ATI Muscoloskeletal Practice Questions (Updated)

Nurse is teaching a client with osteoarthritis. Which of the following should be included in the teaching? Apply a heat pack at a temperature below your body temp elevate the affected joint on large pillows take acetaminophen as the primary medication to treat the pain decrease foods high in purines

"Take acetaminophen as the primary medication to treat the pain." The nurse should instruct the client to take acetaminophen to treat osteoarthritis.

Nurse providing teaching for a client preparing for a below the knee amp. Which statement is true regarding postop placement of a prosthesis? You will do special exercises in advance of getting your prosthesis you will be fitted for your prosthesis at the time of surgery a special pressure dressing will remain on to cushion your prosthesis the prosthesis will be adjustable depending on what shoe you are wearing

"You will do special exercises in advance of getting your prosthesis." The physical therapist will teach muscle strengthening exercises to prepare the client for prosthesis use.

1 lb =

16oz

1kg =

2.2 lbs

Nurse performing integumentary assessment of a client. Which finding should the nurse identify as possible squamous cell carcinoma? Painless, raised purple nodules on the hard palate a firm nodule with a hard crust a small macule with a yellow brown scale yellow white patches of growth on the tongue

A firm nodule with a hard crust Squamous cell carcinoma appears as a firm nodule, which can either have a crust or a depressed area in the center. The margins are indurated, and the lesion is fixed to the deeper tissue of the area.

Nurse in ER is preparing to discharge a client following a Grade2 (moderate) ankle sprain. Which instruction should nurse give to client? Perform passive range of motion exercises of the ankle hourly. Keep affected extremity in a dependent position Wrap loose dressing around affected ankle Apply cold compress to the extremity intermittently

Apply cold compress to the extremity intermittently Cold minimizes swelling and erythema to affected area. The nurse should instruct client to apply cold compresses for no more than 20min at a time.

Nurse is completing discharge teaching to a client following arthroscopic knee surgery. Which of the following should the nurse include in the teaching? Remain on bedrest for the first 24 hr keep the leg in a dependent position apply ice to the affected area begin active range of motion

Apply ice to the affected area. Arthroscopy is a surgical procedure used to visualize, diagnose and treat problems inside a joint. Applying ice to the affected area in the immediate postoperative period (first 24 hr) reduces pain and swelling.

Pt with ORIF of left should complains of severe pain post pain med. What action does the nurse take? Assess for redness Check the BP Elevate the effected limb Call the MD

Call the MD

Nurse assessing client with a cast for a fractured tibia. Which of the following should the nurse do first? Check capillary refill discuss cast care manage pain perform range of motion exercises

Checking capillary refill The priority action the nurse should take when using the airway, breathing, and circulation (ABC) approach to client care is to check the client's capillary refill. Musculoskeletal injuries can cause changes in the neurovascular system, usually distal to the injury. Capillary refill provides data about the client's circulation.

Patient is 48 hours postop. The patient's surgical incision is suspected of becoming gangrenous. Which of the following findings might the nurse suspect to find in a grangrenous patient? SATA Crepitus Foul odor emitting from wound Pallor Increased pain at surgical site

Crepitus: gangrene is caused by an infection of the skeletal muscle by Clostridium perfringens. The infection produces exotoxins and gas in the tissue. These gas bubbles sound like crackling bubble wrap underneath the skin Foul odor emitting from wound Increased pain at surgical site

Nurse is providing discharge instructions for a client who is postop following inner maxillary fixation with wiring. Which of the following information should the nurse include? Cut the wiring if emesis occurs. Consume three meals daily as part of a low protein diet. Swab the mouth with hydrogen peroxide if wiring produces oral irritation. Resume a soft diet in 3 to 5 days.

Cut the wiring if emesis occurs. Inner maxillary fixation involves wiring of the teeth to support the fractured jaw by holding the jawbones together. The wires are left in place until the fracture is healed. To preserve the client's airway, the nurse should instruct the client to have wire cutters available to immediately cut wiring if emesis occurs. The client should return to the provider as soon as possible for re-wiring.

