Musculoskeletal System Adaptive Quizzing

A nurse is teaching a client with a non-weight-bearing long leg cast. Which statement indicates the need for the nurse to reinforce discharge teaching?

"I am going to give myself a pedicure with red nail polish when I get home."

After teaching the client about the precautions to be taken during bisphosphonate therapy, the nurse is evaluating the statements of the client. Which statement made by the client indicates the need for further teaching?

"I should take the medication with a meal."

Which alternative therapy may be beneficial for the nurse to discuss with a client who has terminal bone cancer?

Biofeedback

A client's laboratory report shows altered serum calcium concentration. Which hormones are responsible for this condition? Select all that apply.

Calcitonin Parathyroid hormone

The nurse is assessing four clients with foot disorders. Which client is instructed to use bunion pads to relieve pressure on the bursal sac?

Client A

What should a nurse assess after applying a body jacket brace to a client with severe spine injuries following a car accident? Select all that apply.

Development of cast syndrome Abdomen for decreased bowel sounds Areas of pressure over the bony prominences

After a total knee replacement, a client is using a continuous passive motion device. The nurse concludes that teaching was effective when the client states that what is the goal of this therapy?

Improve joint flexion.

Which is a clinical manifestation of the Landouzy-Déjérine type of muscular dystrophy (MD)?

Loss of hearing

A client who had an open reduction and insertion of a prosthesis for a fracture of the femoral neck is stable after surgery and is returned to the orthopedic unit. What is most important for the nurse to do when positioning this client?

Prevent adduction and external rotation of the affected extremity.

The nurse provides self-care instructions to a client who is receiving external radiation therapy for metastasis to the bone. Which intended activity identified by the client demonstrates a need for further teaching?

Rubbing on talcum powder after washing the area with water

Where are the central thermoreceptors located in the human body? Select all that apply.

Spinal cord Hypothalamus Abdominal organs

The nurse teaches isometric exercises to a client with a long leg cast. Which client statement about when the exercises should be performed best indicates a positive response to the nurse's teaching?

Ten times each waking hour

What should a nurse explains to a client is the best way to achieve stimulation of calcium deposition in the bone after a distal femoral fracture?

Weight-bearing activity

Which findings indicate chronic osteomyelitis? Select all that apply.

Elevated white blood count Presence of avascular scar tissue Elevated erythrocyte sedimentation rate

After reviewing the laboratory reports of a client with a severe joint injury, the nurse suspects fat embolism syndrome (FES). Which findings support the nurse's suspicion? Select all that apply.

Fat cells in the urine PaO 2 value of 58 mm Hg (7.73 kPa) Hematocrit value of 30% (0.30)

The nurse is caring for a client 1 week after a client had an above-the-knee amputation. To control edema of the residual limb, the nurse should plan to take which action?

Rewrap the elastic bandage as necessary.

Which diagnostic study is used to determine a client's bone density?

Standard X-ray

A nurse is caring for a client who had an open reduction internal fixation of a fractured hip. Which nursing assessment of the affected leg is most important after this surgery?

Toes for mobility

A client has recently developed osteomyelitis. The client's laboratory reports show strains of Escherichia coli. What might be a possible reason for this condition?

Urinary tract infections

A client has a total hip arthroplasty. What should the nurse do when caring for this client after surgery?

Use a pillow to keep the legs abducted.

A nurse cares for a client suspected of having atrial fibrillation. After reviewing the client's medical history, the nurse suspects that the medication may have been administered at a fast rate. Which medication might have caused this condition?

Zoledronic acid

The registered nurse is evaluating the actions of a nursing student who is providing care to a client with compartment syndrome. Which action of the nursing student does the registered nurse think needs correction? Select all that apply.

Applying cold compresses Elevating the extremity above heart level

A client has rotator cuff surgery. What should be included when the nurse performs a neurovascular assessment of the affected extremity immediately after surgery? Select all that apply.

Skin color Movement of the hand Sensations in the extremity

A male client's laboratory report shows creatine kinase as 175 units/L. Which conditions would the nurse suspect in the client? Select all that apply.

Muscle trauma Progressive muscular dystrophy

What is the role of unlicensed assistive personnel (UAP) in caring for a client with a cast or in traction? Select all that apply.

Applying ice to the cast Positioning the casted extremity above heart level

A client is in skin traction while awaiting surgery for repair of a fractured femur. The client reports leg discomfort and asks the nurse to release the traction. Which is the nurse's best initial response?

"I can't, because the weights are needed to keep the bone aligned."