Musculo-Skeletal Unit Test

Cumadin and alopurinal cannot go together

...

Cyst, factors contribute to condition

Age below 50

Which would help determine clients muscle strength

Apply force to clients extremity as the client pushes against the force.

After cast removal

Apply lotion and warm bath

Fuse joint

Arthrodesis

Joint examination; intrusive

Arthroscopy

Tinel signs

Carpal tunnel syndrome

Outcome in relation to circulatory system when dealing with client and a cast?

Client will have no circulatory impairment

Fasciotomy

Compartment syndrome to relieve pressure

Corticoid Bone

Diaphysis

Pop sound

Dislocation

Acute episode of gout; discharged with allopurinol, nursing intervention.

Drink two to three quarts of fluids daily

Baclophin

Drowsiness

Vitamin D supplements; what should you suggest?

Early signs and symptoms of vitamin D toxicity; GI upset and metallic taste

24 hour post op

Elevate limb on pillow

Cast, elbow extend crease thumb, palm

Gauntlet cast

Which provides the least amount of calcium

Hamburger

A female client has had a total hip replacement, which of the following would the nurse need to minimize the clients risk for subluxation?

Have the client sit on an elevated chair

A client has injured her elbow; the physician informs her that the injury involves the cartilage in the joint. Which type of cartilage has been affected?

Hyaline cartilage

Osteoarthritis

Hyperdens nodes

A client is being discharged after a total knee replacement. Which indicates the client can follow the instructions?

I need to call my physician if i experience sudden pain or swelling

Discharge after total knee replacement

I will call physician if I experience pain or swelling

Radiographic evaluation of a client's fracture reveals that a bone fragment has been driven into another bone fragment. The nurse identifies this as which type of fracture?

Impacted

Carpel tunnel

Inability to flex

Carpal tunnel

Index and middle finger flex issue

Prevent contraction of leg amputation

Lay prone

Medication embrell for rheumatoid arthritis

Monitor and assess blood and platelet count

Backlophin for muscle spasm

Muscle fatigue and weakness

Pain with activity

Need for total joint arthroplasty

knife like pain

Neurotin

The nurse is caring for a client who has had a fracture reduction which of the following would be most important for the nurse to assess?

Neurovascular status

Skeletal traction; purulent drainage at pin site. What do you do?

Notify RN

Hip surgery; yellow green, seraneous drainage; how should you proceed?

Notify RN, administer antibiotics as ordered

Degenerative joint disease and is taking aspirin; what statement would make you assume he needs additional teaching?

Only takes aspirin when patient has extreme pain or stiffness

A client has a history of dislocations of the joint. The nurse understands that this is most likely due to an insufficient deposit of collagen during the healing process leading to which of the following?

Reduced tentile strength

Which of the following would be most important for the nurse to include for a client who has undergone arthrography?

Report joint crackling or clicking noises

Opioid?

Respiratory depression

RICE

Rest, ice, compression, elevation

A male client; preofessional tennis player sprains ankle, nurse should do what?

Rest, ice, compression, elevation, and stabilization

Monitor after invasive joint examination

Serous drainage

Localized swelling hit with baseball bat

Sprain? (Contusion)

Patient has a fracture in right ankle and has been casted, instructing to cast walk

Three point gait

What instruction should you give to minimize osteoporosis

Yogurt

Severe pain in right big toe; gout, what is your nursing care measure?

A bed cradle

Therapeutic action

Acts directly on skeletal muscles

A client comes complaining of pain in his left ankle; which would the nurse do to help control swelling

Elevate above the level of the heart

Motor vehicle crash; you suspect a fracture, what is the appropriate nursing action?

Encourage victim to remain still

Crew team and practices 2 and a half hours a day; which of the following does the nurse suspect?

Epicondylitis

A client has just undergone a leg amputation. The nurse would closely monitor the client for which of the following?

Hematoma

What type of fracture would open reduction be needed or expected

Joint fracture

Degenerative joint disease; what suggestion to avoid unusual stress on the joint?

Maintain a good posture

Before you apply cast as a nurse what should you assist with?

Make sure skin is clean

CPM Hip

Max 30 degrees

Right hip fracture in 72 year old; walking across kitchen and felt something snap in her hip which made her fall. What type of fracture would this client have?

Pathological fracture

External fixation device

Pin care, maintain

Osteoporosis least amount of calcium

Pork

Fracture given heparin

Prevent pulmonary embolism

Truck driver with persistent back pain, what client activity documented during nursing assessment may explain back injury

Prolonged standing or sitting

Muscle Spasms, nurse monitors clients closely for adverse reactions; valium

Sedation

Prolonged bed rest; observed ambulating, what would make you stop this activity

Shortness of breath and fatigue

A male client is to have an amputation. He is acutely ill and diagnosed with a gangrenous limb and related fever, disorientation, and electrolyte imbalances. Which of the following would be most important for the nurse to monitor in this client?

Signs of sepsis

Box skin traction; nursing care plan or risk

Skin integrity

Compartment

When bone is forced into another bone

Open reduction

When surgery must expose bone to fix

Which action would be most important for joint replacement surgery?

Withhold administration of aspirin before surgery

22 year old has external fixation device that is in place in left thigh; unable to bare weight on left leg. He asked nurse if he can take a shower.

Wrap device with plastic and assist client into shower with wheelchair

A client with a fracture develops compartment syndrome that requires surgical intervention. The nurse would most likely prepare the client for which of the following?

fasciotomy

Ecchymosis

Bruising

Total hip replacement; what should you include in your assessment?

Continue isometric exercise and use pillow when sitting

Complication of leg amputation

Contraction

A client is recieving treatment for a head injury; which of the following would the nurse do related to positioning to reduce risk of further injury?

Elevate clients head slightly while keeping neck neutral

Total hip replacement

Elevated chair

Osteomylitus what common sign?

Elevated temperature

When lifting to prevent back injury

Stand close to object and lift with legs

Glutethimied

Store it in tight light container

NSAIDS; What should the nurse emphasize with the client?

Take medicine with food

When performing pin care, which of the following would be most appropriate

Use an applicator only once

Prior to surgery to repair hip; what nursing care measure is essential?

Use pillow to keep hip in abduct position

Maintaining pin care

Using applicator only once

A client is recovering from a fractured hip; the nurse would suggest that the client increase which to facilitate calcium absorption?

Vitamin D

A cast has just been removed from right arm of patient to check that skin is intact, after which what should you do?

Wash skin and apply lotion

Checking traction apparatus in client with skin traction; which finding should you intervene?

Weights hanging and touching the floor

Fractures bone in joint; open reduction

closed fracture

Fractured pelvis; what should you monitor closely in post traumatic period?

hematuria

Why do you elevate arms that are newly casted?

prevent edema and swelling

A client is scheduled to have an x ray examination of his shoulder in which the synovial fluid will be aspirated and sent to the lab; what will the client be undergoing?

Arthrogram

For fractures

Assess for neural vascular impairment