musculoskeletal saunders exam 2024 with 100% correct answers
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Course
Musculoskeletal saunders
Institution
Musculoskeletal Saunders
Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? Select all that apply. correct answers-Keep the cast clean and dry.
- Allow the cast 24 to 72 hours to dry.
- Keep the cast and extremity elevated
plaster cast teaching ...
Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to
the right forearm? Select all that apply. correct answers-Keep the cast clean and dry.
- Allow the cast 24 to 72 hours to dry.
- Keep the cast and extremity elevated
plaster cast teaching correct answers- A cool setting on the hair dryer can be used to dry a plaster cast
(heat cannot be used on a plaster cast because the cast heats up and burns the skin).
- not to stick anything under the cast because of the risk of breaking skin integrity.
- The client is instructed to monitor the extremity for circulatory impairment, such as pain, swelling,
discoloration, tingling, numbness, coolness, or diminished pulse.
A client is being discharged to home after application of a plaster leg cast. Which statement indicates
that the client understands proper care of the cast? correct answersI need to avoid getting the cast wet."
The nurse is assessing the casted extremity of a client. Which sign is indicative of infection? correct
answersPresence of a "hot spot" on the cast
fracture pain correct answersMost pain associated with fractures can be minimized with rest, elevation,
application of cold, and administration of analgesics. Pain that is not relieved by these measures should
be reported to the health care provider because pain unrelieved by medications and other measures
may indicate neurovascular compromise.
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 elevates the limb, applies an ice bag, and administers an
analgesic, with little relief. Which problem may be causing this pain? correct answersImpaired tissue
perfusion
The nurse is admitting a client with multiple trauma injuries to the nursing unit. The client has a leg
fracture and had a plaster cast applied. Which position would be best for the casted leg? correct
answersElevated on pillows continuously for 24 to 48 hours
,A client being measured for crutches asks the nurse why the crutches cannot rest up underneath the
arm for extra support. The nurse responds knowing that which would most likely result from this
improper crutch measurement? correct answersInjury to the brachial plexus nerves
crutch measurement correct answersCrutches are measured so that the tops are 2 to 3 fingerwidths
from the axillae. This ensures that the client's axillae are not resting on the crutch or bearing the weight
of the crutch, which could result in injury to the nerves of the brachial plexus.
The nurse has given the client instructions about crutch safety. Which statement indicates that the client
understands the instructions? Select all that apply. correct answers- I should not use someone else's
crutches."
- "I need to remove any scatter rugs at home."
- "I need to have spare crutches and tips available."
The nurse is caring for a client being treated for fat embolus after multiple fractures. Which data would
the nurse evaluate as the most favorable indication of resolution of the fat embolus? correct
answersClear mentation
sign fat embolus is resolving correct answersAn altered mental state is an early indication of fat emboli;
therefore, clear mentation is a good indicator that a fat embolus is resolving.
The nurse has conducted teaching with a client in an arm cast about the signs and symptoms of
compartment syndrome. The nurse determines that the client understands the information if the client
states that he or she should report which early symptom of compartment syndrome? correct
answersNumbness and tingling in the fingers
The earliest symptom of compartment syndrome is paresthesia (numbness and tingling in the fingers).
Other symptoms include pain unrelieved by opioids, pain that increases with limb elevation, and pallor
and coolness to the distal limb. Cyanosis is a late sign. Pain that is out of proportion to the severity of the
fracture, correct answersThe earliest symptom of compartment syndrome is paresthesia (numbness and
tingling in the fingers). Other symptoms include pain unrelieved by opioids, pain that increases with limb
elevation, and pallor and coolness to the distal limb. Cyanosis is a late sign. Pain that is out of proportion
to the severity of the fracture,
A client with diabetes mellitus has had a right below-knee amputation. Given the client's history of
diabetes mellitus, which complication is the client at most risk for after surgery? correct
answersSeparation of the wound edges
A client is complaining of low back pain that radiates down the left posterior thigh. The nurse should ask
the client if the pain is worsened or aggravated by which factor? correct answersBending or lifting
The nurse is caring for a client with a diagnosis of gout. Which laboratory value would the nurse expect
to note in the client? correct answersUric acid level of 9.0 mg/dL (0.54 mmol/L
In addition to the presence of clinical manifestations, gout is diagnosed by the presence of persistent
hyperuricemia, with a uric acid level higher than 8 mg/dL
A client with a hip fracture asks the nurse about Buck's (extension) traction that is being applied before
surgery and what is involved. The nurse should provide which information to the client? correct
answersProvides comfort by reducing muscle spasms, provides fracture immobilization, and involves
pulleys and wheels
how many types of traction are there correct answers2 types skeletal and skin (buck's traction)
The nurse is assigned to care for a client in traction. The nurse creates a plan of care for the client and
should include which action in the plan? correct answersCheck the weights to ensure that they are off of
the floor.
Buck's Traction (skin traction) correct answersTo achieve proper traction, weights need to be free-
hanging, with knots kept away from the pulleys. Weights should not be kept resting on a firm surface.
The head of the bed is usually kept low to provide countertraction
The nurse is caring for an older adult who has been placed in Buck's extension traction after a hip
fracture. On assessment of the client, the nurse notes that the client is disoriented. What is the best
nursing action based on this information? correct answersPlace a clock and calendar in the client's room.
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