Musculoskeletal Disorder
A female patient diagnosed with osteoarthritis has numerous questions for the nurse about the disorder. In answering her questions, what does the nurse relay regarding osteoarthritis?
Almost considered to be an inevitable consequence of aging
A nurses caring for a client who had a below the knee amputation for gangrene of the foot. The client knows that the food has been amputated, the report to the nurse severe pain in the toes of the injured foot. The nurse should recognize this as
An actual pain sensation
The client is three days post aperitive following a right total hip and throw plasty. The client cries out in pain when transferred to a chair. Which of the following nursing observation should lead to the suspicion of a dislocated hip prosthesis
Shortening of the right leg
What is an example of a flat bone?
Skull and sternum
A client with an ankle sprain is being this charge from the emergency department. To promote tissue healing and relieve discomfort, the nurse should reinforce to the client to
Apply cold compresses to the affected area
371. The nurse is reinforcing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by a parent indicates the need for further teaching?
2. " I will apply lotion under the brace to prevent skin breakdown"
A nurse is caring for a client who has had a cast in place for six weeks due to the factor of the Ola. When the cast comes off, the client was visibly upset to see that the fracture extremity if your search smaller than on the fact that arm. The nurse should explain that this is due to
Atrophy
A nurses caring for a client who's postoperative orders include administering ketorolac (toradol) which the nurse has never heard of. The medication reference book cannot be found on the nursing unit. Which of the following actions should the nurse take?
Call the pharmacist
Following shoulder surgery, if client is instructed to keep the arm adducted at all times. The nurse explained to the client that this means he must keep the arm
Close to the body
A patient is undergoing a diagnostic procedure in which needle electrodes are inserted into skeletal muscles to record electrical activity. What is this test called?
Electromyogram (EMG)
A night shift nurse is assigned to care for a client who is 12 hour post up there at the following a total knee arthroplasty he. The nurse finds the clients leg in a continuous passive motion machine, a train attached to an active back in later unit is in place, and the client has a PCA device. The client reports to the nurse, I am in so much pain the nurse first action at this time is to
Finish collecting data from the client including the clients pain level
Which of the following are risk factors for osteoporosis? (Select all that apply.)
High intake of caffeine Steroid use Postmenopausal female White or Asian woman Anticonvulsant therapy for seizure disorder
You are caring for a recently admitted patient who has suffered a pelvic fracture. Which of the following is the most serious physical assessment finding for the nurse to report?
Hypotension, tachycardia, and hematuria
A nurse is reinforcing teaching with a client who is scheduled to have an arthroscopy of the knee. Which of the following client stating that should indicate to the nurse a need for further teaching?
I hope they incision heals quickly with those staples in please
And assistive personnel at an extended care facility ask a nurse the difference between the rheumatoid arthritis and osteoarthritis. The nurse response, osteoarthritis is
Localized
What is fibromyalgia syndrome?
Musculoskeletal chronic pain syndrome of unknown etiology
A patient with rheumatoid arthritis asks the nurse about her condition. On what knowledge does the nurse base patient teaching?
Rheumatoid arthritis is thought to be an autoimmune disorder.
Client involved in a motor vehicle crash sustain maxillofacial trauma from strike in the windshield. The client receives inter-maxillary fixation with interdental wiring. Postoperative the client vomit clear liquids. Which of the following actions is appropriate for the nurse to take?
Suction the emesis from the clients mouth using a tonsils tip suction
5. A nurse is collecting data from an older adult client as part of a neurosensory examination. Which of the following findings should the nurse expect as changes associated with aging? (Select all that apply)
b) Some vision and hearing decline c) Slower fine finger movement d) Some short-term memory decline
4. A nurse is reviewing information with a client scheduled for a dual x-ray absorptiometry (DXA) scan. Which of the following should the nurse include? (Select all that apply)
b) The hip and spine are the usual areas to be scanned d) Bone pain can indicate a need for a scan e) At the age of 40 years, a baseline scan is recommended
1. A nurse in a provider's office is preparing to assess a young adult male client's musculoskeletal system as part of a comprehensive physical examination. Which of the following findings should the nurse expect? (Select all that apply.)
c) A concave lumbar spine posteriorly e) Muscles slightly larger on his dominant side
3. A nurse is assessing a client who reports pain when the nurse evaluates the internal rotation of her right shoulder. Which of the following activities is this problem likely to affect?
c) Fastening her bra behind her back
374. the nurse is preparing to perform a neurovascular check for tissue perfusion in the child with an arm cast Which is the priority when performing this?
checking the peripheral pulse in the affected arm
3. A nurse is reinforcing teaching with a client who is scheduled for a bone scan. Which of the following statements by the nurse is appropriate?
d) " A radioactive substance will be injected before the procedure"
2. A nurse is evaluating a client's neurosensory system. To evaluate stereognosis, she should ask the client to close his eyes and identify which of the following items?
d) A familiar object she places in his hand
ankylosis
fixation of a joint
379. The nurse is a sign to care for a child who is skeletal traction. The nurse needs to avoid which action when caring for the child
placing the bed linens on the tration ropes
372. The mother of child with juvinile idiopathic arthritis calls the nurse because the child is experiencing a painful exacerbation of the disease. The mother asks the nurse is the child should perform range-of-motion (ROM) exercises at this time. The nurse should make which response to the mother?
