Orthopedics quiz
A nurse is caring for a client who has a cast in place for a fractured tibia. Which of the following nursing actions is the priority immediately after the provider has applied the cast?
Checking capillary refill distal to the cast
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?
"I need to increase my fluid intake while taking this medication"
A nurse is providing teaching for a client who is scheduled for a myelogram. Which if the following statements indicates the client understands the teaching?
"I will need to keep my head elevated after the procedure"
A nurse is teaching a client who is starting to take alendronate effervescent tablets to treat osteoporosis. Which of the following information should the nurse include
"Sit upright or stand for at least 30 minutes after taking this medication"
A nurse is teaching a client who is scheduled for DXA to screen for osteoporosis. Which of the following instructions should the nurse include in the teaching?
"You will need to remove all jewelry before the test"
A nurse is teaching a client who has a new second degree ankle sprain. Which of the following instructions should the nurse include in the teaching?
-elevate the affected ankle above the level of the heart -apply heating pad intermittently to the affected ankle after 48 hr -wrap the affected ankle with an elasticized compression bandage - apply intermittent ice to the affected ankle for the first 48 hr
A nurse is caring for an older adult client who has had a total hip arthroplasty. For each partial precaution, if the precaution is indicated or contraindicated for a client who has a total hip arthroplasty.
-request an antiemetic medication- contraindicated -encourage the client to cough and deep breath q 2 hr- indicated -ensure an abductor pillow is in place while the client is in bed- indicated -anticipate the administration of antibiotics- indicated - obtain a culture of the drainage from the surgical site- indicated
A nurse is teaching a client who has fibromyalgia syndrome about measures to reduce the occurrence of symptoms? Which of the following interventions should the nurse include in the teaching?
Establish a regular sleep pattern
A nurse is caring for a client who has impaired mobility. complete the following sentence by using the list of options
The client is at highest risk for developing "pressure injury" as evidence by the client's urinary incontinence
A nurse is preparing a presentation at a community center about osteoarthritis. The nurse should plan to include which of the following information?
affects weight bearing joints crepitus can occur in affected joints causes joint stiffness causes joint pain
A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as increasing a clients risk for carpal tunnel syndrome?
assembly line worker
A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. Which of the following instructions should the nurse include?
bend at the knees when picking up an object
A nurse is teaching a client who has a new diagnosis of gout about managing the disorder. which of the following instructions should the nurse include in the teaching?
eat less liver, sardines, and shrimp
A nurse is caring for a client who is 2 days postoperative following an above the knee amputation. Which of the following is an appropriate nursing intervention for this client at this time?
have the client lie prone every 3hr for 20 min at a time.
A nurse is caring for a client in the emergency department. Select the 4 assessment findings on day 2 that require immediate follow up
heart rate, edema, urine color, pedal pulses
A nurse is teaching a client who has rheumatoid arthritis about increasing physical rest as part of her treatment plan. Which of the following outcomes of this intervention should the nurse document as a goal for this client?
reduce joint stress
a nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take ?
teach the client to use the call light keep the clients bed in the lowest position place a fall-risk identification bad on the clients wrist
A nurse is caring for a client who is experiencing impaired mobility.
the client is at risk for developing pulmonary embolism and deep vein thrombosis
A nurse notes increasing edema in the calf of a client who has multiple fractures of the leg. The nurse should recognize that increasing edema is a manifestation of which of the following complications?
Acute compartment syndrome
A nurse is preparing a presentation at a senior center about age- related musculoskeletal changes. Which of the following changes should the nurse plan to include?
Decreased muscle mass
A nurse is providing discharge teaching to a client who has a total hip arthroplasty. Which of the following information should the nurse include in the teaching?
Sit with legs apart at the ankles
A nurse is caring for a client who is 1-day postoperative following total hip arthroplasty. It is 0830 and the client is schedule for physical therapy (PT) at 0900. Which of the following interventions should the nurse take?
Identify the client's pain level and medicate if needed
A nurse is caring for a client who is prescribed bedrest. The plan of care indicates that the client should preform isometric exercises every 2 hr. Which of the following actions should the nurse take as directed by the plan of care?
Instruct the client to tighten muscle groups for a short period, and then relax
A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when preforming an assessment of the clients neurovascular status?
Instruct the client to wiggle his toes
A nurse is caring for a client who is 1-day postoperative following spinal fusion. Which of the following actions should the nurse take?
Log roll the client every 2hr
A nurse is teaching a group of clients about osteoarthritis. Which of the following recommendations should the nurse include in the teaching?
Maintain a recommended body weight
A nurse is caring for a client. A nurse is reviewing a fall risk assessment for a client. Which of the following findings places the client at risk for a fall?
Osteoarthritis macular degeneration throw rugs in kitchen blood pressure
A nurse is teaching a client who has a fractured femur about fat embolism syndrome. Which of the following findings should the nurse include as a manifestation of a fat embolism?
Petechiae on the chest
A nurse is providing discharge teaching to a client who has Plaster of Paris walking cast on his left lower leg. Which of the following instructions should the nurse include?
Report any numbness or pain in your toes
A nurse is caring for a client who has a herniated lumbar disc and reports pain. The nurse should assist the client into which of the following positions to help reduce pain?
Semi- fowler's with a pillow under knees (William's position)
