NCLEX Qu's-Muscoskeletal

The nurse is caring for a client being treated for fat embolus after multiple fractures. Which data would the nurse evaluate as the most favorable indication of resolution of the fat embolus? 1. Clear mentation 2. Minimal dyspnea 3. Oxygen saturation of 85% 4. Arterial oxygen level of 78 mm Hg

1. Clear mentation

The nurse is receiving a client from the postanesthesia care unit following left above-knee amputation. Which is the priority nursing action at this time? 1. Elevate the foot of the bed. 2.Position the residual limb flat on the bed. 3.Put the bed in a reverse Trendelenburg's position. 4.Keep the residual limb flat, with the client lying on his or her operative side.

1. Elevate the foot of the bed.

The nurse is collecting data related to a client's risk factors associated with osteoporosis. Which data should the nurse include? Select all that apply. 1. Thin body build 2. Smoking history 3. Postmenopausal age 4. Chronic corticosteroid use 5 .High intake of dairy products 6. Family history of osteoporosis

1. Thin body build 2. Smoking history 3. Postmenopausal age 4. Chronic corticosteroid use 6. Family history of osteoporosis

A client who has experienced a stroke has partial hemiplegia of the left leg. The nurse interprets that the client could benefit from the support and stability provided by which item? 1.Quad cane 2.Wheelchair 3.Lofstrand crutch 4.Aluminum crutch

1.Quad cane

The home care nurse is visiting a client who is in a body cast. While performing an assessment, the nurse plans to evaluate the psychosocial adjustment of the client to the cast. What is the most appropriate assessment for this client? 1.The need for sensory stimulation 2.The amount of home care support available 3.The ability to perform activities of daily living 4.The type of transportation available for follow-up care

1.The need for sensory stimulation

The nurse is planning to teach a client how to stand on crutches. The nurse will incorporate into written instructions that the client should be told to place the crutches in what manner? 1. 3 inches (8 cm) to the front and side of the toes 2. 6 inches (15 cm) to the front and side of the toes 3. 15 inches (38 cm) to the front and side of the toes 4.20 inches (51 cm) to the front and side of the toes

2. 6 inches (15 cm) to the front and side of the toes

A client with a fractured femur experiences sudden dyspnea, tachypnea, and tachycardia. A set of arterial blood gas tests reveals the following: pH, 7.35 (7.35); Paco2, 43 mm Hg (43 mm Hg); Pao2, 58 mm Hg (58 mm Hg); HCO3, 23 mEq/L (23 mmol/L). The nurse interprets that the client probably has experienced fat embolus because of the result of which parameter? 1.pH 2.Pao2 3.HCO3 4.Paco2

2.Pao2

A client is admitted to the emergency department with an open fracture of the right tibia. What intervention is most appropriate for this client? 1.Remove the client's shoes. 2.Place the client in a semi-Fowler's position. 3.Check the neurovascular status of the area distal to the extremity. 4.Apply a tourniquet above the area of bleeding and loosen it every 15 minutes.

3.Check the neurovascular status of the area distal to the extremity.

The nurse is caring for a client in skeletal leg traction with an overbed frame. Which nursing intervention will best assist the client with self-positioning in bed? 1.Use the assistance of four nurses to reposition the client. 2.Place a draw sheet on the mattress for pulling the client up in bed. 3.Place a trapeze on the bed frame to provide a means for the client to lift the hips off the bed. 4.Encourage the client to push with the unaffected leg on the bed mattress to help with repositioning.

3.Place a trapeze on the bed frame to provide a means for the client to lift the hips off the bed.

The nurse is planning discharge teaching for a client admitted with a fracture of the leg that does not extend all the way through the bone. The nurse should include information about which types of fractures? 1.Open 2.Displaced 3.Complete 4.Incomplete

4.Incomplete

A client with diabetes mellitus has had a right below-knee amputation. Given the client's history of diabetes mellitus, which complication is the client at most risk for after surgery? 1.Hemorrhage 2.Edema of the residual limb 3.Slight redness of the incision 4.Separation of the wound edges

4.Separation of the wound edges

The nurse is creating a plan of care for a client scheduled for a left total hip arthroplasty. Which interventions should the nurse include in the plan to prevent complications of the surgery? Select all that apply. 1.Keep the leg slightly abducted. 2.Teach leg exercises to the client. 3.Use aseptic technique for wound care. 4.Prevent hip flexion beyond 90 degrees. 5.Keep the client's knees flexed whenever the client is in bed. 6.Massage the legs daily to increase circulation and venous return

1.Keep the leg slightly abducted. 2.Teach leg exercises to the client. 3.Use aseptic technique for wound care. 4.Prevent hip flexion beyond 90 degrees.