Ortho Pt. 2

The nurse is assessing a new client with a musculoskeletal problem. What is the best question by the nurse to elicit more information related to the injury? "What is your age?" "What kind of work do you do?" "Do you have any chronic disorder or recent injury?" What is the duration and location of discomfort or pain?"

"Do you have any chronic disorder or recent injury?"

Which statement by the client preparing for a bone scan indicates further teaching by the nurse is needed? "I will need to limit my fluid intake so as not to interfere with the isotope." "The scan is done a couple of hours after the isotope is injected." "The radioisotope will be injected through my IV." "I will need to empty my bladder before I go for the scan."

"I will need to limit my fluid intake so as not to interfere with the isotope."

To prepare a client who has a fractured femur for ambulation, the nurse teaches the client how to do quadriceps setting exercises. Which instruction is the most accurate? "Contract and relax your buttocks." "Try to lift your legs up when I press against your feet." "Press the back of your knee against the bed." "Flex and extend your toes."

"Press the back of your knee against the bed."

The nurse is caring for the client with chronic osteomyelitis of the jaw with a draining wound. Which nursing diagnosis is appropriate for the client? Select all that apply. Acute pain Disturbed body image Imbalanced nutrition: less than body requirements Risk for injury Ineffective airway clearance

Acute pain Disturbed body image Imbalanced nutrition: less than body requirements

Which of the following is the first-line medication that would be used to treat and prevent osteoporosis? Bisphosphonates Calcitonin Selective estrogen receptor modulators Anabolic agents

Biphosphonates

The client is admitted to the hospital with a diagnosis of left femoral neck fracture. Which treatment modality would the nurse expect the health care provider to order? Buck's traction Casting External fixator Skeletal traction

Buck's traction

A nurse is providing an educational class to a group of older adults at a community senior center. In an effort to prevent osteoporosis, the nurse should encourage participants to ensure that they consume the recommended intake of what nutrients? Select all that apply. Vitamin B12 Potassium Calcitonin Calcium Vitamin D

Calcium Vitamin D

A nurse is caring for a client in skeletal leg traction. Which nursing assessment findings indicate the client has met expected outcomes? Select all that apply. Capillary refill less than 3 seconds Repositions self with trapeze Peripheral pulses +2 bilaterally Right calf warm and swollen Elbows are free of skin breakdown

Capillary refill less than 3 seconds Repositions self with trapeze Peripheral pulses 2+ bilaterally Elbows are free of skin breakdown

A nurse is caring for a client who has just had an arthroscopy as an outpatient and is getting ready to go home. The nurse should teach the client to monitor closely for what postprocedure complication? Fever Crepitus Fasciculations Synovial fluid leakage

Fever

Which term refers to muscle tension being unchanged with muscle shortening and joint motion? Isotonic contraction Isometric contraction Contracture Fasciculation

Isotonic Contraction

An unresponsive client had a plaster cast applied to the right lower leg 8 hours ago. When moving the client, the nurse notices an indentation on the posterior lower portion of the cast. What is the best action by the nurse? Document the findings. Notify the physician. Remove the cast immediately. Assess for pedal pulse and mobility of toes.

Notify the physician.

A patient is diagnosed with osteomyelitis of the right leg. What signs and symptoms does the nurse recognize that are associated with this diagnosis? (Select all that apply.) Pain Erythema Fever Leukopenia Purulent drainage

Pain Erythema Fever

Which statement reflects the progress of bone healing? All fracture healing takes place at the same rate no matter the type of bone fractured. Serial x-rays are used to monitor the progress of bone healing. The age of the client influences the rate of fracture healing. Adequate immobilization is essential until ultrasound shows evidence of bone formation with ossification.

Serial x-rays are used to monitor the progress of bone healing.

A client arrives in the emergency room complaining of severe pain in her left hip after falling out of the bed. What indication upon assessment does the nurse recognize as a dislocated left hip? Select all that apply. The left leg is shorter than the right. Limited range of motion of the left hip. The skin over the left hip is warm. The skin of the lower left leg is pale. The client is able to bend the knee but not move toes.

The left leg is shorter than the right. Limited range of motion of the left hip. The skin of the lower left leg is pale.

A continuous passive motion (CPM) machine is used to promote healing and flexibility in the knee and hip joint and increase circulation to the operative area. What is true about the use of CPM? Select all that apply. The physician orders the amount of extension and flexion produced by the machine. The physician orders the frequency of use of the machine. The amount of flexion for clients with hip replacements should never exceed 30 degrees in the CPM machine. The amount of flexion for clients with hip replacements should never exceed 60 degrees in the CPM machine.

The physician orders the amount of extension and flexion produced by the machine. The physician orders the frequency of use of the machine. The amount of flexion for clients with hip replacements should never exceed 30 degrees in the CPM machine.

The client has just been diagnosed with osteomyelitis. What are possible causes of osteomyelitis? Select all that apply. Trauma, such as penetrating wounds or compound fractures Vascular insufficiency in clients with diabetes or peripheral vascular disease Surgical contamination, such as pin sites of skeletal traction Progressive osteoporosis

Trauma, such as penetrating wounds or compound fractures Vascular insufficiency in clients with diabetes or peripheral vascular disease Surgical contamination, such as pin sites of skeletal traction

A client has had surgical repair of a hip injury after joint manipulation was unsuccessful. During postoperative recovery, what specific complication might develop in this client's case? compartment syndrome subluxation pyelonephritis All options are correct.

compartment syndrome

With fractures of the femoral neck, the leg is shortened, adducted, and externally rotated. shortened, abducted, and internally rotated. adducted and internally rotated. abducted and externally rotated.

shortened, adducted, and externally rotated.

A client reports swelling and severe pain in the right wrist. After examination and radiographs negate a fracture, what would the physician likely prescribe as treatment? splint brace cast All options are correct.

splint

A client who was injured while playing basketball reports an extremely painful elbow, which is very edematous. What type of injury has the client experienced? sprain strain contusion All options are correct.

sprain

A client has been admitted to the hospital with a spontaneous vertebral fracture related to osteoporosis. Which of the following nursing diagnoses must be addressed in the plan of care? Risk for Aspiration Related to Vertebral Fracture Constipation Related to Vertebral Fracture Impaired Swallowing Related to Vertebral Fracture Decreased Cardiac Output Related to Vertebral Fracture

Constipation Related to Vertebral Fracture