Nurse is teaching a client who has a prosthetic limb for a right below the knee amputation. which instruction should be included? Keep the prosthesis in direct contact with the residual limb apply moisturizing lotion or oil to the stump daily dry the prosthesis socket completely before applying it to the limb expect some skin irritation from the prosthesis

Dry the prosthesis socket completely before applying it to the limb. The client should dry the prosthesis socket thoroughly with a clean cloth. Moisture between the socket and the stump can put the client at risk for fungal or bacterial infection and skin breakdown.

client has had a for moral head fracture and is in skin traction. Client reports SOB and dyspnea. The nurse should suspect that the client has developed which complication? Pneumonia fat embolism pneumothorax airway obstruction

Fat embolism The nurse should suspect that client has fat embolism syndrome. This complication develops within 12 to 48 hr of a fracture and can cause dyspnea, respiratory distress, alterations in mental status, tachycardia, and other manifestations. Older adults who have hip fractures are at greater risk.

Nurse is caring for a client in skeletal traction following a femur fracture. Nurse finds the client slid down toward the foot of the bed and traction weight resting on the floor. Which of the following actions should the nurse take? Remove the weight temporarily to reposition the client to the correct alignment in bed. Have the client use a trapeze to pull himself up while ensuring the weight hangs freely. Lift the rope off the pulley while the client rocked back and forth to reposition. Lift the weight manually while another staff member moves the client up in bed.

Have the client use a trapeze to pull himself up while ensuring the weight hangs freely. The nurse should ensure that traction weight is hanging freely. The client can use an overhead trapeze bar to move up in bed where the nurse can assist the client app making sure to maintain proper alignment of the extremity.

Nurse is reviewing the medical record of a female client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? Decreased intake of phosphate containing foods. Spending several hours in the sun daily. Increased estrogen levels. History of anorexia nervosa.

History of anorexia nervosa. The nurse should identify anorexia nervosa as a risk factor for osteoporosis. Inadequate protein intake can lead to a decreased bone density, increasing the risk for fractures.

Client has osteoporosis. Which spinal deformity should the nurse expect to find in the client? Lordosis ankylosis kyphosis scoliosis

Kyphosis Kyphosis, a forward "stooping" posture with a loss of height, is an angulation of the posterior curve of the thoracic spine, usually a result of osteoporosis. It is most common in older adults and increases with aging and vertebral fractures.

A dark skinned pt is admitted to the hospital w/ CHF. How would you assess this patient w/ cyanosis. Lips and oral mucosa Examine the color of the earlobes Examine capillary time of nail beds Apply pressure to the palms of the hands

Lips and oral mucosa

Nurse is assisting client during ambulation with a client begins to fall. Which action should the nurse take? Provide support by holding the clients arms lean the client toward the wall lower the client to the floor assume a narrow base of support

Lower the client to the floor. This is an appropriate action. The nurse should gently lower the client to the floor.

IV Therapy: Drop factors of 10, 15, and 20 per min are considered _____________________ drop factors

Macro

IV Therapy: A drop factor of 60/min is considered a _________________ drop factor.

Micro

Nurse assessing client with hip fracture. Which finding should be expected? Leg lengthening hip pallor muscle spasms leg abduction

Muscle spasms The nurse should expect muscle spasms with a hip fracture.

Nurse is discussing difference between rheumatoid arthritis and osteoarthritis with new licensed nurse. Which of the following info should nurse include about osteoarthritis? Osteoarthritis is caused by auto immune processes. Osteoarthritis leads to decreased erythrocyte sedimentation rate. Osteoarthritis affects other organ systems. Osteoarthritis can impair a joint on a single side of the body.

Osteoarthritis can impair a joint on a single side of the body. The nurse should identify unilateral joint involvment as a finding of osteoarthritis. A client who has RA experiences symmetrical joint impairment.

Client has a leg cast for the treatment of a fracture. If the cast is too tight, which findings should the nurse expect to observe first? Change in temp of the toes pallor of the toes edema of the toes inability to move toes

Pallor of the toes. If a cast is too tight it will increase pressure on the blood vessels, impairing circulation. When this occurs, pallor of the toes is the initial finding. The nurse should immediately report this finding to the provider.

Nurse planning care for a pt who had hip replacement surgery, which nursing action can the nurse delegate to a CNA? Assess the skin on pt back for redness Teach the pt quad strengthening excercises Reposition the pt every 1-2 hrs Determine the pt pain level and tolerance

Reposition the pt every 1-2 hrs

Under what scenario may a nurse remove the weights of a patient in skeletal traction? The client complains of pain the client develops a life-threatening situation the client needs to have an x-ray of the femur performed the client asked to be repositioned in bed

The client develops a life-threatening situation. Traction weights, which are to hang freely at all times, are never to be removed without a specific provider prescription unless there is a life-threatening situation.

