Muskuloskeletal ati questions

A nurse is reinforcing teaching about disease management with a client who has rheumatoid arthritis. Which of the following responses by the client indicates an understanding of this information?

" I will have handrails installed in my bathroom and hall."

A nurse is assisting with preparing a client for a bone scan. Which of the following statements indicates that the client understands the pre-procedure instructions? (Select all that apply.)

"A special camera will scan the bones in my entire body." "I'll have to drink a lot of water to help get the radiation out of my body." "I understand the radiation is harmless, and I don't have to worry about it."

A nurse is reinforcing preoperative teaching with a client who is scheduled for total knee arthroplasty. Which of the following statements by the client indicates an understanding of the teaching?

"I should wear elastic stockings on both my legs. "

A nurse is discussing the difference between rheumatoid arthritis and osteoarthritis with a newly hired nurse. Which of the following pieces of information should the nurse include about osteoarthritis?

"Osteoarthritis can impair a joint on a single side of the body."

A nurse is assisting with preparing a client who is scheduled for an arthroscopy on the following day. Which of the following statements indicates that the client understands the pre-procedure instructions?

"The doctor will be able to see if I have signs of rheumatoid arthritis."

A nurse is assisting with preparing a client for an electromyogram (EMG)Which of the following statements should the nurse identify as an indication that the client understands the pre-procedure instructions?

"This test will help the doctor know if my nerves are working correctly "

A nurse is reviewing the medical record of a client who has a prescription for probenecid to treat gout. The nurse should identify that which of the following medications can interact with probenecid?

Aspirin

A nurse is contributing to the plan of care for a client who is 72 hours postoperative following an above-the-knee amputation. Which of the following actions should the nurse recommend?

Assist the client into a prone position every 4 hours

A nurse is caring for a client who is in skeletal traction following a femur fracture. The nurse finds the client has slid down toward the foot of the bed, and the traction weight is resting on the floor. Which of the following actions should the nurse take?

Have the client use a trapeze to pull himself up while ensuring the weight hangs freely

A nurse is reviewing the medical record of a female client. Which of the following findings should the nurse identify as a risk factor for osteoporosis?

History of anorexia nervosa

A nurse is collecting data from a client who has several risk factors for osteoporosis. Which of the following findings should the nurse identify as an indication that the client requires further evaluation for this disorder?

Lower back pain

A nurse is preparing to care for a client who is in balanced skeletal traction to stabilize a femur fracture. Which of the following actions should the nurse recommend for the client's plan of care?

Offering the client a diet high in fluid and fiber

A nurse is caring for a client immediately following the application of a plaster cast. The nurse should monitor for and report which of the following findings as an indication of compartment syndrome?

Paresthesias of the extremity

A nurse is determining a client's risk of developing osteoporosis. The nurse should identify that which of the following are risk factors for bone loss? (Select all that apply.)

Small body frame Low vitamin D intake Smoking

A nurse is collecting data about a client's skeletal system. The nurse should be in which of the following positions to screen the client for scoliosis?

Standing behind the client, who is bent over at the waist

A nurse is caring for a client who has a depressed skull fracture of the bone that makes up the larger part of the upper and side wall of the cranium. The nurse should identify the fracture to be located by which of the following bones?

Parietal

A nurse is assisting with discharge preparations for a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I'll use a reacher to help me pick up anything I drop on the floor."

A nurse is assisting with preparing a client who is postoperative following a conventional lumbar disk excision for discharge. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I'll use my heating pad if I feel any muscle spasms in my back."

A nurse is reinforcing discharge teaching with a client who has osteoarthritis. Which of the following instructions should the nurse provide?

"Rest frequently after periods of activity."

A nurse is preparing a client for magnetic resonance imaging of the spine. Which of the following pieces of information should the nurse give the client prior to the procedure?

"You can have a mild sedative before the procedure."

A nurse is talking with an older adult client who is at risk for osteoporosis about strategies for preventing bone loss. Which of the following instructions should the nurse provide?

- Begin a program of brisk walking

A nurse is caring for a client who has a fractured hip and was placed in a Bucks traction 4 hours ago. Which of the following actions should the nurse take?

