Musculoskeletal

A client with a short arm cast is suspected to have compartment syndrome. Which actions should the nurse include in the plan of care? Select all that apply A). Elevate the arm above the heart B) repair to remove the cast C) provide support to the injured extremity D) assess neurovascular status every eight hours E) Apply ice to the extremity

B,C

A client has low back pain and the healthcare provider needs to rule out the presence of a tumor. Which diagnostic procedure with the nurse anticipate to be ordered for the client?

Bone scan

What is a complication of diabetes that is responsible for non-wound healing

Diabetic neuropathy

A client with the tibia fracture was placed in an external fixator 24 hours ago. The nurse is completing pain care and notices redness at the Band side and a small amount of serous drainage. What action by the nurse is appropriate?

Document the findings

Healthcare provider is preparing to bivalve the clients cast. Which supplies should the nurse assemble

Elastic compression bandages

Which assessment findings with the nurse expect to find in osteomyelitis?

Elevated white blood cell count and erythrocyte sedimentation rate

The nurse is providing care for a client who has had below the knee amputation. The nurse enters the clients room in Bonsall client resting in bed with the residual limb supported on a pillow what is the nurse is most appropriate action?

Explain the risk of flexion contracture to the client

Client has just begun receiving skeletal traction and the nurse is aware that the muscles in the clients affected limbs are spastic. How does this change in muscle tone affect the clients traction prescription.

Extra way is needed initially to keep the limb and proper alignment

Lifestyle risk factors for osteoporosis include

Lack of exposure to sun

Which diagnostic signs indicate an increase in the severity of infection?

Leukocytosis and hyperthermia

What is an example of a heparin product

Lovenox

Oh which of the following describes failure of the ends of a fractured bone do unite in normal alignment?

Nonunion

What is the heparin protocol?

PTT daily until it is out of range PTT every six hours fixing the rate of heparin PTT every six hours until there are two consecutive in good range and then go back to daily

What is the rationale for the addition of protein and vitamins and minerals to a diet?

Protein vitamin D and zinc aid in healing

With fractures of the femoral neck, the leg is

Shortened, adducted, and externally rotated

What assessment findings of the legs are consistent with a fracture of the femoral neck

Shortening, adducted, and extremely rotated

A client who is injured while playing basketball reports an extremely painful elbow which is very edema to us. What type of injury has the client experienced

Sprain

What does hemoglobin A1c have to do with diabetes?

The hemoglobin A-1 C is a long-term measure of how well you were controlling your diabetes

What is a rationale for a doctor ordering Ferrous sulfate

The medication provides iron, and essential component in the formation of hemoglobim

What is the antidote for warfarin?

Vitamin K

Which is one of the most common causes of death in clients diagnosed with fat emboli syndrome

acute respiratory distress syndrome

What is the antidote for heparin?

protamine sulfate

A provider asked the nurse to teach a client with low back pain how to sit in order to minimize pressure on the spine which teaching points with the nurse include? Select all that apply A) set an a straight back chair with armrest B) use a firm pillow place behind the thoracic vertebrae to straighten the small amount of the back C) avoid hip extension D) Play feet flat on the floor E) sit with the Butt tucked under

A,C, D,E

A client with an arm cast reports pain. What nursing intervention should the nurse provide in order to reduce the incidence of complications? Select all that apply A) assess the fingers for color and temperature B) administer a prescribed analgesic to promote comfort and alay anxiety C). Assess for pressure sore D) determine the exact side of the pain E) Cut the cast for the cast saw

A,C,D

A 75-year-old client had surgery for a left hip fracture yesterday. When completing the plan of care the nurse should include assessment for which complication? Select all that apply A) pneumonia B) necrosis of the humerus C). Skin breakdown D) sepsis E) Delirium

A,C,D,E

Which of the following are associated with compartment syndrome? Select all that apply A). Trauma from accidents B) surgery C) casts D) type bandages E) crushing injuries

All of them

Which intervention with the nurse implement with the client in skeletal traction? Select all that apply. A) apply 8 pound weights to the rope B) ensure the pins or wires are covered with caps C) and remove foam boot and inspect skin daily D) position trapeze within the clients reach E) Instruct the client on isometric exercises for immobilized extremity

B, D,E

A client is admitted to the orthopedic unit with a fractured femur after a motorcycle accident. The client has been placed in traction until the femur can be rotted in surgery. For what early complications should the nurse monitor this client? Select all that apply A) systemic infection B) complex regional pain syndrome C) deep vein thrombosis D). Compartment syndrome E) Fat embolism

C,D,E

A nurse is caring for an older client who is preparing for discharge falling recovery from a total hip replacement. What outcome must be met prior to discharge?

Client is able to perform transfers safely

Client diagnosed with osteoporosis is being discharged home. Which priority education should the nurse provide?

