Ortho Pt. 3

Lifestyle risk factors for osteoporosis include lack of aerobic exercise. a low-protein, high-fat diet. an estrogen deficiency or menopause. lack of exposure to sunshine.

lack of exposure to sunshine.

Which statements describe open reduction of a fracture? Select all that apply. It is performed in the operating room. The bone is surgically exposed and realigned. The client usually receives general or spinal anesthetic. The bone is restored to its normal position by external manipulation.

It is performed in the operating room. The bone is surgically exposed and realigned. The client usually receives general or spinal anesthetic.

The nurse is providing instructions to the client following application of a fiberglass cast. Which statement by the client indicates further education is needed? "Under no circumstances should I get my cast wet." "The cast should not come in contact with other plastics." "I should avoid touching the cast while it is wet." "The cast will be hot while it is drying."

"Under no circumstances should I get my cast wet."

A client with an arm cast reports pain. What nursing interventions should the nurse provide in order to reduce the incidence of complications? Select all that apply. Assess the fingers for color and temperature. Administer a prescribed analgesic to promote comfort and allay anxiety. Assess for a pressure sore Determine the exact site of the pain. Cut the cast with a cast saw

Assess the fingers for color and temperature. Assess for a pressure sore Determine the exact site of the pain.

A nurse is caring for a client who is being assessed following complaints of severe and persistent low back pain. The client is scheduled for diagnostic testing in the morning. Which of the following are appropriate diagnostic tests for assessing low back pain? Select all that apply. Computed tomography (CT) Angiography Magnetic resonance imaging (MRI) Ultrasound X-ray

Computed tomography (CT) Magnetic resonance imaging (MRI) Ultrasound X-ray

A client with a simple arm fracture is receiving discharge education from the nurse. What would the nurse instruct the client to do? Elevate the affected extremity to shoulder level when at rest. Engage in exercises that strengthen the unaffected muscles. Apply topical anesthetics to accessible skin surfaces as needed. Avoid using analgesics so that further damage is not masked.

Engage in exercises that strengthen the unaffected muscles.

Which is one of the most common causes of death in clients diagnosed with fat emboli syndrome? Myocardial infarction Stroke Acute respiratory distress syndrome Pulmonary embolism

Joint stabilization Defect filling Stimulation of bone healing

A 75-year-old client had surgery for a left hip fracture yesterday. When completing the plan of care, the nurse should include assessment for which complications? Select all that apply. Pneumonia Necrosis of the humerus Skin breakdown Sepsis Delirium

Pneumonia Skin breakdown Sepsis Delirium

A nurse is caring for an older woman with a hip fracture. What are appropriate risk factors for the nurse to consider related to the client's hip fracture? Select all that apply. Presence of anemia Muscular agility Female gender Osteoporosis History of diverticulitis

Presence of anemia Female gender Osteoporosis

A client diagnosed with osteoporosis is being discharged home. Which priority education should the nurse should provide? Remove all small rugs from the home Participate in weight-bearing exercises Classify medications Increase calcium and vitamin D in the diet

Remove all small rugs from the home

What areas of the body may be examined when bone densitometry is done? Select all that apply. hip spine wrist knee

hip spine wrist

Which assessment findings indicate to the nurse that a client may have peripheral neurovascular dysfunction? Select all that apply. Absence of feeling Capillary refill of 4 to 5 seconds Cool skin Pain Redness of the skin Weakness in motion

Absence of feeling Capillary refill of 4 to 5 seconds Cool skin Pain Weakness in motion

A client has undergone a leg amputation. What teachings should the nurse offer such a client to prevent abduction deformity? Select all that apply. Advise the client to use a trochanter roll. Advise the client to adduct the stump so it presses against the other leg when the client is lying on the stomach. Advise the client to use antiembolism stockings on both legs. Advise the client to place pillows between the legs.

Advise the client to use a trochanter roll. Advise the client to adduct the stump so it presses against the other leg when the client is lying on the stomach.

Emergency medical technicians transport a client to the emergency department and inform the nurse that the client fell from a two-story building. The comatose client has a large contusion on the left side of the chest, a hematoma in the left parietal area, and a compound fracture of the left femur. The client was intubated and is maintaining an arterial oxygen saturation of 92% by pulse oximeter with a manual-resuscitation bag. Which intervention by the nurse has the highest priority? Assessing the left leg Assessing the pupils Placing the client in Trendelenburg's position Assessing level of consciousness (LOC)

Assessing the left leg

A 75-year-old client had surgery for a left hip fracture yesterday. When completing the plan of care, the nurse should include assessment for which complications? Select all that apply. Pneumonia Necrosis of the humerus Skin breakdown Sepsis Delirium

Joint stabilization Defect filling Stimulation of bone healing

For which of the following immobility-related complications is the client in traction at risk? Select all that apply. Cachexia Thromboemboli Urinary stasis Diarrhea Lactose intolerance

Thromboemboli Urinary stasis

Which of the following are associated with compartment syndrome? Select all that apply. Trauma from accidents Surgery Casts Tight bandages Crushing injuries

Trauma from accidents Surgery Casts Tight bandages Crushing injuries

A client who has fractured the radial head asks the nurse about factors that will promote bone healing. Which statement should the nurse include when responding to the client? Select all that apply. "Immobilization of the fracture will promote healing by maximizing contact of bone fragments." "Fractured bones require a good blood supply and adequate nutrition for healing." "Weight bearing stimulates healing of the long bones of the leg, if the fracture is stabilized." "Adults heal faster than children because adult bodies are physiologically more mature." "Corticosteroids will decrease the bone and soft tissue inflammation associated with the fracture."

"Immobilization of the fracture will promote healing by maximizing contact of bone fragments." "Fractured bones require a good blood supply and adequate nutrition for healing." "Weight bearing stimulates healing of the long bones of the leg, if the fracture is stabilized."

A nurse is caring for a client after stabilization of a radial fracture. Which actions by the nurse would be appropriate for the client following arm casting? Select all that apply. Elevate the arm on a plastic-covered pillow Protect the cast by covering with a sheet Handle the cast with the palms of hands Circulate room air with a portable fan Petal and smooth the edges of the cast

Handle the cast with the palms of hands Circulate room air with a portable fan Petal and smooth the edges of the cast

Which intervention would the nurse implement with the client in a plaster cast? Select all that apply. Protect wet cast by covering with sheet. Handle wet cast with palms of hands. Notify health care provider, if client reports warmth of the cast. Position casted extremity firmly on a hard surface while drying. Trim, reshape, and smooth edges of cast.

Handle wet cast with palms of hands. Trim, reshape, and smooth edges of cast.