Adult Nursing: Musculoskeletal Tramua

A patient is diagnosed with a third-degree sprain. What should the nurse expect to assess in this patient? Select all that apply.

Edema Severe pain Ecchymosis Joint instability

A patient has an injury where one side of the bone is bent and the other is fractured. How does the nurse document this fracture?

Greenstick

The nurse monitors for which clinical manifestations in the patient with suspected carpal tunnel syndrome (CTS)?

Hand tingling during the night

A patient is diagnosed with a small meniscus tear of the right knee. For which interventions does the nurse prepare the patient? Select all that apply.

Ice Limited rest Use of nonsteroidal anti-inflammatory drugs (NSAIDs)

In providing care to the patient with an aseptic nonunion of a fracture, the nurse correlates which prescribed medication as a potential cause of this complication?

NSAIDs

A patient sustained a meniscus injury several months ago and did not seek medical attention. The nurse monitors the patient for the development of which complication?

Permanent joint damage

The nurse is preparing a teaching tool for a community health program. What does the nurse include as a risk factor for the development of carpal tunnel syndrome (CTS)?

Plays musical instruments

A victim of a motor vehicle crash has a partially severed lowered extremity. What are the priority actions the nurse needs to implement when the patient arrives in the emergency department? Select all that apply.

Preparing for blood transfusions Preparing for emergency surgery Assessing for active hemorrhaging Monitoring effectiveness of tourniquet

The nurse is reviewing postoperative instructions with a patient recovering from carpal tunnel syndrome (CTS) surgery. Which statement by the patient indicates the need for further teaching?

"I should expect my hand to feel numb for a few weeks."

The nurse provides discharge instructions for a patient who experienced a traumatic amputation of the leg below the knee. Which patient statement indicates the need for further teaching?

"I will elevate my leg with a pillow."

Which statement by the patient scheduled for an open reduction and internal fixation (ORIF) of a compound fracture of the femur indicates the need for further teaching?

"I will have to be in traction after this surgery."

The nurse provides education to a patient who is diagnosed with tendinitis of the knee. Which patient statement indicates the need for further teaching?

"I will need to exercise my knee to decrease my symptoms."

The nurse provides education to patient who is diagnosed with an ankle sprain. Which patient statement indicates the need for further l teaching?

"I will need to rest my ankle for 24 hours."

The nurse requests an occupational therapy consultation for a patient with bilateral carpal tunnel syndrome to assist the patient with which behavior?

Evaluate work environment

The nurse provides care to a patient who experienced a femur fracture. Which clinical manifestation requires immediate notification of the healthcare provider?

Restlessness

During a home visit, the nurse suspects that a patient recovering from an amputation is not complying with prescribed postoperative care. The nurse makes this clinical determination based on what observation?

Evidence of a developing hip contracture

A patient is in skeletal traction secondary to a fracture of the left femur. When the patient's spouse asks about the purpose of traction, which response by the nurse is best?

"This type of traction aids in realigning the bone."

The nurse is reviewing statistics about the frequency of anterior cruciate ligament (ACL) tears. Which sports activities have the greatest risk of this type of injury? Select all that apply.

Soccer Basketball Gymnastics

The nurse correlates which etiology to a diagnosed low-energy fracture in a 65-year- old patient?

A fall

A patient recovering from surgery to repair a fractured hip is placed in skin traction. The nurse correlates which data to the effectiveness of the traction?

Reduction in muscle spasms

Which statement by the patient diagnosed with a second-degree sprain indicates the need for further teaching?

"I should expect the leg to feel numb."

The nurse monitors for which clinical manifestations in the patient with suspected compartment syndrome? Select all that apply.

The patient reports pain. The patient reports numbness. The patient reports a feeling of pressure.

A patient with Paget's disease is demonstrating manifestations of a fracture. The results of which diagnostic test is most effective in confirming the fracture?

Bone scan

A patient with bilateral carpal tunnel syndrome (CTS) does not want to have surgery. The nurse teaches the patient that this increases the risk of which complication?

Chronic pain

While playing tennis a patient fell and sustained a nondisplaced fracture of the right elbow. The nurse prepares the patient for which treatment?

Closed reduction and cast

The nurse correlates that the patient with which type of musculoskeletal trauma has the highest risk of developing rhabdomyolysis?

Crush injury of the pelvis

A patient recovering from surgery to repair a fractured femur is experiencing extreme pain and pulselessness. The nurse recognizes which treatment is indicated for this patient?

Fasciotomy

Which prescribed medication for the patient recovering from a traumatic amputation does the nurse correlate to the treatment of phantom limb pain?

Gabapentin

The nurse suspects that a patient sustained a meniscus tear while playing basketball. The nurse makes this determination based on which clinical manifestations?

Knee pops when bent

The nurse monitors for which clinical manifestations of neurovascular compromise in the patient with an injured ankle? Select all that apply.

Pain Pressure Paralysis Pulselessness