places the client at risk for gout?

Diuretic use

A nurse is caring for a client who has a fractured hip and was placed in Buck's traction 4 hr ago. Which of the following actions should the nurse take?

Encourage the client to perform dorsiflexion of the affected extremity every 2 hr

A nurse is caring for a client who is in skeletal traction following a femur fracture. On entering, the nurse finds that the client has slid toward the foot of the bed, and the traction weight is resting on the floor. Which of the following actions should the nurse take?

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?

History of anorexia nervosa

A nurse is caring for a client who has chronic phantom limb pain following an above-knee amputation. Which of the following medication prescriptions should the nurse verify with the provider?

Meperidine

A nurse is caring for a client who is wearing a halo fixator. Which of the following interventions should the nurse implement? (Select all that apply)

Monitor the client's vital signs every 4 hr Monitor the client's pin sites for loosening Check the client's skin to ensure the jacket is not applying pressure

A nurse is preparing to care for a client who is in balanced skeletal traction to stabilize a femur fracture. Which of the following actions should the nurse include in the client's plan of care?

Offering the client a diet high in fluid and fiber

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?

Paresthesias of the extremity

A nurse is caring for a client who has a depressed skull fracture of the bone that makes up the larger part of the upper and side wall of the cranium. This fracture is located on which of the following bones?

Parietal

A nurse is teaching a client who has osteoporosis. Which of the following instructions should the nurse include in the teaching?

Perform weight-bearing exercises

A nurse is assessing a client's skeletal system. The nurse should be in which of the following positions to screen the client for scoliosis?

Standing behind the client, who is bent over at the waist

A nurse is assessing 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 that are cold to the touch

A nurse is preparing a community education program about reducing the risk of osteoporosis. Which of the following pieces of information should the nurse include?

Walking is the preferred mode of exercise to maintain strong bones.