Exam 1 Chapter 77

Which type of skin traction would be used to temporarily stabilize an upper arm fracture before surgery?

Dunlop traction

A 3-year-old client is diagnosed with a fracture of the ulnar bone. The fracture appears to be on one side of the bone, whereas the other side is bent. Which type of fracture does the client have?

Greenstick

A 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?

History of anorexia nervosa

Which complication is seen frequently in clients with muscular dystrophy?

upper respiratory tract infection

A nurse is reinforcing teaching with a client who has osteomyelitis of an open wound on his heel. Which of the following information should nurse include?

Your provider might prescribe a central catheter line for long-term antibiotic therapy.

A client is undergoing a procedure to remove a bone spur from his shoulder. For which procedure would the nurse prepare this client?

arthroscopy

Which complication is related to the pressure that occurs when an immobilization device is used to stabilize the spinal cord?

edema

Which treatment should the nurse be prepared to implement to initiate vasodilation and promote healing for a client with severe joint pain?

hot compresses

A nurse witnesses a client sustain a fall and suspects that the client's leg may be fractured. Which action is the priority?

immobilize the leg before moving the client

A nurse is discussing the difference between rheumatoid arthritis (RA) and osteoarthritis with a newly hired nurse. Which of the following information should the nurse include about osteoarthritis?

osteoarthritis can impair a joint on a single side of the body

A client sprains an ankle while playing tennis and is brought to the emergency department. What is the priority action by the nurse?

rest, ice, compression, elevation

A client has just had a cast removed. Which description of the skin should the nurse tell the client to expect?

scaly

A nurse is performing discharge teaching for an elderly client diagnosed with osteoporosis. Which statement about home safety should the nurse include?

"Most falls among the elderly occur in the home. These clients should remove throw rugs and install bathroom grab bars."

The nurse is teaching a client who is in a body cast how to perform exercises to reduce the effects of immobilization. Which teaching point is recommended for clients confined to bed?

"Wiggle the fingers or toes of affected extremities."

What discharge teaching should the nurse provide when caring for a client following an arthroscopy procedure of the knee? Select all that apply.

-Elevate the knee. -Apply ice to the knee -Monitor knee for signs of infections.

Which diagnostic tests confirm the presence of inflammation related to an infection or inflammatory condition? Select all that apply.

-Erythrocyte sedimentation rate (ESR) -Rheumatoid factor (RF) -Creatine kinase (CK)

Which nursing assessment techniques should be implemented when performing a musculoskeletal assessment? Select all that apply.

-Palpate skin temperature for warmth. -Perform range-of-motion exercises -Observe emotional response to the assessment. -Observe posture, coordination, and body build.

Order: Ferrous Sulfate 3 mg/kg/day PO divided into doses every 12 hours. Client's weight: 23 lb, 10 oz. How many mg should the nurse administer per dose?

16.1

Order: Protonix 40mg TID Available: 130mg/10mL How many mL should the nurse administer? (Round to nearest tenth. Enter numeric value only).

3.1

Order: Ibuprofen 150 mg PO Available: Ibuprofen 100 mg/2.5 mL suspension How many mL of Ibuprofen suspension does the nurse administer? ((Enter the numeric value only).

3.75

Order: Miralax 350mg Daily Available: Miralax 150mg/15mL How many mL should the nurse administer?

35

A nurse is assessing a client who is experiencing peripheral neurovascular dysfunction. Which assessment findings are most consistent with this diagnosis?

Absence of feeling, capillary refill of 4 to 5 seconds, and cool skin

A client is recovering from replantation of a severed arm. Which postoperative intervention should be prescribed?

Administration of antibiotics

The nurse is caring for a client postoperatively who has had cervical decompression. Which symptoms(s) reported by the client would the nurse immediately report to the primary care provider? Select all that apply.

Difficulty breathing Difficulty moving arms

Which nursing intervention should the nurse implement when caring for a client with a sprained left ankle?

Apply an elastic bandage to immobilize the area.

A nurse in an urgent care clinic is reinforcing teaching with a client following a moderate ankle sprain. Which of the following instructions should the nurse plan to include?

Apply cold compresses to the extremity intermittently

Which intervention should the nurse implement when providing care of a client prearthrogram?

Ask the client about sensitivities to food, iodine, latex, or medications.

What intervention should the nurse implement when caring for a client with a simple fracture in the right hand that has been immobilized by a plaster cast?

Cover the edges of the cast with tape to minimize skin irritation.

A 50-year-old client diagnosed with intervertebral disk disease has to undergo a type of lumbar decompression that exposes the spinal canal and allows for relief of compression of the spinal cord and spinal nerve roots. What term is used for this procedure?

Laminectomy

A client with a cervical injury is provided with a halo device to stabilize the neck. Which intervention should the nurse implement when caring for the client?

Monitor the client for any difficulty in swallowing.

A 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?

Paresthesias of the extremity

A nurse is caring for a client who has a pelvic fracture. The client reports sudden shortness of breath, stabbing chest pain, and anxiety. The nurse should notify the charge nurse that the client is experiencing which of the following complications?

Pulmonary embolus ----- Immobility following musculoskeletal trauma places the client at an increased risk for pulmonary embolus. The client might also exhibit tachycardia, chest petechiae, and have a decreased SaO2. The nurse should notify the rapid response team immediately.

A nurse is collecting data from a client who is 24 hr postoperative following an above the elbow amputation. Which of the following findings should the nurse identify as the priority?

Report of muscle spasms

A nurse is caring for a client who has undergone hip replacement surgery. Which intervention should the nurse implement to preserve proper postoperative alignment of the hip?

Restrict the client from bending more than 90 degrees.

A nurse is collecting data from a client who is 48 hour postoperative following open reduction and internal fixation of a fractured tibia. Which of the following findings should the nurse report to the provider?

Toes cold to the touch

A nurse is reinforcing nutrition education to a client who has osteomalacia. The nurse should identify that osteomalacia is caused by a deficiency of which of the following nutrients?

Vitamin D