Med Surg Muscoskeletal System

a 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

An anticonvulsant medication can be helpful in relieving this type of pain.

a nurse in an urgent care clinic is reinforcing teaching with a client following a grade 2 moderate ankle sprain. Which of the following instructions should the nurse plan to include?

Apply cold compresses to the extremity intermittently. Cold minimizes the swelling erythema to the affected area. Apply no more than 20 mins at a time

a nurse is caring for a client who is postoperative following a total knee arthroplasty and is prescribed a continuous passive motion machine and PCA. The client tells the nurse "I am in so much pain." Which of the following actions should the nurse take first

Ask the client to describe characteristics of the pain. Answering this item requires application of the nursing process priority setting framework

a 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 medications can interact with probenecid?

Aspirin

a nurse is performing medication reconciliation for a newly admitted client who has rheumatoid arthritis. Which of the following medications should the nurse identify as a treatment for this condition?

Celecoxib. Type of NSAID called COX2 inhibitors, used to relieve some of the manifestations caused by RA in adults. Also prescribed for osteoarthritis, spondylitis, and painful menstruation

a nurse in an ambulatory clinic is caring for a client who has facial trauma to the nose. Which of the following actions should the nurse take first

Determine the clients ability to take deep breaths. ABC airway, breathe, circulation

a nurse is caring for a client who was in a motor vehicle crash 2 days ago and sustained fractures to his tibia, ulna and several ribs. The client is disoriented to time and place, has a sa02 of 87% and the nurse notes generalize petechiae on the clients skin. Which of the following complications should the nurse suspect

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

a nurse is caring for a client who is in skeletal traction following a femur fracture. The nurse finds the client has slid down toward the foot of the bed and the traction weight is resting on the floor. Which of the following actions should the nurse take

Have the client use a trapeze to pull himself up while ensuring the weight hangs freely

a nurse is reviewing the medical record of a female client. Which of the following findings should the nurse identify as a risk for osteoporosis?

History of anorexia nervosa. Inadequate protein intake can lead to a decreased bone density, increasing risk for fractures

a nurse is caring for a client who is postop following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions shouldd the nurse provide to the client?

Hold your arm against the side of your body. Adduction means to position toward the midline of the body.

a nurse is reinforcing preoperative teaching with a client who is scheduled for total knee replacement arthroplasty. Which of the following statements by the client should the nurse identify as understanding the teaching

I should wear elastic stockings on both of my legs. Prevents venous thromboembolism

a nurse is reinforcing teaching with a client who has a new prescription for alendronate for treatment of osteoporosis. Which of the following statements by the client indicates understanding of the teaching?

I will sit up right after taking the medication. Client should sit up right for 30 minutes after admin to prevnt esophageal irritation and ulceration.

a nurse is discussing the difference between rheumatoid arthritis 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. The nurse should identify unilateral joint involvement as a finding of osteoarthritis. A client who has RA experiences symmetrical joint impairment

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 muscoskeletal trauma places the client at an increased risk for pulmonary embolus. May also exhibit tachycardia, chest petechia, and have a decreased sao2. identify rapid response team immediately

a nurse is caring for a client who is 3 days postop following a right total hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should examine the client for which of the following manifestations of dislocation of the hip prosthesis?

Shortening of the right leg. Other findings include increased hip or buttock pain, limping, and rotation of the hip internally

a nurse is collecting data from a client who is 48 hr post op 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. monitoring for compartment syndrome manifestations

a 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 hair dryer on a cool setting to blow air into the cast.

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. Osteomyelitis is an acute or chronic bone infection. The client will require weeks to months of IV antibiotic therapy for treatment.

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

muscle spasm