Ch 40: Musculoskeletal Care Modalities (3)

A group of students is reviewing information about cast composition in preparation for a discussion on the advantages and disadvantages of each. The students demonstrate understanding of the topic when they cite which of the following as an advantage of a plaster cast? pg. 1132

Better molding to the client

Following a total knee replacement, the surgeon orders a continuous passive motion (CPM) device. The client asks about the purpose of this treatment. What is the best response by the nurse? pg. 1154

"CPM increases range of motion of the joint."

The nurse is providing instructions to the client who is being prepared for skeletal traction. Which statement by the client indicates teaching was effective? pg. 1141

"Metal pins will go through my skin to the bone."

An older adult patient had a hip replacement. When should the patient begin with assisted ambulation with a walker? pg. 1151

24 hours

A client has a cast applied to the leg for treatment of a tibia fracture and also has a wound on the leg that requires dressing changes due to drainage. For what should the nurse prepare the client? pg. 1135

Cutting a cast window

The client who had a total hip replacement was discharged home and developed acute groin pain in the affected leg, shortening of the leg, and limited movement of the fractured leg. The nurse interprets these findings as indicating which complication? pg. 1151

Dislocation of the hip

Which is a benefit of a continuous passive motion (CPM) device when applied after knee surgery? pg. 1154

It promotes healing by increasing circulation and movement of the knee joint.

A client's fracture was reduced by surgically exposing the bone and realigning it. What type of treatment does the nurse identity this as? pg. 1144

Open reduction

A client is brought to the emergency department by a softball team member who states the client and another player ran into each other, and the client is having severe pain in the right shoulder. What symptoms of a fractured clavicle does the nurse recognize? pg. 1198

Right shoulder slopes downward and droops inward.

Which principle applies to the client in traction? pg. 1139

Skeletal traction is never interrupted.

A client's left leg is in skeletal traction with a Thomas leg splint and Pearson attachment. Which intervention should the nurse include in this client's care plan? pg. 1143

Teach the client how to prevent problems caused by immobility.

Which is not a guideline for avoiding hip dislocation after replacement surgery. pg. 1147

The hip may be flexed to put on clothing such as pants, stockings, socks, or shoes.

A client had a total left hip arthroplasty. What clinical manifestation would indicate to the nurse that the prosthesis is dislocated? pg. 1151

The left leg is internally rotated.

Which statement describes external fixation? pg. 1137

The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins.

Which action would be most important postoperatively for a client who has had a knee or hip replacement? pg. 1151

Assisting in early ambulation.

Which is an inaccurate principle of traction? pg. 1139

Skeletal traction is interrupted to turn and reposition the client.

A client with a right leg fracture is returning to the orthopedist to have the cast removed. During cast removal, it is important for the nurse to assure: pg. 1135

the client that he or she won't be cut.

A client with a fractured ankle is having a fiberglass cast applied. The client starts yelling, "My leg is burning, take it off." What action by the nurse is most appropriate? pg. 1132

Explain that the sensation being felt is normal and will not burn the client.

Which statement is accurate regarding care of a plaster cast? pg. 1132-1133

The cast can be dented while it is damp.

A group of students are reviewing information about cast composition in preparation for a discussion on the advantages and disadvantages of each. The students demonstrate understanding of the topic when they cite which of the following as an advantage of a plaster cast? pg. 1132

Better molding to the client