OP MS fractures prep u

Which health care provider assessment technique does the nurse anticipate being used to determine developmental dysplasia of the hip (DDH) on a newborn?

ortolani test and barlow maneuver

A client with a fracture develops compartment syndrome that requires surgical intervention. What treatment will the nurse would most likely prepare the client for?

Fasciotomy

Which nursing interventions might need to be considered in a care plan for a client with advanced multiple sclerosis? Select all that apply.

-Ensure access to a language board when communicating with the client. -Establish a voiding time schedule. -Encourage the client to walk with feet wide apart.

The nurse is caring for a client who lives alone and had a total knee replacement. An appropriate nursing diagnosis for the client is:

Risk for ineffective therapeutic regimen management

A client who has suffered a compound fracture is preparing for discharge to home. During the teaching session, the client asks why he needs antibiotics for a broken bone. Which response by the nurse is most appropriate?

"Antibiotic therapy has been prescribed as a precaution because your bone was exposed to the environment at the time of your injury."

When providing discharge teaching for a client with multiple sclerosis (MS), the nurse should include which instruction?

"Avoid hot baths and showers."

The nurse is caring for a client with a knee sprain. Which client statement regarding use of an ice pack indicates that nursing teaching has been effective?

"I will put a washcloth between my knee and the ice pack."

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 caring for an infant girl in an outpatient setting. The infant has just been diagnosed with developmental dysplasia of the hip (DDH). The mother is very upset about the diagnosis and blames herself for her daughter's condition. Which response best addresses the mother's concerns?

"This is not your fault and we will help you with her care and treatment."

A client is newly diagnosed with relapsing-remitting multiple sclerosis (RRMS). Which instruction should the nurse provide?

"You must avoid stress and extreme fatigue, because these can trigger a relapse."

The nurse is planning care for a client with multiple sclerosis. Which problems should the nurse expect the client to experience? Select all that apply.

-balance problems -visual distrubances -mood disorders

Which client's fracture will need the shortest healing time?

9-year-old client with a simple wrist fracture

A client has been hospitalized for diagnostic testing. The client has just been diagnosed with Multiple Sclerosis which the physician explains is an autoimmune disorder. How would the nurse explain an autoimmune disease to the client?

A disorder in which killer T cells and autoantibodies attack or destroy natural cells—those cells that are "self"

Which newborn infant demonstrates the highest risk of presenting with developmental dysplasia of the hip (DDH)?

A girl who was born with toeing-in and who was in a breech presentation.

The nurse is caring for an 8-month-old in Bryant traction for developmental dysplasia of the hip and is monitoring for complications. Which assessment finding would alert the nurse to a possible complication?

A weak pedal pulse

Following prosthetic joint replacement of the knee, the client continues to complain of pain and discomfort above what would be expected. There is poor incisional healing. The clinic nurse is concerned when she sees that the incision is still draining after 3 weeks post-op. The nurse suspects a prosthetic joint infection. The nurse should anticipate the physician will prescribe:

Antimicrobial treatment depending on the microbe.

The health care provider is evaluating a client who is at risk for the development of osteonecrosis. The client is at risk for:

Aseptic necrosis of a bone segment caused by interruption of the blood supply

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)

A nurse is providing education to a client with newly diagnosed multiple sclerosis (MS). Which of the following will the nurse include?

Avoid hot temperatures.

The mother of a child who has sustained a fractured leg is worried how long her child will be unable to walk without crutches. The nurse would explain to the mother that the child should be walking independently soon due to what reason?

Children's bones heal faster than adults

An older adult female has a bone density test that reveals severe osteoporosis. What does the nurse understand can be a problem for this client due to the decrease in bone mass and density?

Compression fractures

A nurse is inspecting the area of contusion and notes numerous areas of bruising. How would the nurse document this finding?

Ecchymosis

Which are the most commonly reported clinical manifestations of multiple sclerosis? Select all that apply.

Fatigue Numbness Spasticity Pain Depression

A client with multiple sclerosis is experiencing painful muscle spasticity and has been prescribed a centrally acting skeletal muscle relaxant. What should the nurse include in the client's plan of care?

Implement non-pharmacologic pain relief measures as needed. *

Which of the following are disease-modifying agents used in the treatment of multiple sclerosis (MS)? Select all that apply.

Interferon beta-1a (Avonex) Interferon beta-1a (Rebif) Tizanidine (Zanaflex)

A client is receiving baclofen for management of symptoms associated with multiple sclerosis. The nurse evaluates the effectiveness of this medication by assessing which of the following?

Muscle spasms

The nurse is caring for a client who has had a fracture reduction using a cast. What is most important for the nurse to assess?

Neurovascular status

The nurse teaches the client which intervention to avoid hip dislocation after replacement surgery?

Never cross the affected leg when seated

A client with rheumatoid arthritis reports joint pain. What intervention is a priority to assist the client?

Nonsteroidal anti-inflammatory drugs

A client with diabetes gives birth to a full-term neonate who weights 10 lb, 1 oz (4.6 kg). While caring for this large-for-gestational age (LGA) neonate, the nurse palpates the clavicles for which reason?

One of the neonate's clavicles may have been broken during birth.

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, and elevation

A school-age client is in the clinic for a sprained ankle and is prescribed to take a nonsteroidal anti-inflammtory drug (NSAID) for pain control. What should the nurse inform the parent may be associated with long-term administration of any NSAID?

Severe gastric irritation

Which is a strategy for lowering risk for osteoporosis?

Smoking cessation

Following hip replacement surgery, the client has had many weeks of physical therapy. Upon assessing the wound, it is still red and draining thick, green, odoriferous secretions. The client has limited range-of-motion and is constantly reporting pain. The physician explains that the hip device needs to be removed. Why is removal required?

The body considers the hip replacement device a foreign body and an infection has developed around the joint

Which statement is true about treatment of developmental dysplasia of the hip?

Treatment needs to be individualized.

A health care provider diagnoses primary osteoporosis in a client who has lost bone mass. For which client is primary osteoporosis most common?

elderly postmenopausal woman

The nurse is educating a group of caregivers about fractures seen in children. One of the caregivers states, "I have heard that if a bone breaks it can cause permanent damage and stop the growth of the bone." This statement is accurate if the break occurs in the:

epiphyseal plate.

An older adult woman in a long-term care facility has fallen and sustained several injuries. Which of her injuries would be the most serious fall-related injury?

fractured hip

The nurse is caring for a 19-year-old male client who has suffered multiple fractures related to a motor vehicle accident. His father is at his bedside and, while the client is away for radiology tests, his father talks about his son's injuries and age group in general. The father asks what the major cause of death is in his son's age group. The nurse's best reply is which of the following?

injuries related to car accidents

A nurse is seeing a 3-year-old child who is brought to a pediatric clinic by the mother with concerns about toilet training. The nurse notes the child has multiple bruises of various ages on the arms, trunk, and legs. The nurse should suspect:

physical abuse.