Medical-Surgical: Musculoskeletal

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?

Ask the client to describe the characteristics of the pain.

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.

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

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.

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?

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 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?

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 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 sit upright after taking the medication.

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 collecting data from a client who is 48 hr postoperative following open reduction and internal fixation of a fractured tibia. Which of the following findings should the nurse report to the provider?

Toes cold to the touch.

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 reinforcing teaching with a client who has osteomyelitis of an open wound on his heel. Which of the following information should the nurse include?

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

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

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 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?

Shortening of the right leg.

A nurse in an urgent care clinic is reinforcing teaching with a client following a Grade 2 (moderate) ankle sprain. Which of the following instructions should the nurse plan to include?

Apply cold compresses to the extremity intermittently.

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 clients skin. Which of the following complications should the nurse suspect?

Fat embolism syndrome.

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?

Pulmonary embolus

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.