Cheatsheet quizlet for Dr. Davis musculoskeletal

The nurse has reinforced prior teaching of a school-age child who was given a brace to wear for the treatment of scoliosis. The child needs further teaching if which statement is made? A.This brace will correct my curve." B. I will wear my brace under my clothes." C. I will do back exercises at least five times a week." D. I will wear my brace whenever I am not sleeping."

A.This brace will correct my curve."

A client is complaining of pain underneath a cast in the area of a bony prominence. Which would the nurse anticipate? A. The cast will be bivalved. B. A window will be cut in the cast. C. The cast will be replaced with an air splint. D. Extra padding will be put over this area of the cast.

B. A window will be cut in the cast.

The nurse is caring for a client admitted with fat embolism syndrome (FES). Which are some of the early manifestations of this syndrome? Select all that apply. A. Fever B. Dyspnea C. Petechiae D. Hypoxemia E. Tachypnea F. Decreased level of consciousness

B. Dyspnea D. Hypoxemia E. Tachypnea

A client has just had a cast removed and the underlying skin is yellow-brown and crusted. The nurse determines that further instructions are needed about skin care if the client makes which statement? A. I will soak the skin and then wash it gently." B. I need to scrub the skin vigorously with soap and water." C. I need to apply an emollient lotion to enhance softening." D. I need to use a sunscreen on the skin if it will be directly exposed to the sun."

B. I need to scrub the skin vigorously with soap and water."

The mother of a child with juvenile idiopathic arthritis calls the nurse because the child is experiencing a painful exacerbation of the disease. The mother asks the nurse if the child should perform range-of-motion (ROM) exercises at this time. The nurse would make which response to the mother? A. Avoid all exercise during painful periods." B. The ROM exercises must be performed every day." C. Have the child perform simple isometric exercises during this time." D. Administer additional pain medication before performing the ROM exercises."

C. Have the child perform simple isometric exercises during this time."

The nurse provides information to the parent of a 2-week-old infant who was diagnosed with clubfoot at the time of birth. Which statement by the parent indicates the need for further teaching regarding this disorder? A. I understand treatment needs to be started as soon as possible." B. I realize my child will require follow-up care until full grown." C. I need to bring my child back to the clinic in 1 month for a new cast." D. I need to come to the clinic every week with my child for the casting."

C. I need to bring my child back to the clinic in 1 month for a new cast."

A client has Buck's extension traction applied to the right leg. The nurse would plan which intervention to prevent complications of the device? A. Giving pin care once a shift B. Massaging the skin of the right leg with lotion every 8 hours C. Inspecting the skin on the right leg at least once every 8 hours D. Releasing the weights on the right leg for range-of-motion exercises daily

C. Inspecting the skin on the right leg at least once every 8 hours

An infant is seen in a clinic and is diagnosed with unilateral hip dysplasia. Which finding is associated with this condition? A. Limited range of motion in the unaffected hip B. An apparent short femur on the unaffected side C. Adduction of the affected hip when placed supine with the knees and hips flexed D. Asymmetry of the gluteal skin folds when the infant is placed prone and the legs are extended against the examining table

D. Asymmetry of the gluteal skin folds when the infant is placed prone and the legs are extended against the examining table Asymmetry of the gluteal folds when the infant is placed prone would be a finding in hip dysplasia in infants beyond the newborn period.

A child with a fractured femur is placed in Buck's skin traction, and the nurse is planning care for the client. Which information about this type of traction is correct? A. Requires frequent pin care B. Places the child at risk for infection C. Uses skeletal traction and weights to provide a counterforce D. Is a type of skin traction that pulls the hip and leg into extension

D. Is a type of skin traction that pulls the hip and leg into extension Buck's skin traction is a type of skin traction used in fractures of the femur and in hip and knee contractures. It pulls the hip and leg into extension.

A client has undergone total hip replacement of the right hip, which was damaged by osteoarthritis. Which action would be included in the postoperative plan of care? A. Ensure the client receives the daily tablet of enoxaparin. B. Assist the client in keeping the legs as close together as possible. C. Remind the client to use a handrail when lowering the hips into a 120-degree flexion. D. Partial weight bearing on the operative leg is usually permitted 72 hours postoperatively; check surgeon's prescription.

D. Partial weight bearing on the operative leg is usually permitted 72 hours postoperatively; check surgeon's prescription.

The nurse is caring for a client diagnosed with Paget's disease. What abnormal laboratory values would the nurse specifically monitor in a client with Paget's disease? Select all that apply. A. Decreased potassium B. Elevated serum calcium C. Elevated serum amylase D. Increased creatine kinase (CK-MM) E. Elevated serum alkaline phosphatase (ALP) F. Elevated 24-hour urinary hydroxyproline level

B. Elevated serum calcium E. Elevated serum alkaline phosphatase (ALP) F. Elevated 24-hour urinary hydroxyproline level

The nurse is monitoring a child with a cast on the forearm for signs of compartment syndrome. The nurse understands that which data collection technique is unlikely to provide information about this complication? A. Checking the quality of the radial pulse B. Checking the child's ability to extend the fingers C. Checking for effectiveness of analgesics administered for pain D. Checking the child's ability to perform range of motion to the shoulder area of the affected extremity

D. Checking the child's ability to perform range of motion to the shoulder area of the affected extremity Compartment syndrome occurs when swelling causes pressure to rise within a compartment (sheath of inelastic fascia). The increased pressure compromises circulation to the muscles and nerves within the compartment and can result in paralysis and necrosis of tissues. Signs of compartment syndrome include severe pain, often unrelieved by analgesics, and signs of neurovascular impairment. Compartment syndrome is not uncommon in fractures of the forearms; therefore, the quality of the radial pulse and the ability to extend the fingers should be assessed. If extension of the fingers produces pain, the primary health care provider should be notified

The nurse is assisting a primary health care provider (PHCP) during an examination of an infant with hip dysplasia. The PHCP performs the Ortolani maneuver. Which data would the nurse expect to note during the examination? A. Full range of motion of the legs B. Marked asymmetry on the affected side C. The unstable femoral head pops out of the acetabulum D.The dislocated femoral head pops back into the acetabulum

D.The dislocated femoral head pops back into the acetabulum With the Ortolani maneuver, the examiner reduces the dislocated femoral head back into the acetabulum. A positive Ortolani maneuver is a palpable clunk as the femoral head moves over the acetabular ring.

A nurse is caring for a client who has had a plaster arm cast applied. Immediately after application, the nurse should provide what teaching to the client? A. The cast will feel cool to touch for the first 30 minutes. B. The cast should be wrapped snuggly with a towel until the client gets home. C. The cast should be supported on a board while drying. D.The cast will only have full strength when dry

D.The cast will only have full strength when dry