3. " Have the child perform simple isometric exercises during this time"
A client sustains an open fracture of the left femur. And intramedullary game is inserted, and the client is placed in the skeletal traction. The nurse finds the client has slipped towards the foot of the bed and the tractor wait is resting on the floor. The first action the nurse should take is to
Check the temperature of the toes in the left foot
A nurse in rehabilitation facilities caring for a client with multiple fractures in both the lower extremities following a motor vehicle crash. The nurse realizes that the factor which is most critical for the client success for rehabilitation is the
Client must be an active participant in the program
A client is discharge after having an open reduction and internal fixation of a fracture TV with applications of a plaster cast. The nurse is reinforcing teaching with the client about how to elevate for early science of decreased circulation related to post surgical Adema. The nurse determines that the teaching was understood when the client identifies a manifestation of decreased circulation us
Coldness of the toes
A client with the radial fracture reports itching under the cast area. The appropriate nursing action to relieve each and is to
Use a hair dryer on a cool setting to blow air into the cast
A patient with a chronic musculoskeletal disorder and is asking the nurse about alternative therapies for her condition. On what knowledge does the nurse base the response?
Glucosamine supplements have been linked with reduced articular pain, lessened joint tenderness, and less restricted joint movement in persons with arthritis.
377. The nurse provides information to the mother of a two week old infant who was diagnosed with club foot at the time of birth. Which statement by the mother indicated the need for further teaching regarding the disorder?
I need to bring my child back to the clinic in the one month for a new cast
378. The nurse is assigned to care for a child after apinal fusion for the treatment of scoliosis that child complaints of abdominal discomfort and begins to have episodes of vomiting on data collection the nurse notes abdominal distention. Which action should the nurse take?
Notify the register nurse RN
A client has been admitted to the orthopedic floor to have a right total knee arthroplasty perform. Which of the following Statements demonstrates to the nurse that the client understands the preoperative teaching?
Where elastic stockings on both legs until I am discharge
What will the nurse include in postoperative nursing care for a patient who has undergone a hip fracture repair?
Wound assessment with special attention paid to color, amount, and odor of exudate; frequent monitoring of vital signs; suture line assessment; and accurate intake and output recording
2. A nurse is contributing to the plan of care for a client who is postoperative following an arthroscopy of the knee. Which of the following should the nurse include in the plan of care? (Select all that apply)
a) Inspect color and temperature of the extremity c) Elevate the extremity d) Administer opioid medication e) Check pulses and sensation in the foot
5. A nurse is assisting with care of a client who is to have an electromyography (EMG). Which of the following should the nurse expect to be included in the plan of care? (Select all that apply)
a) Inspect the client's skin for bruising b) Apply ice to incision sites c) Determine whether the client takes a muscle relaxant d) Instruct the client to flex muscles while the needle is inserted
4. A nurse is performing a neurosensory examination for a client. Which of the following tests should the nurse perform to test the client's balance? (Select all that apply)
a) Romberg test b) Heel-to-toe walk
1. A nurse is reviewing preoperative teaching with a client who is to undergo an arthroscopy to repair injury to a shoulder. Which of the following statements by the nurse are appropriate? (Select all that apply)
b) "Inspect your incision daily for signs of infection" e) "Perform isometric exercise as directed"
380. The nurse is performing a neurovascular check on the hospitalized child who had a cast applied to the lower leg the child complains of tingling on the distal toe the fracture site. Which action should the nurse take?
Notify the registered nurse
During report, and nurses told that a client who was recently casted for a radial fracture is showing signs of compartment syndrome. Which of the following should the nurse expect to find?
Numbness and tingling in the fingers distal to the cast
Klein is in the bed rest following up Pelco fracture one he suddenly becomes this Nikia and reports feeling short of breath. The nurse checks the client and find the tachycardia, hypertension hypertension, and tachypnea are OK.. The clients oxygen saturation level is dropping rapidly. The nurse should identify that the client
Pulmonary embolus
376. The nurse is assisting a healthcare provider H CP Durand examination of an event with hip dysplasia and. The H CP he performs ortolami maneuver which best describes the reason for performing the ortolani maneuver
Reduce in the dislocated femoral head back into the acetabulum
On a health history form. It can I am being admitted to it I'll patient surgery center for a knee arthroscopy indicates taking celecobxib(Celebrex) daily. Based on the medication, the nurse should suspect that the client has a history of
Rheumatoid arthritis
A nurses caring for a client who sustained a traumatic injury to the leg in a farming accident resulting in amputation, following and above the knee amputation, which of the following is the highest priority and the clients immediate postoperative care?
Risk of hemorrhage
In nurse knows a client medication administration record that the client is to receive alendronate sodium foxamax the nurse should know that the proper observation of the medication the client must
Set up for 30 minutes after administration
373. A 4-year old child sustains a fall at home and is brought to the emergency department by the mother After an xray it is determent that the child has a fracture arm and a plaster cast is applied. The nurse reinforces instructions to the mother regarding cast care for the child. Which statement by the mother indicates further teaching?
Ican use lotion or powder around the edge to relive itching
After which of the following diagnostic studies is it important that the patient lie quietly in a semi-Fowler position for approximately 8 hours (12 hours if oil-based dye is used)?
Myelogram
375. The nurse, reinforces homecare instructions, prepares a list for the parents of a child who has plaster cast apply on the left forearm. Which instruction should be included in the list select all that apply.
Keep small toys and sharp objects away from the cast contact the healthcare provider HCP if the child complains of numbness or tingling in the extremity elevate the extremity of pillows for the first 24-48 hrs after casting to prevent sweelling