Nurse is caring for a client with a fractured hip and will require rehabilitative care. The clients family asked the nurse information about rehabilitative care. Which explanation should the nurse provide? This service began with the clients admission to the hospital this service focuses on teaching the primary caregiver to meet the client needs the emphasis is on the clients complete recovery from the illness or injury services are centered in long-term care facilities

This service began with the client's admission to the hospital. Rehabilitation is a process that assists an ill person or a person with a disability or impairment to achieve the highest possible level of functioning. The process of rehabilitation begins with the client's admission to a health care facility for treatment.

Client is postop following a below the knee amp and will soon undergo fitting for a leg prosthesis. Which of the following is an appropriate nursing intervention at this time? Wrap the residual limb with an elastic bandage in a figure-eight configuration remove the elastic bandage and wrap the residual limb once a day wrap the residual limb with an elastic bandage in a proximal to distal direction secure the elastic bandage to the lowest joint

Wrap the residual limb with an elastic bandage in a figure-eight configuration. The figure-eight style of wrapping helps prevent blood-flow restriction and also helps shape and shrink the limb to prepare it for the prosthesis.

A patient with an ORIF of the left shoulder complains of severe pain at the surgical site even after the nurse administer pain medication. What action should the nurse take next? Assess the surgical site check the patient's blood pressure administer another dose of pain medication call the HCP

call the HCP

A patient is admitted with a left femur fracture. What is the priority finding to report to the HCP? Outward toe position severe bruising in the thigh 9/10 pain rating capillary refill longer than five seconds

capillary refill longer than five seconds

Patient is admitted to the ED with a possible left lower leg fracture. What is the nurses priority action? Elevate the affected limb check the popliteal, dorsalis pedis, and posterior tibial pulses administer analgesic pain medication put pt on 2L of Oxygen via nasal cannula

check the popliteal, dorsalis pedis, and posterior tibial pulses

Nurse is caring for a patient with a DVT in the lower leg. What should the nurse do first? Apply a cold compress administer clot buster medication elevate the affected limb gently massage the affected limb

elevate the affected limb

He dark skinned patient is admitted with CHF. How would the nurse assess this patient for cyanosis? Examine the color of the earlobes examine the lips and oral mucosa examine the capillary time of the nail beds apply pressure to the palms of the hands

examine the lips and oral mucosa

A patient recently had orthostatic surgery. What kind of drainage emitting from the surgical site would the nurse want to report to the HCP? purulent drainage serosanguinous drainage sanguineous drainage Serous drainage

purulent drainage purulent drainage is a sign of infection. The nurse should report this finding to the HCP

The nurse is planning care for a patient who had a recent hip replacement surgery. Which of the following actions can the nurse delegate to the CNA? Teach the patient about quad strengthening exercises determine a patient's pain level and tolerance reposition the patient every 1 to 2 hr assess the skin on the patient's back for redness

reposition the patient every 1 to 2 hr

Nurse is teaching a client with a history of falls about home safety. Which statement by the client indicates understanding? I will keep my walker at the end of my bed I will keep the fluorescent ceiling light on in my room at night I will place an area rug at the entry of my bathroom I will place a bath seat in my shower to use when I bathe

"I will place a bath seat in my shower to use when I bathe." A bath seat can help reducing slipping and falling in the bathtub or shower.

Nurse caring for a client following right total hip arthroplasty. Postoperatively the nurse should maintain the right leg in which of the following positions? Adduction external rotation internal rotation abduction

Abduction. When caring for a client following a total hip arthroplasty, the nurse should abduct the affected extremity to prevent dislocation, positioning the legs away from the midline.

The nurse is reviewing the medical record of a client who has a prescription for probenecid to treat gout. The nurse should identify that which of the following medication can interact with probenecid? Colchicine. Naproxen. Aspirin. Prednisone.

Aspirin Aspirin can decrease the effectiveness of probenecid. The nurse should caution the client to avoid interaction between probenecid and salicylate medications.