-Encourage the client to perform dorsiflexion of the affected extremity every 2 hours

A nurse is caring for a client who was in a motor vehicle crash 2 days ago and sustained fractures to his tibia, ulna, and several ribs.The client is disoriented to time and place and has SaO2 of 87%. The nurse notes generalized Petechiae on the client's skin. Which of the following complications should the nurse suspect?

-Fat embolism syndrome

A nurse is collecting data from a client who has rheumatoid arthritis. The client's medical record indicates the presence of Heberden's nodes. Which of the following findings should the nurse expect?

-Hard lumps over over the joints of the fingers

A nurse is reinforcing teaching with a client who has osteoporosis. Which of the following instructions should the nurse include in the teaching?

-Perform weight bearing exercises

A nurse is planning care for a client following a total hip arthroplasty. Which of the following interventions should the nurse include in the plan?

-Place a pillow between clients legs

A nurse is caring for a client following a hip arthroplasty. The nurse should place an abduction pillow on a client for which of the following purposes?

-Preventing discoloration during position changes or movement

A nurse is caring for a client who has a pelvic fracture. The client reports sudden shortness of breath, Stabbing chest pain, and anxiety. The national by the charge nurse that the client is experiencing which of the following complications?

-Pulmonary embolus

A nurse is collecting data from a client who is 24 hours postoperative following an above-the-knee amputation. Which of the following findings should the nurse identify as the priority?

-Report of muscle spasms

A nurse is collecting data from a client who is 48 Hours postoperative following open reduction internal fixation of a fractured tibia. Which of the following findings should the nurse report to the provider?

-Toes that are cold to the touch

A nurse is caring for a client who has chronic phantom limb pain following an above-knee amputation. Which of the following prescriptions should the nurse verify with the provider?

Meperidine

A nurse is caring for a client who had a fiberglass cast placed on her left arm several hours ago and now reports itching under the cast. Which of the following actions should the nurse plan to take?

Use a hair dryer on a cool setting to blow air into the cas

A nurse is assisting with the care of a client who is scheduled to undergo surgery to repair an open hip fracture. In which of the following positions should the nurse plan to place the client postoperatively?

With the leg on the affected side abducted

A nurse is caring for a client who had a below the knee amputation for gangrene on the right foot. The client reports sensation of burning and pressure pain in the absence of toes of the right foot. Which of the following statements should the nurse make?

"An anticonvulsant medication can be helpful in relieving this type of pain"

A nurse is reinforcing teaching with a client who has arthritis and is experiencing joint pain that impairs mobility. Which of the following instructions should the nurse include?

"Apply heat to your joints prior to exercise."

A nurse is caring for a client who is postoperative following shoulder surgery. The client has a prescription to keep the affected on adducted. Which of the following actions should the nurse give to the client?

"Hold your arm against the side of your body."

A nurse is reinforcing teaching with a client who had an amputation of the lower left leg 3 days ago. Which of the following statements indicates that the client understands How to care for the incision and his left upper leg?

-"I will lie on my stomach for 30 minutes a few times a day. "

A home health nurse is collecting data from a client who is 1 week postoperative following a total knee replacement. Which of the following statements by the client indicates an understanding of the teaching?

"I plan to use a walker to help me get around."

A nurse is reinforcing post-procedural teaching with a client who had a diagnostic arthroscopy. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I'll keep my leg elevated for the first day."

A nurse is reinforcing teaching with a client who has a new prescription for alendronate For the treatment of osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?

"I will sit right up after taking the medication."

A nurse is reinforcing teaching with a client who has a cut on his left arm to treat a forearm fracture. Which of the following statements indicates that the client understands instructions?

"I'll call the doctor's office if my fingers get colder on the arm with the cast."

A nurse is caring for a client who is postoperative following a total knee arthroplasty and has been prescribed a continuous passive motion (CPM) machine and PCA. the client tells the nurse, " I am in so much pain.'' Which of the following actions should the nurse take first?

- ask the client to describe the characteristics of the pain.

