musculoskeletal evolve questions

A client who is undergoing treatment for osteomyelitis reports bloody, watery diarrhea. The client also has hives and mouth sores. Which medication will the nurse check for in the client's medication administration record? Cefazolin Neomycin Tobramycin Ciprofloxacin

Cefazolin

A client is in skin traction while awaiting surgery for repair of a fractured femur. The client reports leg discomfort and asks the nurse to release the traction. Which is the nurse's best initial response? "I can't, because the weights are needed to keep the bone aligned." "I will remove half of the weights and notify your primary healthcare provider." "I'll get your prescribed pain medication to help relieve your discomfort." "I have to follow the primary healthcare provider's directions, and releasing weights is not prescribed."

I cant, because the weights are needed to keep the bone aligned

What are the diagnostic abnormalities present in a client with fat embolism syndrome? Select all that apply. Decreased PaO2 Increased platelet count Increased fat cells in urine Decreased hematocrit level Decreased prothrombin time

decreased PaO2 increased fat cells in urine decreased hematocrit level

What instructions should the nurse provide to a client after a long leg cast is removed? Elevate the extremity when sitting. Report discomfort or stiffness of the ankle. Perform full range-of-motion exercises of the leg once daily. Cleanse the leg by scrubbing with long, brisk motions.

elevate the extremity when sitting

A male client's laboratory report shows creatine kinase as 175 units/L. Which conditions would the nurse suspect in the client? Select all that apply. Osteomalacia Osteoporosis Muscle trauma Skeletal muscle necrosis Progressive muscular dystrophy

muscle trauma progressive muscular dystrophy

Where are the central thermoreceptors located in the human body? Select all that apply. Skin Spinal cord Hypothalamus Throughout the body Abdominal organs

spinal cord hypothalamus abdominal organs

A client is ready to walk with crutches after knee surgery. Which crutch-walking technique will the nurse most likely need to reinforce after the client returns from physical therapy? Two-point Four-point Three-point Swing-through

three point

A nurse is assessing a client with the diagnosis of osteoporosis. What part of the client's body should the nurse assess to identify osteoporotic changes? Long bones Facial bones Vertebral column Joints of the hands

vertebral column

A 76-year-old male client asks the nurse about the chances of getting osteoporosis like his wife. Which is the best response by the nurse? "This is only a problem for women." "Exercise is a good way to prevent this problem." "You are not at risk because of your small frame." "You might think about having a bone density test."

you might think about having a bone density test

A client's laboratory report shows aldolase (ALD) as 9 units/dL. Which diseases may occur in the client? Select all that apply. Polymyositis Osteoporosis muscle trauma Dermatomyositis Muscular dystrophy Metastatic cancers of the bone

polymyositis dermatomyositis muscular dystrophy

The nurse is caring for an elderly client who has kyphotic posture with a widened gait. Which nursing interventions help reduce the severity of the client's condition? Select all that apply. Teaching isometric exercises Teaching safety tips to prevent falls Teaching proper body mechanics Preventing pressure on bony prominences Instructing the client to sit in supportive chairs with arms

teaching proper body mechanics instructing the client to sit up in supportive chairs with arms

A client is admitted to the hospital with lower back pain and a tentative diagnosis of a herniated nucleus pulposus. When assessing the client's back pain, which question should the nurse ask? "Is there any tenderness in the calf of your leg?" "Have you had any burning sensation on urination?" "Do you have any increase in pain during bowel movements?" "Does the pain progress from your flank around to your groin?"

Do you have any increase in pain during bowel movements

The nurse is teaching a client about management of low back pain. Which statements made by the client indicate effective learning? Select all that apply. "I should sleep in a prone position." "I should sleep with my legs out straight." "I should keep a check on my body weight." "I should stop exercising if the pain gets severe." "I should exercise by leaning forward without bending the knees."

I should keep a check on my body weight I should stop exercising if the pain gets severe

A nurse is teaching a client with hemiparesis how to ambulate with a cane. What should the nurse instruct the client to do? Shorten the stride of the unaffected extremity. Lean the body toward the cane when ambulating. Advance the cane simultaneously with the affected extremity. Hold the cane in the hand on the side of the affected lower extremity.