First teaching client with intracapsular fracture of the right hip following a fall about the purpose of Bucks extension traction. Which of the following information should be included? Bucks extension traction will reduce the fracture bucks extension traction will relieve muscle spasms bucks extension traction will maintain alignment of the pins bucks extension traction will allow supported movement of the extremity

Buck's extension traction will relieve muscle spasms. Buck's extension traction immobilizes the fractured bone to relieve associated muscle spasms and thereby relieve pain. Any movement of the fractured extremity will aggravate severe muscle spasm and trigger pain.

Nurse caring for a client who has a fractured tibia. Client x-ray shows bone is splintered into several pieces around the shaft. Nurse should identify client has which of the following types of fractures? Impacted transverse comminuted oblique

Comminuted With a comminuted fracture, the impact fragments the bone into several pieces.

What are the six P's of compartment syndrome?

Paresthesia: numbness and tingling Pain: distal to injury, not relieved by pain meds Pressure: increases in compartment Pallor: coolness, paleness Paralysis: loss of function Pulselessness: diminished/absent peripheral pulses

What characteristic of fluid noted during an orthostatic surgery is most concerning? Straw color purulent color sanguinous color clear color

Purulent color

Client has a fractured right femur and is in a balance suspension traction. The client is reporting pain from muscle spasms, which of the following actions should the nurse take first? Administer an opioid analgesic obtain a prescription to adjust the weight amount offer a muscle relaxant realign the clients position

Realign the client's position. The greatest risk to this client is injury form circulatory compromise and tissue damage; therefore, the first action the nurse should take is to realign the client's position.

Nurse is assessing a clients one dressing and observes a watery red drainage. The nurse should document this drainage as which of the following? serous purulent sanguineous serosanguineous

Serosanguineous Watery red drainage should be documented as serosanguineous.

Nurse is caring for a client who had a fiberglass cast placed on her left arm several hours ago and now reports itching under the cast. Which of the following actions should the nurse plan to take? Use a hairdryer on a cool setting to blow air into the cast. Ask the provider to bivalve the cast. Provide the client with a sterile cotton swab to rub the affected skin. Wrap the extremity with a dry heated pad.

Use a hairdryer on a cool setting to blow air into the cast. The nurse should provide relief for the report of itching by blowing cool air into the cast using a hair dryer on a cool setting or an empty 60-mL plunger syringe.

Nurse is discussing difference between skeletal and skin traction with new nurse. Which statement by newly licensed nurse indicates understanding? Skeletal traction has less risk for infection than skin traction clients with skin traction have more mobility than those with skeletal traction skeletal traction is more appropriate than skin traction for reducing fractures clients with skin traction have more discomfort than those with skeletal traction

"Skeletal traction is more appropriate than skin traction for reducing a fracture." Skeletal traction allows for reduction and alignment of a fracture. Skin traction decreases muscle spasms commonly associated with a fracture.

Nurse in a clinic is talking with a client with a new diagnosis of osteoarthritis. Nurse should anticipate the client will require teaching on which of the following medication? acetaminophen celecoxib cyclobenzaprine ibuprofen

Acetaminophen According to the American Pain Society, acetaminophen is the primary drug of choice for treating osteoarthritis. The provider would likely begin with this medication.

Nurse notes increasing edema in calf of client with multiple fractures of the leg. Nurse should recognize increasing edema has a manifestation of which complication? Fat embolism syndrome acute compartment syndrome pulmonary embolism malignant hypothermia

Acute compartment syndrome Increasing edema is a manifestation of acute compartment syndrome, which is a complication that occurs when excessive pressure reduces circulation.

Client has acute osteomyelitis. Which intervention is the nurses priority? Provide client with antipyretic therapy administer antibiotics to client increase the clients protein intake teach relaxation/breathing to reduce the clients pain

Administer antibiotics to the client. The greatest risk to this client is bacteremia caused by the infection which can lead to septic shock; therefore, the priority intervention is antibiotic therapy. The client might require multiple antibiotics for an extended time.

Nurse is caring for a client who is post up following a total knee arthroplasty and is prescribed a continuous passive motion (CPM) machine and PCA. The client tells the nurse "I am in so much pain." Which of the following actions should the nurse take first? Remind the client to push the button for the PCA device. Discuss activities the client may use to distract from the pain. Ask the client to describe the characteristics of the pain. Pause the CPM machine briefly to apply a cold pack to the clients knee.

