Chapter 42 PrepU - Management of patients with musculoskeletal trauma
The nurse is caring for a patient after arthroscopic surgery for a rotator cuff tear. The nurse informs the patient that full activity can usually resume after what period of time?
6 to 12 months
A client with arterial insufficiency undergoes below-knee amputation of the right leg. Which action should the nurse include in the postoperative care plan?
Elevating the stump for the first 24 hours
The nurse is caring for a client who was involved in an automobile accident and sustained multiple trauma. The client has a Volkmann's contracture to the right hand. What objective data does the nurse document related to this finding?
Claw-like deformity of the right hand without ability to extend fingers
An x-ray demonstrates a fracture in which a bone has splintered into several pieces. Which type of fracture is this?
Comminuted
Which of the following disorders results in widespread hemorrhage andmicrothrombosis with ischemia?
Disseminated intravascular coagulation (DIC)
The nurse caring for a client, who has been treated for a hip fracture, instructs the client not to cross their legs and to have someone assist with tying their shoes. Which additional instruction should the nurse provide to client?
Do not flex the hip more than 90 degrees
Which general nursing measure is used for a client with a fracture reduction?
Encourage participation is ADLs
Which term refers to a fracture in which one side of a bone is broken and the other side is bent?
Greenstick
A bone graft may be used for which of the following reasons?
Joint stabilization Defect filling Stimulation of bone healing
A client has sustained a right tibial fracture and has just had a cast applied. Which instruction should the nurse provide in client cast care?
Keep your right leg elevated above heart level
Elderly clients who fall are most at risk for which injuries?
Pelvic fractures
A client with a traumatic amputation of the right lower leg is refusing to look at the leg. Which action by the nurse is most appropriate?
Provide feedback on the client's strengths and available resources
Which nursing diagnosis takes highest priority for a client with a compound fracture?
Risk for infection related to effects of trauma
A client sustains an injury to the ligaments surrounding a joint. What will the nurse identify this injury as?
Sprain
