FINAL- musculoskeletal

The nurse is preparing a list of cast care instructions for a client who just had a plaster cast applied to his right forearm. Which instruction should the nurse include on the list? Select all that apply. 1) keep the cast and extremity elevated 2) The cast needs to be kept clean and dry 3) allow the wet cast 24 to 72 hours to dry 4) expect tingling and numbness in the extremity 5) use a hair dryer set on a warm to hot setting to dry the cast 6) use a soft padded object that will fit under the cast to scratch the skin under the cast

1,2,3

During the monitoring of a clients response to disease modifying antirheumatic drugs, which findings should the nurse interpret as acceptable responses? Select all that apply 1) symptom control during periods of emotional stress 2) normal white blood cell, platelet, and neutrophil count 3) Radio logical findings that show non-progression of joint degeneration 4) A low-grade temperature when rising in the morning that remains throughout the day 5) inflammation and irritation at the injection site three days after injection is given 6) an increased range of motion in the affected joints three months into therapy

1,2,3,6

The nurse is reviewing the laboratory studies on a client receiving dantrolene sodium. Which laboratory test would identify an adverse reaction associated with the administration of this medication? Creatinine Blood urea nitrogen Liver function tests Hematologic function tests

Liver function tests

Dantrolene sodium is prescribed for a client experiencing flexor spasms, and the client asked the nurse about the action of the medication. The nurse responds knowing that which is the therapeutic action of this medication? Depresses spinal reflexes Acts within the spinal cord to suppress hyperactive reflexes Act on the central nervous system to suppress spasms Asked directly on the skeletal muscle to relieve spasticity

Ask directly on the skeletal muscle to relieve a spasticity

The nurse is planning to reinforce instructions to the client about how to stand on crutches. In the instructions the nurse should plan to tell the client to place the crutches in which position? -3 inches to the front and side of the clients toes -15 inches to the front and side of the clients toes -8 inches to the front and side of the clients toes -20 inches to the front and side of the clients toes

8 inches to the front and side of the clients toes

The nurse is reviewing the record of a client who has been prescribed baclofen. Which disorder should alert the nurse to contact the primary healthcare provider? A seizure disorder Hyperthyroidism Diabetes mellitus Coronary artery disease

A seizure disorder

The nurse is caring for a client who has had skeletal traction applied to the left leg. The client is complaining of severe left leg pain which action should the nurse take first? -provide pin care -check the clients alignment in bed -medicate the client with an analgesic -call the primary healthcare provider

Check the clients alignment in bed

The nurse is monitoring a client receiving baclofen side effects related to the medication. Which should indicate that the client is experiencing a side effect? Polyuria Diarrhea Drowsiness Muscular excitability

Drowsiness

The nurse is one of several people who witnessed a vehicle hit A pedestrian at a fairly low speed on a small street. The individual is dazed and tries to get up, and the leg appears fractured. The nurse should plan to perform which action? Try to manually reduce the fracture Assist a person with getting up and walking to the sidewalk Leave the person for a few moments to call an ambulance Stay with the person and encourage the person to remain still

Stay with the person and encourage the person to remain still

A client is being discharged after application of a plaster cast. The nurse determines that the client understands proper care of the cast of the client makes which statement? " I will use my fingertips to lift and move the leg" " I need to cover the casted leg with warm blankets" " I can use a padded coat hanger and to scratch under the cast" " I need to avoid getting the cast wet"

" I need to avoid getting the cast wet"

A client with a cute muscle spasms has been taking baclofen. The client tells the clinic nurse because of continuous feelings of weakness and fatigue and asked the nurse about discontinuing the medication. The nurse should make which appropriate response to the client? " you should never stop the medication" " it is best that you taper the dose if you intend to stop the medication" " it is OK to stop the medication if you think that you can tolerate the muscle spasms" " weakness and fatigue commonly occur and will diminish with continued medication use"

" weakness and fatigue commonly occur and will diminish with continued medication use"