Ask the client to describe the characteristics of the pain. Answering this item requires application of the nursing process priority-setting framework. The nurse can use the nursing process to plan client care and prioritize nursing actions. Each step of the nursing process builds on the previous step, beginning with assessment or data collection. Before the nurse can formulate a plan of action, implement a nursing intervention, or notify a provider of a change in the client's status, she must first collect adequate data from the client. Assessing or collecting additional data will provide the nurse with knowledge to make an appropriate decision. Therefore, the first action the nurse should take is to acquire further data by asking the client to describe the characteristics of the pain.

Admitted a pt w/ a left femur fracture. What is the most important assessment finding to report to the health care provider? Bruising of the thigh Complains of pain Cap refill longer than 5 sec Outward toe position

Cap refill longer than 5 sec

Nurse is performing medication reconciliation for a newly admitted client who has rheumatoid arthritis. Which of the following meds should the nurse identify as the treatment for this condition? Misoprostol Dantrolene. Celecoxib. Colchicine.

Celecoxib Celecoxib is a type of NSAID, called cyclooxygenase-2 (COX-2) inhibitors, used to relieve some of the manifestations caused by RA in adults. The nurse should identify that the medication is also prescribed for osteoarthritis, spondylitis, and painful menstruation.

A pt is admitted to the ED w/ possible left lower leg fracture. What is the initial action? Elevate the left leg Splint the lower leg Check the popliteal, dorsalis pedis, and posterior tibial pulses. Ask about the last Tetanus shot

Check the popliteal, dorsalis pedis, and posterior tibial pulses.

The HCP diagnosis impetigo in a pt w/ crusty vescopustular lesions on the face. Which instructions should be included? Clean the infected areas w/ soap and water Use petroleum jelly (Vaseline) to soften crusty areas Apply alcohol to the lesions Do not use A/B ointment to soften crusty areas

Clean the infected areas w/ soap and water

The healthcare provider diagnosis impetigo in a patient with crusty vesicopustular lesions on the face. Which instructions should be included? Cleanse the affected area with soap and water use petroleum jelly Vaseline to soften crusty areas apply alcohol to the lesions Run warm water over the affected area for 20min

Cleanse the affected area with soap and water

Nurse is assessing a client with rotator cuff injury. Which finding should the nurse expect? Alteration in the contour of the joint difficulty with abduction of the arm at the shoulder negative drop arm test positive Tinel's sign

Difficulty with abduction of the arm at the shoulder A client who has a rotator cuff injury has shoulder pain and difficulty with abduction of the arm at the shoulder.

Nurse in ED is assessing a client in a motor vehicle crash 2d ago and sustained fractures to his tibia, ulna, and several ribs. The client is now disoriented to time and place, O2 sat of 87%, and the nurse notes generalized petechiae on the client skin. Which of the following complications should nurse suspect? Hypovolemic shock. Fat embolism syndrome. Thrombophlebitis. Avascular bone necrosis.

Fat embolism syndrome. Nurse should identify the triad of neurologic changes, petechial rash, and hypoxemia as findings of fat embolism syndrome. Risk factors include multiple fractures and fracture of a long bone. Male clients are also at greater risk. The manifestations occur when fat globules include small blood vessels.

Nurse is caring for a client who is post op following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions should the nurse provide to the client? Keep your arm bent at the elbow. Use a pillow to prop your shoulder up close to your ear. Hold your arm against the side of your body. Position your arm with the shoulder at a 90° angle.

Hold your arm against the side of your body. Adduction means to position toward the midline of the body. Therefore, the nurse should provide these instructions to explain the provider's prescription.

A nurse is providing preoperative teaching for a client who is scheduled for total knee arthroplasty. Which of the following statements by the client should the nurse identify as understanding of the teaching? I will wear a continuous movement machine on my knee for 24hr a day. I should avoid taking NSAID medication for pain after surgery. I should wear elastic stockings on both of my legs. I will begin exercising my legs today after surgery.

I should wear elastic stockings on both of my legs. The purpose of elastic stockings is to prevent venous thromboembolism, which is a common complication following orthopedic surgery. Therefore, the nurse should identify the statement as understanding of the teaching

Nurse has client w/ new prescription for alendronate for treatment of osteoporosis. Which of the following statements by the client indicates understanding? I will take medication in the evening. I will drink a full glass of milk with the medication. I will take the medication at meal time. I will sit up right after taking the medication.

