MUSCULOSKELETAL NCLEX Q's
Impaired tissue perfusion
A client has sustained a closed fracture n has just had a cast applied to o the affected arm. The client is complaining of intense pain. The nurse has elevated the limb, applied an ice bag & administered an analgesic which was ineffective. This pain may be caused by which condition?
"I need to avoid getting the cast wet."
A client is being discharged after application of a plaster leg cast. The nurse determines that the client understands proper care of the cast of the client makes which statement?
Petaling the cast edges w/adhesive-tape
A client is complaining of skin irritation from the edges of a cast applied the precious day. The nurse should plan for which intervention?
Provides comfort by reducing muscle spasms & provides fracture immobilization
A client w/hip-fracture asks the nurse why Buck's extension traction is being applied before surgery. The nurse's response is based on the understanding that the Buck's extension traction has which primary function?
Performing active ROM to the right ankle & knee
The nurse has provided instructions regarding specific leg exercises for the client immobilized in right skeletal lower leg traction. The nurse determines that the client needs further teaching if the nurse observed the client doing which activity?
Elevate the leg on pillows continuously for 24 to 48 hrs
The nurse is assigned to care for a client w/multiple-traumas who is admitted to the hospital. The client has a leg fracture & plaster cast has been applied. In positioning the casted leg, the nurse should perform which intervention?
Elevating the limb & Applying ice to the affected leg
The nurse is caring for a client w/fresh-application of a plaster leg cast. The nurse should plan to prevent the development of compartment syndrome by which action?
Check the client's alignment in bed
The nurse is caring for the client who has had skeletal traction applied to the left leg. The client is complaining of severe left leg pain. Which action should the nurse take first?
Presence of a "hot spot" on the cast
The nurse is checking the caster extremity of a client. The nurse should check for which sign indicative of infection?
Moves the cane when the right-let is moved
The nurse is evaluating the client's use of a cane for left-sided weakness. The nurse should intervene & correct the client if the nurse observed that the client performed which action?
Serous drainage
The nurse is evaluating the pin sites of a client in skeletal traction. The nurse would at least be concerned about which finding?
Stay with the person & encourage the person to remain still
The nurse is one of several people who witnessed a vehicle hit a pedestrian at a fairly low speed on a small street. The individual is dazed & tries to get up n the leg appears fractured. The nurse should plan to perform which action?
8 inches to the front & side of the client's toes
The nurse is planning to reinforce instructions to the client about how to stand on crutches. In the instructions, the nurse should plan to tell the client to place the crutches in which position?
Keep the cast & extremity elevated, The cast needs to be kept clean & dry, Allow the wet cast 24 to 72 hrs to dry
The nurse is preparing a list of cast care instructions for a client who just had a plaster cast applied to his right forearm. Which instructions should the nurse include on the list?
Immobilize the leg before moving the client
The nurse witnesses a client sustain a fall & suspects that the client's leg may be fractured. Which action is the priority?