Chapter 54: Coordinating Care for Patients With Musculoskeletal Trauma

A 70-year-old patient is diagnosed with a low energy fracture. What most likely caused this injury to occur? 1) A fall 2) Contact sport 3) Bicycle accident 4) Motor vehicle collision

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A patient is recovering from surgery to repair a third-degree strain. What needs to be emphasized to the patient about postoperative care? 1) Elevate the extremity 2) Rest the extremity for up to 72 hours 3) Apply ice to the area three to five times a day 4) Immobilize the extremity for four to six weeks

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A patient recovering from a traumatic amputation is experiencing phantom limb pain. What should the nurse expect to be included in the treatment plan for this patient? 1) Gabapentin 2) Rigid splint 3) Ice compresses 4) Elevate stump on a pillow

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A patient recovering from surgery to repair a fractured femur is experiencing extreme pain and pulselessness. What should the nurse expect to be prescribed for this patient? 1) Fasciotomy 2) Limb CT scan 3) Intravenous fluids 4) Anticoagulant therapy

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A patient seeks medical treatment for a meniscus injury. What assessment finding would suggest a reason this injury occurred? 1) History of chronic joint disease 2) Participation in cycling or golf 3) Intake of sufficient water and protein 4) Use of nonsteroidal anti-inflammatory drugs (NSAIDs)

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The nurse notes that a patient recovering from surgery to repair a torn meniscus has a blood pressure of 158/90 mm Hg. This finding would suggest that the nurse also assess the patient for which condition? 1) Pain 2) Edema 3) Infection 4) Hemorrhage

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The nurse requests an occupational therapy consultation for a patient with bilateral carpal tunnel syndrome. What is the reason for this consultation? 1) Evaluate the work area 2) Instruct on hand exercises 3) Instruct on the use of splints 4) Review the action of NSAIDs

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The nurse suspects that while playing basketball a patient sustained a meniscus tear. What information did the nurse use to make this decision? 1) Knee pops when bent 2) Weak peripheral pulses 3) Reduced muscle tone of the thigh 4) Calf cramping with the knees bent

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While playing tennis a patient fell and fractured the right elbow. For which treatment should the nurse prepare this patient? 1) Cast 2) Splint 3) External fixator 4) Pressure dressing

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A patient is diagnosed with a third-degree sprain. What should the nurse expect to assess in this patient? Select all that apply. 1) Edema 2) Severe pain 3) Ecchymosis 4) Inability to ambulate 5) Altered ability to ambulate

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The nurse suspects that a patient with an injured ankle is experiencing neurovascular compromise. What did the nurse assess to come to this conclusion? Select all that apply. 1) Pain 2) Pressure 3) Paralysis 4) Peristalsis 5) Pulselessness

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The nurse is reviewing statistics about the frequency of anterior cruciate ligament (ACL) tears. What increases the risk of experiencing this type of injury? Select all that apply. 1) Knee torque 2) Less knee flexibility 3) Practicing ice skating 4) Performing gymnastics 5) Less muscular strength

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A patient is diagnosed with a small meniscus tear of the right knee. What should the nurse expect to be prescribed for this patient? Select all that apply. 1) Ice 2) Limited rest 3) Physical therapy for a month 4) Total immobility for several weeks 5) Use of nonsteroidal anti-inflammatory drugs (NSAIDs)

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A patient recovering from surgery to repair a fractured hip is placed on skin traction. Which finding indicates that the traction is being effective? 1) Strong peripheral pulses 2) Reduction in muscle spasms 3) Improved mobility of the foot 4) Reduction of lower extremity edema

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A patient with Paget's disease is demonstrating manifestations of a fracture. What diagnostic test should be ordered to confirm if a fracture has occurred? 1) X-ray 2) Bone scan 3) Myelogram 4) Angiogram

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A patient with bilateral carpal tunnel syndrome (CTS) does not want to have surgery. What is this patient at risk for developing? 1) Infection 2) Chronic pain 3) Further nerve injury 4) Hematoma formation

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A patient with peripheral vascular disease has a non-healing leg wound. Which observation indicates that the patient is at risk for an elective amputation? 1) Mutilation of soft tissue 2) Development of gangrene 3) Crushed lower extremity bone 4) Severed blood vessels and nerves

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During a home visit the nurse suspects that a patient recovering from an amputation is not complying with prescribed postoperative care. What observation caused the nurse to make this clinical determination? 1) Suture line pink and slightly edematous 2) Evidence of a developing hip contracture 3) Stump wrapped with a compression bandage 4) Taking opioid medication every 8 to 10 hours

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____ 20. The nurse is reviewing postoperative instructions with a patient recovering from carpal tunnel syndrome (CTS) surgery. Which statement indicates that additional teaching would be required? 1) "I should take the pain medication as prescribed." 2) "I should expect my hand to feel numb for a few weeks." 3) "I should perform hand exercises as directed by the therapist." 4) "I should stop any activity that causes hand numbness or pain."

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A victim of a motor vehicle crash has a partially severed lowered extremity. What emergency care does this patient need? Select all that apply. 1) Administer antibiotics 2) Prepare for blood transfusions 3) Prepare for emergency surgery 4) Assess for active hemorrhaging 5) Monitor effectiveness of tourniquet

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A patient has an injury where one side of the bone is bent and the other is fractured. How should the nurse document this fracture? 1) Spiral 2) Oblique 3) Greenstick 4) Comminuted

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A patient is treated for a second-degree sprain. Which patient statement indicates that teaching about care has been ineffective? 1) "I should apply ice." 2) "I should elevate my leg." 3) "I should expect the leg to feel numb." 4) "I should take pain medication as directed."

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____ 16. The nurse is preparing a teaching tool for a community health program. What should the nurse include as a risk factor for the development of carpal tunnel syndrome (CTS)? 1) Male gender 2) Age less than 20 3) Plays musical instruments 4) Works as a marketing manager

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A patient sustained a meniscus injury several months ago and did not seek medical attention. What is this patient at risk of developing? 1) Tendonitis 2) Fractured patella 3) Dependent edema 4) Permanent joint damage

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The nurse suspects that a patient is developing carpal tunnel syndrome (CTS). What finding caused the nurse to make this clinical determination? 1) Reduced radial pulses 2) Fingers cool to touch 3) Capillary refill > 3 seconds 4) Hand tingling during the night

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