I will sit up right after taking the medication. A client taking alendronate should sit upright for 30 min after administration to prevent esophageal irritation and ulceration. Therefore, the nurse should identify this statement as indicating an understanding of the teaching.

Nurse is caring for a client 1 day postop following total hip arthroplasty. It is 0830 and client is scheduled for physical therapy at 0900. Which intervention should the nurse take? Encourage client to use full weight-bearing identify the clients pain level and medicate if needed teach the client which positions to avoid during PT perform the clients morning care

Identify the client's pain level and medicate if needed. The client should have adequate pain medication and pain relief 20 to 30 min before the PT session so he can work effectively with the therapist.

Client has left lower arm fracture. Which of the following findings indicates impaired venous return? Bounding distal pulse acute pain Ecchymosis of the surrounding skin increasing edema

Increasing edema Increasing edema is a sign of impaired circulation. It is important for client who has a limb fracture to keep the limb elevated to reduce edema.

Nurse is caring for a client immediately following application of a plaster cast. The nurse should monitor for and report which of the following findings as an indication of compartment syndrome? Sensation of heat on the surface of the cast. Paresthesias of the extremity. Pruritus of the extremity. Musty odor noted from cast materials.

Paresthesias of the extremity. The nurse should identify paresthesias as a finding of compartment syndrome. Compartment syndrome involves the compression of nerves and blood vessels in an enclosed space, leading to impaired blood flow and nerve damage. Other findings include numbness, tingling, weakness, and pain that does not respond to medication.

Client has carpal tunnel syndrome. Which of the following findings should the nurse expect? Decreased radial pulse positive Chvosteks sign cool extremities positive Phalens sign

Positive Phalen's sign When a client who has carpal tunnel syndrome holds an affected wrist in flexion for 60 seconds, it will produce tingling and numbness over the median nerve, the palmar surface of the thumb, the index finger, the middle finger, and part of the ring finger. This tingling and numbness indicates a positive Phalen's test.

Client is postop following a total hip arthroplasty. Which intervention should the nurse include in the plan of care? Instruct the client to avoid movement of the affected leg prevent hip flexion of the affected extremity position the lower extremities so they are touching ensure that the client heels are touching the bed

Prevent hip flexion of the affected extremity The nurse should implement measures to prevent hip flexion of the affected extremity beyond 90 degrees due to the risk of dislocation. Raised toilet seats and reclining chairs help prevent hyper-flexion.

A nurse is caring for a client who has a pelvic fracture. Client reports sudden SOB, stabbing chest pain, and feelings of doom. The nurse should identify that the client is experiencing which of the following complications? Pneumonia Pulmonary embolus Tension pneumothorax Tuberculosis

Pulmonary embolus. Immobility following musculoskeletal trauma places the client at an increased risk for pulmonary embolus. The client might also exhibit tachycardia, chest petitioner, and have a decreased O2 sat. The nurse should notify the rapid response team immediately.

Nurse is caring for a client who has just undergone insertion of a femoral head prosthesis. Which of the following activities should the client avoid? Placing large pillow between legs one turning putting on shoes and socks using a raised toilet seat using a walker

Putting on shoes and socks The client should not bend over to put on shoes and socks. It increases the risk of dislocation of the prosthesis to create more than 90º of flexion at the hip. The client should use an assistive or adaptive device for putting on shoes and socks.

Nurse is giving discharge teaching to a client with a right tibia fracture and a fiberglass cast. Which instruction should the nurse include? use a blow dryer on a moderate heat setting to dry the cast after showering use a cotton swab relieve itching under the cast report any worsening or unrelieved pain avoid moving the affected leg

Report any worsening or unrelieved pain. Pain can be a sign of complications such as compartment syndrome or skin breakdown. The client should report it to the provider.

Nurse is assessing a client 24hr postop following an above the elbow amputation. Which of the following findings should the nurse identify as the priority? Report of muscle spasms. Inability to get dressed without assistance. Report of feelings of anger. Refusal to look at the affected limb.

