Adult Health Musculoskeletal Quiz
A nurse is planning discharge instructions for the client with osteomyelitis. What instructions should the nurse include in the discharge teaching? a- "You will receive IV antibiotics for 3 to 6 weeks." b- "You need to perform weight-bearing exercises twice a week." c- "You need to limit the amount of protein and calcium in your diet." d- "Use your continuous passive motion machine for 2 hours each day."
a- "You will receive IV antibiotics for 3 to 6 weeks."
A nurse in a busy emergency department provides care for many clients who present with contusions, strains, or sprains. What are treatment modalities that are common to all of these musculoskeletal injuries? Select all that apply. a- Applying ice b- Resting the affected extremity c- Elevating the injured limb d- Corticosteroids e- Massage f- Compression dressings
a- Applying ice, f- Compression dressings, b- Resting the affected extremity, c- Elevating the injured limb
The nurse suspects "compartment syndrome" for a casted extremity. What characteristic symptoms would the nurse assess that would confirm these suspicions? (Select all that apply.) a- Decreased sensory function b- Loss of motion c- 2+ peripheral pulses in the affected distal pulse d- Excruciating pain e- Capillary refill less than 3 seconds
a- Decreased sensory function, b- Loss of motion, d- Excruciating pain
The nurse teaches the client which intervention to avoid hip dislocation after replacement surgery? a- Never cross the affected leg when seated b- Avoid placing a pillow between the legs when sleeping c- Keep the knees together at all times d- Bend forward only when seated in a chair
a- Never cross the affected leg when seated
Which intervention should the nurse implement with the client who has an external fixator? Select all that apply. a- Supervise the client during transfers. b- Turn the clamps by one-half every day. c- Perform neurovascular assessment. d- Perform pin care as ordered. e- Inspect pin sites for signs of infection.
a- Supervise the client during transfers. c- Perform neurovascular assessment. d- Perform pin care as ordered. e- Inspect pin sites for signs of infection.
The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action? a- Walk or perform weight-bearing exercises b- Increase fiber in the diet c- Decrease the intake of vitamins A and D d- Reduce stress
a- Walk or perform weight-bearing exercises
An older adult patient had a hip replacement. When should the patient begin with assisted ambulation with a walker? a- 72 hours b- 1 week c- 24 hours d- 2 to 3 weeks
c- 24 hours
A client has a serum study that is positive for the rheumatoid factor. What will the nurse tell the client about the significance of this test result? a- It is diagnostic for systemic lupus erythematosus. b- It is specific for rheumatoid arthritis. c- It is suggestive of rheumatoid arthritis. d- It is diagnostic for Sjögren's syndrome.
c- It is suggestive of rheumatoid arthritis.
Which principle applies to the client in traction? a- Weights are removed routinely. b- Weights should rest on the bed. c- Skeletal traction is never interrupted. d- Knots in the ropes should touch the pulley.
c- Skeletal traction is never interrupted.
Which of the following is the most important nursing diagnosis for an elderly patient diagnosed with osteoporosis? a- Risk for constipation related to immobility b- Deficient knowledge about osteoporosis and the treatment regimen c- Acute pain related to fracture and muscle spasm d- Risk for injury related to fractures due to osteoporosis
d- Risk for injury related to fractures due to osteoporosis