Remove all small rugs from the home

What areas of the body may be examined when bone densitometry is done? Select all that apply A). Hip B) spine C) wrist D) knee

A, B, C

A client has had a brace prescribed to facilitate recovery from a knee injury. What are the potential therapeutic benefits of a brace? Select all that apply A). Preventing additional injury B) immobilizing prior to surgery C) providing support D). Controlling movement E). Promoting bone remodeling

A, C,D

Client has undergone a leg amputation. What teaching shit the nurse offers such a client to prevent abduction deformity? Select all that apply A) advise the client to use a trochanter roll B) advise the client to adduct the stump so it presses against the other leg when the client is lying on the stomach C) advise the client to use anti-embolism stockings on both legs D) Advise the client to place pillows between the legs

A,B

A client is having traction applied to a fractured left lower extremity prior to surgery what outcomes does the nurse expect from the application of the traction for the client? Select all that apply A) surgery will not be required B) muscle spasms will be relieved C) The bones of the left leg will be aligned D). Immobilization of the left leg will be maintained E) Less pain medication's will be required

B,C,D

A client who has fractured the Radiohead ask the nurse about factors that will promote bone healing. Which statement should the nurse include when responding to the client? Select all that apply A) immobilization of the fracture will promote healing by maximizing contact of bone fragments B). Fractured bones require a good blood supply and adequate nutrition for healing C) weight-bearing stimulates healing of the long bones of the leg if the fracture is stabilized D). Adults you're faster than children because adult bodies are physiologically more mature E). Corticosteroids will decrease the bone and soft tissue information associated with a fraction

A,B,C

A client has suffered a muscle strain and is reporting pain at six on a 10 point scale. The nurse should recommend what action?

Applying a cold pack to the injured side

A client comes to the clinic two days after sustaining a sprain to the left ankle. What intervention came the nurse encouraged the client to perform that will help improve circulation?

Applying heat

A client is scheduled for a total hip replacement and the surgeon has explained the risk of blood loss associated with orthopedic surgery the risk of blood loss is the indication for which of the following actions?

Autologous blood donation

The nurse assesses subtle personality changes restlessness irritability and confusion in a client who has sustained a fracture the nurse suspects which complication

Fat embolism syndrome

The client has a cast that extends from below the elbow to the Palmer crease and it secured around the base of the thumb. The thumb is also casted the nurse identifies this as which type of cast?

Gauntlet cast

The nurse is providing instructions to the client following application of a fiberglass cast. Which statement by the client indicates further education is needed.

"Under no circumstances should I get my cast wet." Explanation: Some fiberglass casts are waterproof, allowing the client to shower or swim. A wet fiberglass cast is susceptible to denting while it is wet. Fiberglass casting involves an exothermic reaction as the cast hardens. The cast should not come in contact with other plastics as the reaction occurs.

Which statement describes open reduction of a fracture? Select all that apply A) it is performed in the operating room B) The bone is surgically exposed in Realigned C) The client usually receives general or spinal anesthesia D) The bone is restored to its normal position by external manipulation

A,B,C

Opposition writes a prescription to discontinue skeletal traction on an orthopedic client. The nurse should anticipate what subsequent intervention

Application of a cast

Emergency medical technicians transported client to the emergency department and informed the nurse that the client fell from a two-story building. The comatose client has a large contusion on the left side of the chest a hematoma in the left parietal area and a compound fracture of the left femur. The client was intubated and is maintaining an arterial oxygen saturation of 92% by pulse ox with a manual resuscitation bag. Which intervention by the nurse has the highest priority.

Assessing the left leg

An older adult client has fallen in the home and is brought to the emergency department by ambulance with a suspected fractured hip. X-rays confirm a fracture of the left femoral neck. When planning assessments during the clients pre-surgical care, the nurse should be aware of the clients Heightened risk of what complication?

Avascular necrosis

The client is admitted to the hospital with a diagnosis of left femoral neck fracture. Which treatment modality with the nurse expect a healthcare provider to order?

Bucks traction

The nurse is caring for the client with chronic osteomyelitis of the jar with a draining wound. Which client goal is a priority for the client? Select all that apply A) The client will experience a tolerable level of pain B) The client will demonstrate wound care C) The client will maintain adequate nutritional intake D) The client will remain free from injury E) The client will maintain effective airway clearance

A,B,C

A client with a fractured femur is admitted to the nursing unit. Which assessment finding requires follow up by the nurses? Select all that apply A) I cannot seem to catch my breath B) I have pins and needles sensation in my toe C) Doplantar week and and unequal bilaterally D) temperature 101.2°F heart rate 110 respirations 28 pulse ox 90% E) both feet warm and capillary refill less than three seconds

A,B,C,D

A client arrives in the emergency room complaining of severe pain in her left hip after falling out of the bed. What indication upon assessment does the nurse recognize as a dislocated left hip? Select all that apply A) The left leg is shorter than the right B). Limited range of motion of the left hip C) The skin over the left hip is warm D). The skin over the lower left leg is pale E) The client is able to bend the knee but not move toes

A,B,D

The nurse is caring for a client who is being assessed following reports of severe and persistent low back pain. The client is scheduled for diagnostic testing in the morning which of the following are appropriate diagnostic test for assessing low back pain select all that apply A) computed tomography CT B) angiography C) magnetic resonance imaging mri D) ultrasound E) X-ray

A,C,D,E

A nurse is caring for a client after stabilization of a radial fracture. Which action by the nurse would be appropriate for the client following an arm cast? Select all that apply A) Elevate the arm on a plastic covered pillow B) Protect the cast by covering with a sheet C) Handle the cast with the palms of the hands D) Circulate room air with a portable fan E) Pedal and smooth the edges of the cast

C,D,E