The nurse is assigned to care for a client with multiple traumas who is admitted to the hospital. The client has a leg fracture, and a plaster cast has been applied. And positioning the cast of leg the nurse should perform which intervention? -keep the leg and a level position -elevate the leg for three hours and put it flat for one hour -keep the leg level for three hours and elevate it for one hour -elevate the leg on pillows continuously for 24 to 48 hours

Elevate the leg on pillows continuously for 24 to 48 hours

The nurse is caring for a client with a fresh application of a plaster leg cast. The nurse should plan to prevent the development of compartment syndrome by which action? elevating the limb and applying ice to the affected leg Elevating the lamb and covering it with bath blankets Keeping the leg horizontal and applying ice to the affected leg Placing the leg in a slightly dependent position and applying ice

Elevating the lamb and applying ice to the affected leg

Cyclobenzaprine is prescribed for a client to treat muscle spasms, and the nurse is reviewing the clients record. Which disorder would indicate a need to contact the primary healthcare provider regarding the administration of this medication? Diabetes mellitus Hyperthyroidism Glaucoma Emphysema

Glaucoma

The nurse has provided instructions regarding specific leg exercises for the client immobilized and right skeletal lower leg traction. The nurse determines that the client needs further teaching is the nurse observes the client doing which activity? -pulling up on the trapeze -flexing and extending the feet -doing quadriceps-setting and gluteal-setting exercises -performing active range of motion to the right ankle and knee

Performing active range of motion to the right ankle and knee

The nurse is checking the casted extremity of a client. The nurse should check for which sign indicative of infection? -dependent edema -diminished distal pulse -presence of a hotspot on the cast -coolness and power of the extremity

Presence of a hotspot on the cast

The nurse is evaluating the pin sides of a client and skeletal traction. The nurse would be least concerned with which finding? -inflammation -Serous drainage -pain at a pin site -purulent drainage

Serous drainage

The client has been taking medication for rheumatoid arthritis for three weeks. During the administration of a etanercept, it is most important for the nurse to collect which data? The white blood cell and platelet counts Metallic taste in the mouth with a loss of appetite Whether the client is experiencing fatigue and joint pain What are the client is experiencing itching and edema at the injection site

The white blood cell and platelet counts

A client is complaining of skin irritation from the edges of a cast applied the previous day. The nurse should plan for which intervention? -massaging the skin at the rim of the cast -petaling the cast edges with adhesive tape -using a rough file to smooth the cast edges -applying lotion to the skin at the rim of the cast

petaling the cast edges with adhesive tape

A client with a hip fracture asked the nurse why Buck's extension traction is being applied before surgery. The nurses response is based on the understanding that Buck's extension traction has which primary function? -allows bony healing to begin before surgery -provides rigid immobilization of the fracture site -lengthens the fractured leg to prevent severing of blood vessels -provides comfort by reducing muscle spasms and provides fracture and mobilization

provides comfort by reducing muscle spasms and provides fracture and mobilization

A client has sustained a closed fracture and has just had a cast applied to the affected arm. The client is complaining of intense pain. The nurse has elevated the lamb, applied an ice bag, and administered an analgesic, which was and effective in relieving the pain. The nurse interprets that this pain may be caused by which condition? -infection under the cast -The anxiety of the client -impaired tissue perfusion -The newness of the fracture

Impaired tissue perfusion

The nurse witnesses a client sustain a fall and suspects that the client leg may be fractured. Which action is the priority? -take vital signs -call the radiology department -immobilize the leg before moving the client -reassure the client that everything will be fine

Immobilize the leg before moving the client

The nurse is evaluating the clients use of a cane for left-sided weakness. The nurse should intervene and correct the client if the nurse observes that the client performed which action? Holds the cane on the right side Moves the cane when the right leg is moved Leans on the cane when the right leg swings through Keeps the cane 6 inches out to the side of the right foot

Moves the cane when the right leg is moved

Alendronate is prescribed for a client with osteoporosis and the nurse is providing instructions for the administration of the medication. Which instruction should the nurse reinforce? Take the medication at bedtime Take the medication in the morning with breakfast Lie down for 30 minutes after taking the medication Take the medication with a full glass of water after rinsing in the morning

Take the medication with a full glass of water after rinsing in the morning