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Unit 5 Questions with complete solution
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Unit 5 Questions with complete solution To assess the joints, a nurse asks a client to perform various movements. As the client moves their arm away from the midline, the nurse evaluates their ability to perform abduction. A client performs abduction when moving a body part away from the midl...

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  • August 18, 2024
  • 54
  • 2024/2025
  • Exam (elaborations)
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  • unit 5 questions with complete solution

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Unit 5- Musculoskeletal Disorders-ML8
To assess the joints, a nurse asks a client to perform various movements. As
the client moves their arm away from the midline, the nurse evaluates their
ability to perform
abduction.


A client performs abduction when moving a body part away from the midline.
Protraction refers to drawing out or lengthening of a body part. Retraction, the
opposite of protraction, refers to drawing back or shortening of a body part.
Adduction, the opposite of abduction, is movement of a body part toward the
midline.




The client with rheumatoid arthritis has been taking large doses of aspirin to
relieve joint pain. The nurse should assess the client for:
tinnitus.


Tinnitus (ringing in the ears) is a common symptom of aspirin toxicity.Dysuria,
chest pain, and drowsiness are not associated with aspirin toxicity.




A client takes prednisone for an acute exacerbation of rheumatoid arthritis.
The nurse determines the client understands how to take the prednisone
when the client says:
"It is best if I take this medication with some food."


Prednisone is a gastrointestinal irritant that is best taken with food.The client
should not abruptly stop taking the prednisone when her joints feel better.
Rather, the drug must be tapered slowly. Abrupt withdrawal can precipitate a

,return of the symptoms.Sodium intake should be reduced, not increased.The
client will most likely retain fluids and demonstrate some weight gain.




The nurse assigns an unlicensed assistive personnel (UAP) to the care of a
client who has just returned from surgery for repair of a fractured right wrist
and application of an arm cast. The nurse should stress to the UAP the
importance of reporting:
the client cannot move the fingers on the right hand.


The UAP should report immediately to the nurse any sign that the client
cannot move the fingers on the casted arm, numbness or tingling, or feelings
of tightness because these may indicate impaired neurovascular status.The
nurse, not the UAP, is responsible for neurovascular assessments.Intake and
output would usually not be particularly significant in a client with a fractured
arm.It is normal for the client to feel heat immediately after application of a
plaster cast.




A client with an amputation is learning how to apply a prosthetic limb. Which
statement(s) made by the client indicates an increased risk for skin
impairment? Select all that apply.
"I can clean and inspect the skin of my amputated leg weekly."
"I will make sure the padding is all placed in the front of the stump."
"I can wear a cotton garment with seams over the stump."


The client with a prosthetic limb would want to clean and inspect the skin of
the amputated limb daily to ensure skin integrity is maintained. Having the
padding of the device distributed evenly can help prevent pressure on the skin
with the device. Wearing a cotton garment between the skin and prosthesis
that does not have seams also helps decrease pressure and friction on the
limb. The client would not want the device to fit too tightly as this can create

,pressure on the skin that could lead to skin breakdown. While the client needs
emotional support with the use of prosthetic limbs, this is not part of skin
protection and prevention of skin breakdown.




A client has a total hip replacement. Which of the following client statements
indicates a need for further teaching before discharge?
"I can't wait to take a tub bath when I get home."


The client will need to avoid extremes of motion in the hip to avoid dislocation.
The hip should not be flexed more than 90 degrees, internally rotated, or legs
crossed. It is not possible to safely sit in the bathtub without flexing the hip
beyond the recommended 90 degrees. The client can implement the
prescribed exercise program at the time of discharge home. The client should
take care not to stress the hip for 3 to 6 months after surgery. An elevated
toilet seat will be necessary during the recovery from surgery.




The initial postoperative assessment is completed on a client who had an
arthroscopy of the knee. Which information is not necessary to obtain every
15 minutes during the first postoperative hour?


urine output


The urine output does not have to be checked every 15 minutes for a client
who has had an arthroscopy because this client probably does not have a
catheter in place. If the client voids, the output would be recorded.
Assessments every 15 minutes during the first hour would include vital signs,
pulse oximeter values, and pain to monitor the client's comfort level and check
for compartment syndrome. Neurovascular checks distal to the operative site
are especially vital because a tourniquet was used proximal to the operative

, site during the surgical procedure and because edema may develop during
the postoperative period.




On a visit to the family physician, a client is diagnosed with a bunion on the
lateral side of the great toe, at the metatarsophalangeal joint. Which statement
should the nurse include in the teaching session?
"Some bunions are congenital; others are caused by wearing shoes that are
too short or narrow."


Bunions may be congenital or may be acquired by wearing shoes that are too
short or narrow, which increases pressure on the bursa at the
metatarsophalangeal joint. Acquired bunions can be prevented. Wearing
shoes that are too big may cause other types of foot trauma but not bunions.
Gout doesn't cause bunions. Although a client with gout may have pain in the
big toe, such pain doesn't result from a bunion.




The client with an above-the-knee amputation is to be fitted with a functioning
prosthesis. The nurse has been teaching the client how to care for the
residual limb. Which behavior would demonstrate that the client has an
understanding of proper residual limb care? The client:
washes and dries the residual limb daily.


Washing and thoroughly drying the residual limb daily are important hygiene
measures to prevent infection.Nothing should be applied to the residual limb
after it is cleansed. Powder may cause excessive drying and cracking of the
skin, and cream may soften the skin excessively.The residual limb should be
inspected daily with a mirror for early signs of skin breakdown.To reduce
residual limb swelling, the prosthesis should be removed only at night.

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