Med Surg Musculoskeletal Questions and Answers (2023 / 2024) (Verified Answer
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Med Surg
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Med Surg
Med Surg Musculoskeletal Questions and Answers (2023 / 2024) (Verified Answers)
A nurse is teaching a client who has a cast on his left arm to treat a forearm fracture. Which of the following statements indicates that the client understands the teaching?
A. I'll call the doctor's office if my f...
Med Surg Musculoskeletal Questions and
Answers () (Verified Answers)
A nurse is teaching a client who has a cast on his left arm to treat a forearm fracture. Which of the
following statements indicates that the client understands the teaching?
A. I'll call the doctor's office if my fingers get colder on the arm with the cast
B. If I have any itching under the cast, I'll try to reach the area with a cotton swab
C. If my fingers swell, I should put a heating pad on them and rest
D. If I have any tingling under my cast, I'll know I need to move my fingers more
A. I'll call the doctor's office if my fingers get colder on the arm with the cast
The nurse should emphasize the importance of doing neuromuscular checks and notifying the
provider of any unexpected findings, such as temperature variances.
- B: The client should not insert any objects under the cast to relieve itching. Instead, the client can try
blowing cool air from a blow dryer under the cast to relieve itching.
- C: The client should elevate his arm to reduce swelling. Some providers prescribe ice packs for the
first 24-48 hours, which might also help reduce swelling.
- D: Tingling can indicate compartment syndrome, a complication that involves increased pressure
within the fascia leading to reduced circulation to the area. It can also mean the cast is too tight. The
client should report this finding to the provider immediately.
A nurse is caring for a client following a hip arthroplasty. The nurse places an abduction pillow on the
client for which of the following purposes?
A. To raise the bed linens off the client's feet to prevent plantar flexion
B. To keep the client's heels off the bed to prevent pressure ulcers
C. To position the client off the operative site while in bed
D. To prevent dislocation of the hip during position changes or movement
D. To prevent dislocation of the hip during position changes or movement
Following surgery, the nurse should use an abduction pillow to prevent dislocation of the new hip
joint. The nurse should place the wedge-shaped pillow between the client's legs to prevent adduction
beyond the midline of the body during position changes or client movement, which can lead to
subluxation or total dislocation of the hip joint.
A nurse is providing nutrition education to a client who has osteomalacia. The nurse should identify
that this condition is caused by a deficiency in which of the following nutrients?
A. Fluoride
B. Vitamin A
C. Vitamin D
D. Phosphorus
C. Vitamin D
Osteomalacia, a softening of the bones due to defective bone mineralization, results from a deficiency
of vitamin D.
A nurse in the emergency department is caring for a client who reports pain in her left leg following a
motor-vehicle crash. The client's left leg has bruising, swelling, and displacement of the bones. Which
of the following actions should the nurse take first?
A. Obtain an X-ray of the injured leg
B. Apply ice packs to the affected area
, C. Check neuromuscular status distal to the injury
D. Elevate the affected leg on 2 pillows
C. Check neuromuscular status distal to the injury
The greatest risk to this client is impaired circulation to the limb from trauma and the resulting
edema; therefore, the first action is to check the circulation, sensation, and movement distal to the
level of the injury. If the nurse notes a weak or absent pulse distal to the injury, the limb's circulation
is compromised, and immediate action is critical.
A nurse is caring for a client who has a pelvic fracture. The client reports sudden shortness of breath,
stabbing chest pain, and feelings of doom. The client is experiencing which of the following
complications?
A. Pneumonia
B. Pulmonary embolus
C. Tension pneumothorax
D. Tuberculosis
B. Pulmonary embolus
Immobility following musculoskeletal trauma places the client at an increased risk of pulmonary
embolus. The client might also exhibit tachycardia and chest petechiae and have a decreased SaO2.
The nurse should notify the rapid response team immediately.
A nurse is providing discharge teaching to a client who has osteoarthritis. Which of the following
instructions should the nurse include?
A. Rest frequently after periods of activity
B. Perform your exercises only on days that you feel good
C. Perform your exercises after applying cold packs to your joints
D. Place a large pillow under your knees when lying down
A. Rest frequently after periods of activity
The joint pain in osteoarthritis is caused by deterioration of the synovial membranes and often
worsens after activity. Rest usually helps relieve the pain, so performing activities at a comfortable
pace with periods of rest is appropriate.
- B: The client should perform exercise consistently on both good and bad days
- C: The client should perform exercise immediately after applying heat to painful joints
- D: The client should not use a large pillow under the knees or head because this can lead to
contractors. A small pillow should be placed under the head or neck when lying down.
A nurse is planning care for a client following a total hip arthroplasty. Which of the following
interventions should the nurse include in the plan?
A. Position the client with her legs adducted
B. Internally rotate the client's affected hip
C. Place a pillow between the client's legs
D. Instruct the client to avoid flexing her hip more than 95 degrees
C. Place a pillow between the client's legs
The nurse should plan to place a pillow or a wedge between the client's legs to reduce the risk of hip
dislocation.
- A: The nurse should position the client with her legs abducted to reduce the risk of hip dislocation
- B: The nurse should avoid internal rotation of the client's affected hip to reduce the risk of hip
dislocation
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