ATI - Musculoskeletal/Neuro
A nurse in the emergency department is caring for a client who has sustained a fracture of the femur following a motor-vehicle crash. Which of the following images indicates a comminuted fracture.
A. Injury that cause the bone to fragment into several pieces.
A nurse is caring for a client who is postoperative following a craniotomy. Which of the following interventions is the priority action for the nurse to take?
Elevate the head of the bed 30 degrees
A nurse is assessing a client who is quadriplegic secondary to a cervical fracture at vertebral level CS. The client reports a throbbing headache and nausea. The nurse notes facial flushing and a blood pressure of 220/110 mm Hg. Which of the following actions should the nurse take first?
Elevate the head of the client's bed
A nurse is planning care for a client following a lumbar puncture. Which of the following actions should the nurse plan to include?
Ensure the client lies flat for 4 to 8 hours
A nurse is caring for a client who is admitted with ascending guillain-barre syndrome. The nurse should give priority to which of the following assessment findings?
Presence of adventitious breath sounds
When caring for a client who has multiple sclerosis, the nurse should recognize that this disorder is characterized by:
Remissions and exacerbations
One hour after application of a cast for an ulnar fracture, a client reports a pain level of 8 on a scale from 0-10 that is unrelieved by analgesics and the application of a cold pack. The client's fingers are pale and numb. Based on the client's report which of the following actions should the nurse take first?
Report the findings to the primary care provider
A nurse is caring for a client who is 8 hours postoperative following a craniotomy. Which of the following actions should the nurse take?
Report wound drainage greater than 50 mL/8hrs
A nurse is providing teaching for a client who is postoperative following a right hip arthroplasty. Which of the following images indicates the position the nurse should teach the client to take when sitting in a chair?
The nurse should teach the client to sit with the hips at a 90 degree angle or less with the knees slightly lower than the hips to avoid hip dislocation.
A nurse in the emergency department is caring for a client after suddenly losing consciousness and falling in her home. The provider determines the client had an embolic stroke. Which of the following medications should the nurse administer?
Tissue plasminogen activator