Musculoskeletal/Med Surg.
The nurse assesses subtle personality changes, restlessness, irritability, and confusion in a patient who has sustained a fracture. The nurse suspects which complication?
Fat embolism
Which type of fracture involves a break through only part of the cross-section of the bone?
Incomplete
A nurse is caring for a patient who is recovering in the hospital following orthopedic surgery. The nurse is performing frequent assessments for signs and symptoms of infection in the knowledge that the patient faces a high risk of what infectious complication?
Osteomyelitis
Which of the following is a characteristic of fracture pain?
Piercing
A client with suspected osteomalacia has a fractured tibia and fibula. What test would give a definitive diagnosis of osteomalacia?
A bone biopsy
A patient has returned to the postsurgical unit from the PACU after an above-the-knee amputation of the right leg. Results of the nurse's initial postsurgical assessment were unremarkable but the patient has called out. The nurse enters the room and observes copious quantities of blood at the surgical site. What should be the nurse's initial action?
Apply a tourniquet
The nurse is caring for a client who had a total knee replacement 3 days ago. Which nursing assessment finding requires immediate attention by the nurse?
Drainage from wound suction device=100 mL (Drainage from a wound suction device should be less than 25 mL, 48 hours after surgery
Which of the following is an appropriate nursing intervention in the care of the patient with osteoarthritis?
Encourage weight loss and increase in aerobic activity
A client who has sustained a fracture reports an increase in pain and decreased function of the affected extremity. The nurse would suspect which of the following?
Restrict consumption of foods high in purines
When joint manipulation is unsuccessful for a client, he is taken to surgery for surgical repair of his hip injury. He is brought to the ICU where you practice nursing for postoperative recovery. After surgery, the nurse implements measures to prevent complications. Select all of the following which are complications that the nurse seeks to prevent.
Skin breakdown Wound infection Pneumonia
Which of the following may occur if a client experiences compartment syndrome in an upper extremity?
Volkmann's contracture
The older client asks the nurse how best to maintain strong bones. The best response by the nurse is:
Weight-bearing exercises can strengthen bones
When is it advisable for the nurse to apply heat to a sprain or a contusion?
After 2 days
Which of the following classifications are considered antiarthritic drugs? Select all that apply.
Anti-inflammatory DMARDS (Disease-modifying rheumatics) Glucocorticoids
A high school student who was injured in a football game presents with knee pain with internal rotation of the foot. Which of the following is an inappropriate nursing intervention?
Assist the client to "walk" off the pain
A client presents to the emergency department with an open fracture. What is the first action the nurse should take?
Cover the exposed bone with sterile dressing
The client diagnosed with osteosarcoma is scheduled for a surgical amputation. Which nursing diagnosis would be a priority for this client compared with other surgical clients?
Disturbed body image
A client with degenerative joint disease asks the nurse for suggestions to avoid unusual stress on the joints. Which suggestion would be most appropriate?
Maintain good posture
Which of the following are usually the first choice in the treatment of rheumatoid arthritis (RA)?
NSAIDS
Which of the following terms refers to failure of fragments of a fractured bone to heal together?
Nonunion
