CS Lecture Ch. 42

If a dislocation is not treated promptly, tissue death due to anoxia can occur. This would be documented as which of the following? Avascular necrosis (AVN) Subluxation Heterotopic ossification Osteomyelitis

Avascular necrosis (AVN)

An x-ray demonstrates a fracture in which a bone has splintered into several pieces. Which type of fracture is this? Compound Depressed Impacted Comminuted

Comminuted

Which of the following is a term used to describe a soft tissue injury produced by a blunt force? Contusion Sprain Strain Hematoma

Contusion

Which term refers to a fracture in which one side of a bone is broken and the other side is bent? Spiral Greenstick Avulsion Oblique

Greenstick

Radiographic evaluation of a client's fracture reveals that a bone fragment has been driven into another bone fragment. The nurse identifies this as which type of fracture? Comminuted Compression Impacted Greenstick

Impacted

A nurse is caring for a client who underwent a total hip replacement. What should the nurse and other caregivers do to prevent dislocation of the new prosthesis? Keep the affected leg in a position of adduction. Use measures other than turning to prevent pressure ulcers. Prevent internal rotation of the affected leg. Keep the hip flexed by placing pillows under the client's knee.

Prevent internal rotation of the affected leg.

A client sustains an injury to the ligaments surrounding a joint. What will the nurse identify this injury as? Strain Contusion Sprain Fracture

Sprain

Which term refers to an injury to ligaments and other soft tissues surrounding a joint? Sprain Dislocation Subluxation Strain

Sprain

Two days after surgery to amputate the left lower leg, a client reports pain in the missing extremity. Which action by the nurse is most appropriate? Administer medication, as ordered, for the reported discomfort. Contact the health care provider. Initiate a consult with a psychologist. Do nothing because it isn't possible to have pain in a missing limb.

Administer medication, as ordered, for the reported discomfort.

A client experienced an open fracture to the left femur during a horse-riding accident. For which complication is this client at highest risk? Infection Malunion Complex regional pain syndrome Depression

Infection

A client with a traumatic amputation of the right lower leg is refusing to look at the leg. Which action by the nurse is mostappropriate? Provide wound care without discussing the amputation. Request a referral to occupational therapy. Encourage the client to perform range-of-motion (ROM) exercises to the right leg. Provide feedback on the client's strengths and available resources.

Provide feedback on the client's strengths and available resources.

Which is not one of the general nursing measures employed when caring for the client with a fracture? cranial nerve assessment administering analgesics providing comfort measures assisting with ADLs

cranial nerve assessment

A client who has fallen and injured a hip cannot place weight on the leg and is in significant pain. After radiographs indicate intact but malpositioned bones, what would the physician diagnose? dislocation strain sprain fracture

dislocation

A client has been in a motor vehicle collision. Radiographs indicate a fractured humerus; the client is awaiting the casting of the upper extremity and admission to the orthopedic unit. What is the primary treatment for musculoskeletal trauma? immobilization surgical repair external rotation enhancing complications

immobilization

A client who has injured a hip in a fall cannot place weight on the leg and is in significant pain. After radiographs indicate intact yet malpositioned bones, what repair would the physician to perform? joint manipulation and immobilization analgesia and immobilization heat and immobilization ice and immobilization

joint manipulation and immobilization

A client is to undergo surgery to repair a ruptured Achilles tendon and application of a brace. The client demonstrates understanding of activity limitations when stating that a brace must be worn for which length of time? 2 to 4 weeks 6 to 8 weeks 10 to 12 weeks 14 to 16 weeks

6 to 8 weeks

An older adult client slipped on an area rug at home and fractured the left hip. The client is unable to have surgery immediately and is having severe pain. What interventions should the nurse provide for the patient to minimize energy loss in response to pain? Administer prescribed analgesics around-the-clock. Avoid administering too much medication because the client is older. Administer prescribed pain medication only when the client requests it. Give pain medication to the client after providing care.

Administer prescribed analgesics around-the-clock.

The nurse assesses subtle personality changes, restlessness, irritability, and confusion in a client who has sustained a fracture. The nurse suspects which complication? Compartment syndrome Hypovolemic shock Fat embolism syndrome Reflex sympathetic dystrophy syndrome

Fat embolism syndrome