ATI MS: Musculoskeletal
A nurse is discussing the difference between RA and osteoarthritis with a newly hired nurse. Which of the following information should the nurse include about osteoarthritis?
osteoarthritis can impair a joint on a single side of the body?
A nurse is caring for a client immediately following 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 caring for a client who is 3 days post op 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 manifestation of dislocation of the hip prosthesis?
shortening of the right leg
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?
-"You will need to apply a cold pack to the site three times per day." Cold therapy is contraindicated for a client who has an open wound. Cold causes decreased blood flow, which can further damage the impaired tissue. -"Your provider might ask you to walk frequently to increase circulation to the area." The client is at increased risk for fracture of the weakened bone. Therefore, the nurse should instruct the client to limit weight-bearing activities as prescribed by the provider. -"You will need to limit consumption of high-protein foods." The nurse should recommend the client consume a diet high in protein to support wound healing. -"Your provider might prescribe a central catheter line for long-term antibiotic therapy." Osteomyelitis is an acute or chronic bone infection. The client will require weeks to months of IV antibiotic therapy for treatment. Therefore, the nurse should discuss the need for long-term IV access for antibiotic therapy.
A nurse in an ambulatory clinic is caring for a client who has 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 reinforcing pre op teaching with a client who is schedules for total knee arthroplasty. Which of the following statements by the client should the nurse identify as understanding the teaching?
I should wear elastic stockings on both of my legs
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, has a Sa02 of 87%, and the nurse notes generalized petechia 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 is 24hr post op following an above-the-elbow amputation. Which of the following findings should the nurse identify as the priority?
Report of muscle spasms
A nurse is caring for a client who is post op following a total knee arthroplasty and is prescribed a continuous passive motion 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 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