advance the cane simultaneously with the affected extremity

While assessing a client, the nurse finds that the space between the client's medial malleoli is 4.5 cm and that the client has normal knees. Which conditions could cause this problem? Select all that apply. Arthritis Poliomyelitis Cerebral palsy Congenital deformity Peroneal nerve injury

arthritis poliomyelitis congenital deformity

A client is brought to the emergency department triage by private car with an obvious compound fracture of the right lower leg. What is the initial assessment the triage nurse needs to perform? Vital signs Pain Neurologic check Distal pulses in the right leg

distal pulses in the right leg

A client with osteoarthritis is admitted to the hospital for evaluation of a possible hip replacement. To prevent flexion contractures, the nurse recommends that, when in bed, the client should lie in the supine or prone position. The client voices hesitation, stating that these positions are uncomfortable for the knees and hips. What action should the nurse take? Encourage the client to maintain extension for specific periods of time. Correct Incorrect 2 Allow the client to lie in whatever position is most comfortable. Insert a pillow under the client's knees to relieve discomfort. Place the client in the semi-Fowler position most of the time.

encourage the client to maintain extension for specific periods of time

A nurse is caring for a client who had a total hip replacement. Which is the priority assessment when monitoring the client for hemorrhage? Checking vital signs every 4 hours Examining the bedding under the client Measuring the circumference of the thigh Observing for ecchymosis at the operative site

examine the bedding under the client

A nurse is caring for a client who had an above-the-knee amputation. In what position should the nurse encourage the client to keep the hip to promote early and efficient ambulation? Functional alignment Extended and abducted Flexed and externally rotated Raised when moving the residual limb

functional alignment

A client is admitted to the hospital for acute pain in the hip, and a total hip replacement surgery is scheduled. The client was diagnosed recently with early dementia. The client appears oriented and alert and responds appropriately when interviewed. When the nurse is providing preoperative teaching, the client says, "I don't want to have that surgery." The client's spouse voices a desire to proceed with the surgery to provide relief for the client. How should the nurse respond? Discuss with the client feelings about having surgery. Ask the client if a power of attorney for health care has been established. Continue with preparation for surgery as the spouse has requested. Continue with teaching, ensuring that the client understands the process.

ask the client if a power of attorney for health care has been established

The nurse teaches a client who developed degenerative joint disease of the vertebral column positioning techniques, including turning from back to side, keeping the spine straight. The nurse explains that the least effort will be exerted if the client crosses the arm over the chest and does what? Uses the overbed table to pull the upper body up to assist with turning Bends the top knee to the side to which the client is turning Crosses the ankles while turning and keeps both legs straight Flexes the bottom knee to the side to which the client wishes to turn

bends the top knee to the side to which the client is turning

A peripheral nerve or dorsal column stimulator is implanted to relieve a client's intractable pain. What discharge instructions should the nurse provide? Disconnect the transmitter when taking a bath. Analgesics will no longer be necessary. The transmitter will be implanted and, therefore, not visible. The transmitter will interfere with electronic devices.

disconnect the transmitter when taking a bath

A client is admitted to the hospital after falling and fracturing a hip. The primary healthcare provider applies a Buck boot with traction until surgery to replace the head of the femur with a prosthesis can be performed. What action can the nurse take to ensure that the Buck traction is being applied correctly? Fit the spreader bar snugly around the foot. Position the boot so it extends 3 inches (7.6 cm) above the ankle. Hang the weight to apply traction, but limit it to 10 lb (4.5 kg). Cover the malleoli with tape to adequately secure the weights to the leg.

hang the weight to apply traction, but limit it to 10 lbs (4.5 kg)

After a total knee replacement, a client is using a continuous passive motion device. The nurse concludes that teaching was effective when the client states that what is the goal of this therapy? Improve joint flexion. Maintain muscle tone. Prevent tissue breakdown. Prevent formation of a blood clot.

improve joint flexion

The nurse assesses a client who is unable to rotate his or her neck; the nurse finds malalignment and tenderness of the neck. Which nursing intervention would be beneficial for this client? Inspecting and palpating each neck vertebra Having the client flex forward from the hips and inspecting for any lateral curvature of the spine Applying pressure with the thumb along the lumbosacral spine to elicit tenderness Inspecting and palpating both shoulders for size, swelling, deformity, pain, and mobility

inspecting and palpating each neck vertebra

A client is admitted with a fracture of the neck of the femur. In what position should the nurse maintain the client's affected extremity? Internal rotation with flexion of the knee and hip External rotation with flexion of the knee and hip Internal rotation with extension of the knee and hip External rotation with extension of the knee and hip

internal rotation with extension of the knee and hip

Where should the nurse place a pillow or sandbag to prevent external rotation of a lower extremity? Lateral to the client's affected hip Under the client's lower affected leg At the ankle of the client's affected leg On the side of the client's affected knee

lateral to the clients affected hip