Chapter 62: Musculoskeletal Trauma and
Orthopedic Surgery Complete questions
with complete solution
Which information will the nurse teach seniors at a community recreation center
about ways
to prevent fractures?
a. Tack down scatter rugs in the home.
b. Expect most falls to happen outside the home.
c. Buy shoes that provide good support and are comfortable to wear.
d. Get instruction in range-of-motion exercises from a physical therapist. -
ANSWER-ANS: C
Comfortable shoes with good support will help decrease the risk for falls. Scatter
rugs should
be eliminated, not just tacked down. Activities of daily living provide range of
motion
exercise; these do not need to be taught by a physical therapist. Falls inside the
home are
responsible for many injuries.
DIF: Cognitive Level: Apply (application) REF: 1463
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
A factory line worker has repetitive strain syndrome in the left elbow. The nurse
will plan to teach the patient about
a. surgical options.
b. elbow injections.
c. wearing a left wrist splint.
d. modifying arm movements. - ANSWER-ANS: D
Treatment for repetitive strain syndrome includes changing the ergonomics of the
activity.
,Elbow injections and surgery are not initial options for this type of injury. A wrist
splint might
be used for hand or wrist pain.
DIF: Cognitive Level: Apply (application) REF: 1465
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
The occupational health nurse will teach the patient whose job involves many
hours of typing
to
a. obtain a keyboard pad to support the wrist.
b. do stretching exercises before starting work.
c. wrap the wrists with compression bandages every morning.
d. avoid using nonsteroidal antiinflammatory drugs (NSAIDs) for pain. -
ANSWER-ANS: A
Repetitive strain injuries caused by prolonged work at a keyboard can be
prevented by using a
pad to keep the wrists in a straight position. Stretching exercises during the day
may be
helpful, but these would not be needed before starting work. Use of a
compression bandage is
not needed, although a splint may be used for carpal tunnel syndrome. NSAIDs
are
appropriate to decrease swelling.
DIF: Cognitive Level: Apply (application) REF: 1465
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
Which discharge instruction will the emergency department nurse include for a
patient with a
sprained ankle?
a. Keep the ankle loosely wrapped with gauze.
b. Apply a heating pad to reduce muscle spasms.
c. Use pillows to elevate the ankle above the heart.
d. Gently move the ankle through the range of motion. - ANSWER-ANS: C
Elevation of the leg will reduce swelling and pain. Compression bandages are
used to
, decrease swelling. For the first 24 to 48 hours, cold packs are used to reduce
swelling. The
ankle should be rested and kept immobile to prevent further swelling or injury.
DIF: Cognitive Level: Apply (application) REF: 1472
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
A tennis player has an arthroscopic repair of a rotator cuff injury performed in
same-day
surgery. When the nurse plans postoperative teaching for the patient, which
information will
be included?
a. "You will not be able to serve a tennis ball again."
b. "You will begin work with a physical therapist tomorrow."
c. "Keep the shoulder immobilizer on for the first 4 days to minimize pain."
d. "The surgeon will use the drop-arm test to determine the success of surgery." -
ANSWER-ANS: B
Physical therapy after a rotator cuff repair begins on the first postoperative day to
prevent
"frozen shoulder." A shoulder immobilizer is used immediately after the surgery,
but leaving
the arm immobilized for several days would lead to loss of range of motion. The
drop-arm test
is used to test for rotator cuff injury but not after surgery. The patient may be able
to return to
tennis after rehabilitation.
DIF: Cognitive Level: Apply (application) REF: 1467
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
The nurse will instruct the patient with a fractured left radius that the cast will
need to remain
in place
a. for several months.
b. for at least 3 weeks.
c. until swelling of the wrist has resolved.
d. until x-rays show complete bony union. - ANSWER-ANS: B
Bone healing starts immediately after the injury, but because ossification does
not begin until
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