Reports of muscle spasms. Think about Maslows hierarchy of needs. 1 - Physiological needs 2 - safety/security 3 - love and belonging needs 4 - personal achievement/self-esteem needs 5 - achieving full potential and ability to problem solve

Which of the following statements is true about Russells traction? It uses a sling under the knee to treat a fracture of the femur it uses a cervical halter to decrease cervical muscle spasms it uses a pelvic girdle belt to decrease lower back pain it uses skeletal pins to stabilize the fracture

Russell's traction uses a sling under the knee to treat a fracture of the femur. Russell's traction is a type of skin traction that incorporates a sling under the knee that is connected by a rope to an overhead bar pulley.

Nurse is caring for a client 3d postop following a total hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should assess for which of the following manifestations of dislocation of the hip prosthesis? Bulging in area over surgical incision Shortening of the right leg Sensation of warmth over the surgical incision Pallor following elevation of the right leg

Shortening of the right leg. The nurse should monitor the client for shortening of the affected leg as an indication of dislocation of the prosthesis. Other findings include increased hip pain, inability to move the extremity, and rotation of the hip internally or externally.

Nurse is caring for a client who had a below the knee amputation for gangrene of the right foot. The client reports sensations of burning and crushing pain in the toes of the right foot. Which of the following statements should the nurse make? This type of pain usually decreases over time as a limb becomes less sensitive. Try to look at the surgical wound as a reminder the limb is gone. Use a cold compress intermittently to decrease these pain sensations. Grief over the lost limb can sometimes cause denial that the limb is really gone.

This type of pain usually decreases over time as a limb becomes less sensitive. The nurse should recognize that the client is reporting phantom limb pain, a frequent complication following amputation. The nurse should instruct the client that the sensation should decrease over time. The nurse should recognize the pain, provide treatment, and handle the limb gently to decrease the risk of triggering pain.

Nurse is assessing a client who is 48 hour postop following an open reduction and internal fixation ORIF of a fractured tibia. Which of the following findings should the nurse report to the provider? Toes cold to the touch. Serous drainage from the pin sites. Blanching of the toenail beds with pressure. Pink tissue around the fixator insertion sites.

Toes cold to the touch The nurse should monitor for and report manifestations of compartment syndrome following internal fixation. Therefore, the nurse should contact the provider immediately if the client's toes are cold to the touch.

True or False. A patient comes to the ED with a swollen ankle. The nurse should elevate the extremity above the heart.

True

True or False: Nurse is caring for a pt w/ a DVT. They should elevate the affected limb.

True

True or False: The pt comes to the ED w/ a swollen ankle. The nurse should elevate the extremity above the heart.

True

True or False: You should always assess the pt GI system post surgery.

True

True or false. The nurse should raise the foot of the bed on a patient who has had a lower leg amputation to prevent edema to the residual limb.

True

True or false. The surgeon should change the first dressing on the patient post op.

True

True or false. You should always assess the patient's G.I. system post surgery

True

True or false: An arthroplasty procedure replaces a joint to improve functionality.

True Arthroplasty is the reconstruction or replacement of a joint. This procedure is done to relieve pain, improve or maintain range of motion, and correct the present deformity.

True or False. A pt who has just had a recent hip arthroplasty should not sit upright in a chair.

True. A pt who has just underwent a total hip arthroplasty should avoid bending their hips at a 90 degree angle. They should also abduct their legs apart to ensure the prosthesis stays in the socket.

Teaching care plan to a patient with psoriasis which of the following should be included? Wash affected area with hot water treatment focuses on pain management use bath oils to soften and soothe the skin apply a warm, moist compress twice daily

Use bath oils to soften and soothe the skin. The nurse should instruct the client to use bath oils or emollient cleansing agents to comfort sore and scaling skin areas. Softening the skin and prevent skin fissures.

Nurse is discussing plan of care with client who has osteomyelitis of an open wound on his heel. Which of the following info should nurse include? You will need to apply a cold pack to the site 3x/day. Your provider might ask you to walk frequently to increase circulation to the area. You will need to limit consumption of high protein foods. Your provider might prescribe a central catheter line for long-term antibiotic therapy.

Your provider might prescribe a central catheter line for long-term antibiotic therapy. Osteomyelitis is an acute or chronic bone infection. The client will require weeks to months of IV antibiotic therapy for treatment. Therefore, the nurse should discuss the need for long-term IV access for antibiotic therapy.