A nurse is talking with a group of clients at a senior center about Risk factors for osteoporosis. Which of the following statements should the nurse include?

-"Extended periods of a Mobility increases your risk of osteoporosis

A nurse is reinforcing discharge teaching with a client who had a left total hip arthroplasty. Which of the following client statements indicates the teaching was effective?

-"I should not cross my legs at the ankles or knees."

A nurse is caring for a client with a hip fracture who has buck extension traction in place. Which of the following pieces of information should the nurse give the client about This type of traction? (select all)

-"You'll have considerably less pain with the traction in place." -"The traction will help decrease muscle spasms."' -" the weight act as a pulling force to keep your leg and hip still

A nurse is reinforcing teaching with a client who has osteomyelitis of an open wound on his heel. Which of the following information should the nurse include?

-"Your provider might prescribe a central catheter line for long term antibiotic therapy "

A nurse in an acute care clinic is talking with the client who reports that her osteoarthritis pain in her knees is increasing each day. The client who wants to discuss non-pharmacological approaches that will help relieve her pain.

-Apply a warm compress to sore joints

A nurse in an urgent care clinic is reinforcing teaching with a client following a Grade ll (moderate) ankle sprain. Which of the following instructions should the nurse plan to include?

-Apply cold compress to the extremity intermittently

A nurse is caring for a client who has a fractured right hip.. Which of the following types of traction should the nurse expect the client to have prior to hip arthroplasty surgery?

-Buck's traction

A nurse is providing teaching for a client following below the knee amputation. Which of the following should the nurse include in the teaching?

-Instruct the client to Lay prone while in bed

A nurse is caring for a client who is postoperative following a lumbar disc Excision. Which of the following interventions should the nurse suggest For the client's plan of care.

-Logroll the client in bed for care procedures

A nurse is reinforcing nutrition education to a client who has osteomalacia. The nurse should identify that osteomalacia is caused by a deficiency of which of the following nutrients?

-Vitamin D

A nurse is assisting in the preparation of a Community Education Program about reducing the risk of osteoporosis. Which of the following pieces of information should the nurse include?

-Walking is the preferred exercise to maintain strong bones.

A nurse is collecting data from a client who has a fractured left femur and is in skeletal traction. Which of the following findings should the nurse report to the provider as an indication of fat emboli?

-chest petechiae

a nurse is assisting with the preparation of an in-service presentation about the basic bone injuries. The nurse should suggest explaining That which of the following types of fractures results when the client bone breaks into multiple pieces

-comminuted

A nurse is caring for a client who has osteoporosis and a new prescription for calcium supplements. Which of the following foods should the nurse recommend to promote calcium absorption?

-fortified milk

A nurse is assisting with repairing an in-service presentation about the basics of bone injuries. The nurse should explain which of the following types of fractures is especially common in children?

-greenstick

A nurse is caring for a client who is 3 days. Word of following a below-the-knee amputation. Which of the following actions should the nurse take?

-rewrap the residual limb with a bandage 3 times per day.

A nurse is caring for a client who is 3 days postoperative following a right total hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should examine the client for which of the following manifestations of discoloration of the hip prosthesis?

-shortening of the right leg

A nurse is performing medication reconciliation for a newly admitted client who has rheumatoid arthritis (RA). Which of the following medications should the nurse identify as a treatment for this condition?

Celecoxib

A nurse is in an ambulatory Clinic caring for a client who sustained facial trauma to the nose. Which of the following actions should the nurse take first?

Determine the client's ability to take deep breaths

A nurse is collecting data for a female client who reports severe joint pain. The nurse should identify that which of the following factors place the client at the risk for gout ?

Diuretic use

A nurse is reinforcing teaching with a client who is on bed rest About preventing complications. Which of the following statements indicate an understanding of the teaching?

I should cough and deep- breathe every hour."

A nurse is caring for a client who is wearing a halo fixator. Which of the following interventions should the nurse implement? (Select all that apply.)

Turn the client every 2 hours Monitor the client's pin sites for loosening Check the client's skin to ensure the jacket is not applying pressure