ATI Quiz 16 Musculoskeletal

A nurse is developing a plan of care for a client who has a fracture to achieve the outcome of functional healing. To assist in this goal, which of the following nursing interventions is highest priority? a. Maintain immobilization and alignment. b. Provide optimal, nutrition and hydration c. Promote independence of ADLs. d. Provide relief from pain and discomfort.

a. Maintain immobilization and alignment.

A nurse is caring for a client after a total knee replacement of the left knee. Which of the following actions are important for the nurse to include in the postoperative care? a. Monitor the neurovascular status of the left knee. b. Check the dressing for signs of bleeding. c. Provide support for the left knee when repositioning. d. Maintain strict bedrest. e. Encourage the client to stand up without use of handrails or supports.

a. Monitor the neurovascular status of the left knee. b. Check the dressing for signs of bleeding. c. Provide support for the left knee when repositioning.

A nurse is discharging a client who has a fracture of the left ankle. The client is prescribed a walking boot for immobilization. Which of the following instruction points are important for the nurse to include? a. Provide weight-bearing restrictions for when the boot is off. b. Keep the extremity elevated. c. Apply a heating pad as needed to the extremity. d. Instruct in the use of a 4-point walker. e. Explain manifestations that the client should notify the provider about.

a. Provide weight-bearing restrictions for when the boot is off. b. Keep the extremity elevated. e. Explain manifestations that the client should notify the provider about.

A nurse is caring for a client who has greenstick fracture of the forearm. The nurse should explain that which of the following injuries has occurred with a green stick fracture? a. The bone is cracked lengthwise but did not break all the way through. b. Fragments of bone have splintered into the surrounding tissue. c. The bone ends have been forced toward each other. d. Sharp edge of the bone has broken through the skin.

a. The bone is cracked lengthwise but did not break all the way through.

A nurse is teaching a client who has intracapsular fracture of the right hip following a fall about the purpose of bucks extension traction. The nurse should include which of the following information? a. Buck's extension traction will reduce the fracture. b. Buck's extension traction will relieve muscle spasms. c. Buck's extension traction will maintain alignment of the pins. d. Buck's extension traction will allow supported movement of the extremity.

b. Buck's extension traction will relieve muscle spasms.

Which of the following medication should the nurse plan to administer for DVT prophylaxis postoperative hip arthroplasty? a. Aspirin PO b. Enoxaparin subcutaneous c. Heparin infusion d. Warfarin PO

b. Enoxaparin subcutaneous

A client w/ femoral fracture in skin traction reports SOB & dyspnea. The nurse should suspect the client has developed which of the following? a. Pneumonia b. Fat embolism c. Pneumothorax d. Airway obstruction

b. Fat embolism

A nurse is caring for a client who is one day postop following total hip arthroplasty. It is 830 and the client is scheduled for PT at 9 which of the following interventions should the nurse take first? a. Encourage the client to use full weight bearing. b. Identify the client's pain level and medicate if needed. c. Teach the client which positions to avoid during PT. d. Perform the client's morning care.

b. Identify the client's pain level and medicate if needed.

A nurse is assessing a client who reports shoulder pain. Which of the following findings by the nurse indicates a rotator cuff injury? a. Alteration in the contour of the joint b. Inability to abduct the arm at the shoulder c. Negative drop arm test d. A positive Tinel's sign

b. Inability to abduct the arm at the shoulder

A nurse is teaching a client with a new diagnosis of acute bursitis in her right shoulder self-care strategies. What should the nurse recommend? a. Range-of-motion exercises b. Intermittent ice and heat c. Elevation of the right arm d. Corticosteroid therapy

b. Intermittent ice and heat

A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur. Which of the following interventions should the nurse include in the plan? a. Instruct the client to flex and extend the ankle twice daily. b. Monitor the client's pedal pulses every hour. c. Remove the weights every four hours. d. Evaluate pressure points daily.

b. Monitor the client's pedal pulses every hour.

A nurse is caring for a client who has an open fracture of the ulna. Which of the following is a primary concern the nurse should be alert for? a. Compartment syndrome b. Potential for infection c. Poor bone remodeling d. Fat embolism

b. Potential for infection

If a patient suffers a femur fracture and is placed into skeletal traction, the nurse may remove the weights from the traction device if which of the following occurs? a. The client complains of pain. b. The client develops a life-threatening situation. c. The client needs to have an x-ray of the femur performed. d. The client has to be repositioned in the bed.

b. The client develops a life-threatening situation.

