Musculoskeletal

A nurse is reinforcing teaching about prosthesis care for a client following a below-the-knee amputation. Which of the following statements should the nurse include in the teaching?

Dry the prosthesis socket completely before applying it to the limb

A nurse is contributing to the plan of care for a client who has a long leg cast to treat a femoral fracture. Which of the following interventions should the nurse include in the plan?

Encourage a high-fiber diet

A nurse is reinforcing teaching with a young adult client who has a family history of osteoporosis. Which of the following health promotion activities should the nurse recommend?

Engaging in weight-bearing exercise regularly

A nurse is monitoring a client who has a cast on her right ankle following an open reduction and internal fixation procedure. The nurse should monitor for which of the following findings to identify compartment syndrome?

Pain unrelieved by routine medications

A nurse is contributing to the plan of care for a client who is postoperative following a total hip arthroplasty. Which of the following information should the nurse include?

Prevent hip flexion of the affected extremity

A nurse in a provider's office is reinforcing teaching with a female client about risk factors for osteoporosis. Which of the following factors should the nurse include in the teaching?

Sedentary lifestyle, caffeine intake, aging

A nurse is discussing skeletal and skin traction with a newly licensed nurse. Which of the following statements should the nurse identify as an indication that the newly licensed nurse understands these therapies?

Skeletal traction is better than skin traction for reducing a fracture

A nurse is reinforcing teaching about placement of a prosthesis with a client who is having a below the knee amputation. Which of the following information should the nurse include in the teaching?

This will improve your ability to ambulate sooner

A nurse is reinforcing teaching about self-care techniques with a client who has rheumatoid arthritis. Which of the following strategies should the nurse include to illustrate the concept of joint protection?

Turn doorknobs in a counterclockwise motion to open them

A nurse is reinforcing teaching with a client who has osteoarthritis about a total hip replacement. Which of the following instructions should the nurse include in the teaching?

You should not cross your legs after this procedure

A nurse is talking with a client who has osteoporosis and needs to increase her vitamin D intake as a part of her treatment plan. Which of the following recommendations should the nurse reinforce with the client to help ensure an adequate intake of vitamin D?

Increase her daily amount of sunlight exposure

A nurse is teaching an assistive personnel about attaching a footboard to the bed of a client who is immobile. Which of the following information should the nurse include in the teaching?

The footboard will help to prevent plantar flexion

A nurse is discussing cast application with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the information?

A synthetic cast is lighter weight

A nurse is caring for a client who is postoperative following a right total hip arthroplasty. In which of the following positions should the nurse place the client's right leg?

Abduction

A nurse is reinforcing teaching with a client who has rheumatoid arthritis (RA) about self-care techniques. Which of the following strategies should the nurse include in the teaching?

Avoid exercising joints that are swollen

A nurse is caring for a client who has a new cast in place for a fractured tibia. The nurse should recognize that which of the following interventions is a priority?

Check for capillary refill distal to the client's cast

A nurse is reinforcing dietary teaching to a client who is at risk for osteoporosis about increasing her calcium intake. Which of the following foods should the nurse recommend the client consume frequently?

Collards

A nurse is completing a neurovascular check for a client who had an open reduction internal fixation surgery. Which of the following findings should the nurse identify as possible manifestations of compartment syndrome?

Cool skin, absence of pulse, altered sensation of the toes

While collecting data from a client who has a cast on his right leg, a nurse locates an area on the cast that feels warm to the touch. Which of the following findings should the nurse identify as a complication to the client's condition?

Infection

A nurse is collecting data from a client following the application of a leg cast for the treatment of a fracture. Which of the following findings should the nurse expect to find first if the cast is too tight?

Pallor of the toes

A nurse in a clinic is talking with an older adult client newly diagnosed with osteoarthritis. The nurse should reinforce that which of the following medications is usually prescribed first to treat osteoarthritis?

Acetaminophen

A nurse is reinforcing teaching with a client who has a new prescription for methotrexate for the treatment of rheumatoid arthritis. The nurse should instruct the client to notify the provider of which of the following manifestations?

Malaise

A client who has a lower-leg cast reports skin irritation around the upper edge of the cast. Which of the following actions should the nurse take?

Petal the edges of the cast

A nurse is collecting data from an older adult client who had a femoral head fracture 24 hr ago and is in Buck's traction. Which of the following findings is an indication of fat embolism syndrome?

Petechiae on the chest

A nurse is reinforcing discharge teaching with a client who has osteoarthritis. Which of the following statements by the client indicates an understanding of the teaching?

​Osteoarthritis occurs due to the aging process and results in disintegration of cartilage in a joint