Muskuloskeletal EAQ's

A client has had a below-the-knee amputation of the leg. What is important for the nurse to consider when providing postoperative care for a client who had an amputation of a lower extremity?

The residual limb should be elevated for the first 24 hours.

X-ray films reveal that a client has closed fractures of the right femur and tibia. In addition, multiple soft-tissue contusions are present. Which action is most important for the nurse to take?

perform a neurovascular assessment of the extremity.

A client admitted to the hospital with an acute episode of rheumatoid arthritis (RA) asks why physical therapy has not been prescribed. What is the most appropriate nursing response?

"Your joints are still inflamed, and physical therapy can be harmful."

After an amputation of a limb, a client begins to experience extreme discomfort in the area where the limb once was. What is the nurse's greatest concern at this time?

Addressing the pain

A client returns from surgery after a right below-the-knee amputation with the residual limb elevated on a pillow to prevent edema. In which position should the nurse place the client after the first postoperative day?

For short periods in the prone position

Which ethnic group has a greater incidence of osteoporosis due to musculoskeletal differences?

Chinese americans

Which type of bone tumor is commonly seen in elderly clients?

Chondrosarcoma

Which hormone aids in regulating intestinal calcium and phosphorous absorption?

Glucocorticoids

A registered nurse (RN) is giving home care instructions to a client who was treated for injuries due to a fall. Which statement made by the client indicates a need for correction?

I should walk on scatter rugs

Which hormones are involved in building and maintaining healthy bone tissue? Select all that apply.

Insulin and growth hormone

A nurse is caring for a client with a below-the-knee amputation. What should the nurse encourage the client to do to prepare the residual limb for a prosthesis?

Press the end of the residual limb against a pillow periodically.

Which synovial joint movement is involved in turning the client's palm downward?

Pronation

Which joint in the client's body is an example of a gliding joint?

Sacroiliac

Which is the first line treatment for Paget disease?

alendronate

Which disorder of the foot is caused by continual pressure over bony prominences?

corn

hammer toe

flexion and deformity in the joints

Hallux rigidus

osteoarthritis