A nurse is caring for a client with severe Gous infection of the right lower extremity and is scheduled for amputation. What instruction would the nurse include in pre-operative teaching regarding anticipated pain postoperative? a. "The pain will disappear soon." b. "It's likely that you will have only a tingling sensation." c. "Your pain will gradually become less severe." d. "Phantom pain is mostly psychological."

c. "Your pain will gradually become less severe."

Which of the following should the nurse include in teaching a pt who has a prosthetic lib d/t ampuation? a. Keep prosthesis in direct contact w/ residual limb. b. Apply moisture or oil to the stump daily. c. Dry the prosthesis socket completely before putting on socks. d. Expect skin irritation.

c. Dry the prosthesis socket completely before putting on socks.

A nurse is assessing a client who has a hip fracture. Which of the following findings should the nurse expect? a. Leg lengthening b. Hip pallor c. Muscle spasms d. Leg abduction

c. Muscle spasms

Which of the following actions is most important for the nurse to complete postoperative open reduction and internal fixation of a fractured femur? a. Medicate the client for pain. b. Instruct the client on use of crutches. c. Perform neurovascular checks of the extremities. d. Direct the client to perform exercises of the ankle and toes.

c. Perform neurovascular checks of the extremities.

Which of the following instructions should the nurse include in discharge teaching for a client who has a right tibial fracture and a fiberglass cast? a. Use a blow dryer on a moderate heat setting to dry the cast after showering. b. Use a cotton swab to relieve itching under the cast. c. Report any worsening or unrelieved pain. d. Avoid moving the affected leg.

c. Report any worsening or unrelieved pain.

Which of the following healthcare professionals is responsible for obtaining informed consent for a client for a hip fracture procedure? a. Nurse b. Anesthesiologist c. Surgeon d. Surgical suite nurse

c. Surgeon

A nurse is caring for a client following a right total hip arthroplasty. Postoperatively the nurse should maintain the leg in which of the following positions Postoperatively the nurse should maintain the leg in which of the following positions? a. Adduction. b. External rotation. c. Internal rotation. d. Abduction.

d. Abduction.

Which of the following occupations, the nurse identify as increasing a clients risk for carpal tunnel syndrome? a. Truck driver b. Nursing assistant c. Elementary school teacher d. Assembly line worker

d. Assembly line worker

What intervention is appropriate for a pt who just received an above the knee amputation? a. Elevate the foot of the bed. b. Encourage the client to sit up as much as possible. c. Elevate the client's residual limb on a pillow. d. Have the client lie prone every 3 hr for 20 min at a time.

d. Have the client lie prone every 3 hr for 20 min at a time.

A nurse is caring for an older adult client who sustained a soft-tissue injury after a fall. Which of the following puts the older adult at risk for soft-tissue injuries? a. Car accident in childhood b. Repetitive motion of the joints c. Participation in high impact sports in young adult years d. Loss of proprioception

d. Loss of proprioception

In addition to wrist pain, which of the following findings is a manifestation of carpal tunnel syndrome? a. Decreased radial pulse b. Positive Trousseau's sign c. Cool extremities d. Positive Phalen's sign

d. Positive Phalen's sign

Which of the following information should the nurse incude in the discharge teaching for a pt who had a total hip arthroplasty? a. Use a twisting motion when turning to pick an object up. b. Cleanse the incision with hydrogen peroxide. c. Bend at the waist to put shoes on when sitting. d. Sit with legs apart at the ankles.

d. Sit with legs apart at the ankles.

A nurse is caring for a client who has a left hip arthroplasty. Which of the following interventions should the nurse use to prevent dislocation? a. Maintain foam wedge between legs. b. Encourage use of elastic stockings. c. Monitor for shortening of the affected leg. d. Avoid flexing the hips more than 60°.

a. Maintain foam wedge between legs.

A nurse note edema in the calf of a client with multiple leg fractures. The nurse should recognize that increasing edema is a manifestation of which of the following complications? a. Fat embolism syndrome b. Acute compartment syndrome c. Pulmonary embolism d. Malignant hypothermia

b. Acute compartment syndrome

A nurse is teaching a client about the use of ice for treatment of a soft-tissue injury. Which of the following instructions should be included? (Select All that Apply.) a. Alternate the use of ice and heat. b. Apply ice pack intermittently. c. Do not place ice pack directly on the skin. d. Leave ice pack on for no more than 20 min at a time. e. Dampen or moisten the towel before applying ice.

b. Apply ice pack intermittently. c. Do not place ice pack directly on the skin. d. Leave ice pack on for no more than 20 min at a time.