Musculoskeletal 1&2 WWCC Nursing

a nurse is prioritizing patient care period which patient would be at greatest risk for fat emboli following a fracture? A 50 year old with a fractured fibula a 20 year old female with a wrist fracture a 21 year old male with a fractured femur an 8 year old with a fractured arm

21 y/o male with fractured femur

a nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications? acetaminophen celecoxib cyclobenzaprine ibuprofen

Acetaminophen

a nurse is assessing a client who has multiple fractures in his left leg notes increasing edema. The nurse should recognize this finding is an early manifestation of which of the following complications? A fat embolism syndrome pulmonary embolism osteomyelitis acute compartment syndrome

Acute compartment syndrom

a nurse is teaching a client who has gout about dietary recommendations. The nurse should teach the client that which of the following beverages can trigger an attack? Alcohol orange juice milk coffee

Alcohol

a patient is diagnosed with osteoarthritis. Which of the signs and symptoms would the nurse expect the patient to exhibit? severe bone deformity joint stiffness Waddling gate Swan neck fingers

Joint Stiffness

a nurse is preparing discharge teaching for 12 year old with a fractured humerus. Which of the following information should the nurse include regarding cast care? Keep the arm at heart level handle the cast with the tips of the finger only apply an ice pack to in any areas that itch foul smells are expected occurrences

Keep arm at heart level

a nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurses priority? Provide the client with anti pyretic therapy Administer antibiotics to the client Increase the client's protein intake Teach relaxation breathing to reduce the clients pain

Administer Abx to client

a nurse is teaching a client at high risk for osteoporosis about dietary measures she can take to increase her calcium level. Which of the following food should the nurse advise the claim to increase in her diet? Carrots cabbage broccoli potatoes

Broccoli (but Nclex will always choose milk)

a patient arrives in the emergency room with a possible fractured femur. The nurse should anticipate in order for what intervention? Trendelenburg position ice to the entire extremity bucks traction an Abduction pillow

Bucks traction

Elevated level of calcium ion in the blood stimulates the secretion of which hormone? Growth hormone parathyroid hormone calcitonin thyroxin

Calcitonin

a nurse is assessing a client who is paget's disease of the bone . Which of the following findings should the nurse expect? select all that apply Cranial enlargement skeletal pain Waddling gate cold extremities vision deficits

Cranial enlargement, Skeletal Pain, Waddling gait, Cold extremities?

a nurse at an orthopedic joint clinic is assisting with the preparation of pre op teaching for client scheduled for total hip replacement. Which would be included in the teaching for post op precautions: Walking is not recommended Avoid sitting in a recliner Make sure that the commode seats are at low levels Avoid crossing the legs when sitting

Crossing legs

a nurse is providing nutritional teaching to a client who has osteoporosis. Which of the following foods should the nurse recommend as being highest in calcium? One Cup of carrot strips 3 ounces of canned salmon One Cup of chopped chicken breast one plain baked potato

Salmon

the nurses reinforced nutritional teaching on a patient with gout who is placed on a low purine diet. Which selection by the patient would indicate a need for further teaching? Broccoli an orange chocolate cake fish

Fish

a nurse is caring for a patient admitted with fractures to the pelvis, fever, and olna. Which finding should the nurse report to the physician immediately? Hematuria muscle spasms dizziness nausea

Hematuria

the nurse is assessing the patient with total knee replacement 2 hours postop. Which of the information requires notification of the doctor? Bleeding on the dressing 2 centimeters in diameter patient has low grade temp patients hemoglobin is 6 patient voids after surgery

Hemoglobin of 6

The nurse is caring for a client who is one day post op following total hip arthroplasty. In 30 minutes the client is scheduled for physical therapy period which of the following interventions should the nurse take? encourage the client to use his full weight bearing identify the client's pain level and medicate if needed teach the client which positions to avoid during PT perform the clients morning care

Identify Pain level

a 73 year old patient fell in her home and suffered a right hip fracture. She tells the nurse that she felt something snapped and then she fell. Which type of fracture is the patient most likely have? Community greenstick open pathologic

Pathologic

a nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia . Which of the following is a priority action for the nurse to take? Perform a neuro vascular assessment Explain the discharge instructions to a client and parents Provide reassurance to the client and parents Apply an ice pack to the casting leg

Perform ASSESSMENT

Client who has osteoarthritis. Which of the following instructions should the nurse include in the teaching? period apply a heat pack at the temperature below your body temperature elevate the affected joint on a large pillow take acetaminophen as the primary medication to treat the pain decrease foods high in purines

Take acetaminophen

a 2 year old admitted for repair of a fractured femur and is in bryant's traction. Which of the following indicates that the traction is working properly? The butt is 15 degrees off the bed the infant no longer complaints of pain the legs are suspended in the traction the pins are secured and within the pulley

Butt 15 degrees

a nurse working in a community Health Center is preparing a flowsheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening? Infant toddler slash preschooler preadolescent/ Adolescent older adult

Pre-adolescent/adolescent

An RN is assisted patient with a fractured left tibia and fibula . Which data should the nurse report to the physician immediately? Localized edema and discoloration generalized weakness an increasing sensitivity to touch cap refill of nine seconds and increasing pain pain relieve after taking 4 milligrams of hydromorphone, a narcotic analgesic

Cap refill of 9 sec and increasing pain

Is the following statement true or false? Treatment in nursing interventions for a patient with scoliosis is determined by the degree of a curvature of spine true false

True

a nurse is caring for a patient with osteoporosis who is being discharged on al alendronate. Which statement would indicate effective teaching? I should take the medication before bedtime I should remain upright for 30 minutes after taking the medication The medication is more effective if I take it with milk if I skip a dose I can take 2 tablets next time

Upright for 30 min

a nurse is taking care of patients with the possible osteomyelitis. The RN knows that the definitive diagnosis for osteomyelitis is achieved through which of the following testing procedures? X-ray bone scan blood cultures bone biopsy and culture

bone biopsy/culture