m/s

The patient with the fractured forearm in a cast cannol but pain relief with opioid medications. The injury is swollen, cool, cyanotic and painful with a weak distal pulse. Which complication is the client most llkely experiencing?

Compartment syndrome

A client seen in the urgent care center for evaluation of a sprained ankle asks why ice packs were recommended. What is the primary reason for prescribing this treatment?

Constrict the blood vessels and decrease swelling

The nurse is reinforcing teaching provided to a patient scheduled for an arthrocentesis. Which statement indicates understanding of the planned procedure?

"A needle will be used to draw off some of the fluid from my elbow"

The nurse is assisting in collecting data from a client who has osteoporosis. Which question would be most important to ask?

"Does your spouse have any bone problems?"

The nurse is collecting data for a patient who is reporting pain in the hand joints. What question should the nurse ask to determine the QUALITY of the pain?

"How does the pain feel?"

The patient has just had an upper extremity cast placed because of a fractured radius and the mire las reinforced cast care instruction: Which statement indicate that the client understands the instructions?

"I am going to rest in bed with my arm elevated above my heart:

The nurse is collecting data for a patient who is reporting pain in the right hip. Which question should the nurse ask to determine the SEVERITY of the pain?

"What number rating would you give your pain on a scale from 0 to 10?"

An older adult is visiting a wellness clinic reports joint stiffness in the morning. What should the nurse respond to this patient?

"as we age cartilage in the joints get rough causing stiffness"

Which sign or symptom is associated with osteoarthritis?

joint pain relieved by rest

The nurse is instructing the unlicensed assistive personnel (UP) on proper positioning following a hip replacement. The nurse instructs the UP that the leg should be maintained in which position in bed?

Abduction

A clien't with a fractured leg reports severe pain and spasms in the leg. The foot is pink and warm, with a palpable pedal pulse. Which action should the nurse take?

Administer pain medication as prescribed

How should the weights applying traction be handled?

Allow them to hang freely

A client is scheduled for an MRI of the spine to evaluate a possible diagosis of bone cancer. The nurse notes But the client has a surgical scar below the clavicle. What action should the nurse take related to this finding?

Ask if the client has any metal in his or her body

The nurse is assisting in the post-operative care of a client who underwent a below the knee amputation of the right leg two days ago. What is the priority intervention during this time?

Astritine the chent to a prone nostion for 30 minutes 3-4 times a day

The nurse questions an older patient about the age-related changes she has experienced in her connective tissue, which have lessened her mobility. These changes most commonly include: Select all that apply.)

Bony deposits in the joints Hardening of cartilage Thickening of tendons Loss of tissue

Which statement defines a comminuted fracture?

Broken into two or more pieces, and bone fragments protrude through the skin.

Which action should be the priority when caring for a client with a fracture?

Check pulses distal to the injury

A client with osteoarthritis is refusing to perform independent daily care. Which intervention is the MOST appropriate to use with this client?

Encourage the client to perform as much self care as pain and stiffness will allow

What is the most important measure to prevent osteoporosis?

Exercise throughout life

Two days after surgery for a crushed pelvis, the unlicensed assistive person (UP) reports that the patient is complaining of a shortness of breath and is confused and restless. Which potential complication may be occurring?

Fat embolus

A patient in a motor vehicle crash has injuries to bones of the appendicular skeleton. Which the nurse expect to support when caring for this patient? (Select sll that apply.)

Femur Humerus

A client with osteomyelitis of the right tibia that tested positive for stapliylococcus aureus is to be discharged home with dressing changes done daily by nurses from the home health agency. When reinforcing traching about infection control with family members, what is an itportant point to stress?

Good hand hygiene practices

What is the benefit of heat, exercise and massage in the maragement of osteoarthritis?

Helps relax muscles and relieves pain and stiffness

A patient recovering from a blopsy of the right femur had pain medication 1 hour ago. Which symptom should the nurse report and closely monitor in this patient? (Select all that apply.)

Hematoma formation Pain reported at a 7 on a 0-10 scale

Which finding may be a complication of gout?

Kidney stones

A client admitted for a hip fracture is placed in Buck's traction prior to surgery, scheduled for the next day What is the purpose of this intervention?

Maintain alignment and decrease muscle spasms

The nurse recommends to patients with osteoarthritis that they consider physical therapy for assistance with (Select all that apply.)

Measures to increase strength Instruction with a transcutaneous electrical nerve stimulation (TENS) unit Measures to increase range of motion Moist heat application

The nurse is caring for a putient who had a bone biopsy on the right leg. Which activity should the nurse implement?

Monitor site of biopsy for bleeding

A client with diabetes mellitus and a right below the knee amputation tells the nurse that there is pain in the amputated leg, even tho the leg is gone. The nurses's response is based on the following information?

Phantom pain occurs when the nerve endings have not yet adjusted to the loss of the extremity and the client should be offered pain medication.

A client who sustained a femur fracture and is not a surgical candidate will be treated with skeletal traction for several weeks. What is the priority focus of care during this time?

Preventing deep-vein thrombosis (DVT).

A client reports pain and stiffness two weeks after a total knee replacement. Which interventions can the nurse recommend to decrease discomfort? SELECT ALL THAT APPLY.

Progress piysical theragy as deected by the pirysical therapis Incorporate complementary interventions into the treatment plan 5 The pain medication before physical therapy sessions Perform active range-of-motion exercises every hour.

An older client falls down at church and immediately complains of severe pain in the left hip. Which is the best indicator that the fall has resulted in a hip fracture?

Shortered left leg when compared with the right leg

Which food should be avoided to decrease the risk of a gout fare-up (acute worsening of symptoms)?

Shrimp

The community health nurse found an older adult client bing in the snow, unable to move the right leg because of a suspected fracture. What PRIORITY scion should the nurse take?

Splint the fracture in it's present position

What is the most important data to collect from a client being admitted with

Strength and quality of pedal pulse

A dient with osteoarthvits is prescribed ibuprofen for pain. Which instruction should the nurse reinforce about taking this medication?

Take with food to minimize gastric upset

The home health care nurse visits a client who has recently been discharged following a total hin replacement. Which finding in the environment indicates that the client teets more instructions about hip precautions?

The client is observed bending down to pick up a piece of paper off the floor

A client with a recent fracture is suspected of having compartment syndrome. Which findings should the nurse recognize as consistent with this syndrome?

body wide decrease in bone mass

The nurse, who is inspecting the knee of a patient who fell and reports stiffness, hears a grating sound with knee movement. How should the nurse document this finding?

crepitus

The nurse is collecting neurovascular data of the patient in skeletal traction. Which finding should be reported to the registered nurse immediately?

delayed capillary refil

The nurse is assisting in the care of an elderly client admitted for fractures of the hip and wrist after a fall. Which is the priority during the pre-operative period?

medicating for pain

A client who is in a cast for a recent right unar fracture severe pain, numbness and tingling in the right arm. What is the nurse's MOST APPROPRIATE response?

notify the healthcare provider immediately

Which statement is true about osteoarthritis?

osteoarthritis visually affects weight bearing joints

What is the highest priority concern following an open reduction and external fixation procedure?

risk for bone infection

Use of which type of clothing would help the client with osteoarthritis perform activities of daily living at home? (Select all that apply.)

rubber gloves