Musculoskeletal 2 (with Accurate Answers)

1. A client is 1 day postoperative after a total hip replacement. The client should be placed in which of the following position? a. Supine b. Semi Fowler's c. Orthopneic d. Trendelenburg correct answers b. Semi Fowler's 2. A client who has had a plaster of Paris cast applied to his forearm is receiving pain medication. To detect early manifestations of compartment syndrome, which of these assessments should the nurse make? a. Observe the color of the fingers b. Palpate the radial pulse under the cast c. Check the cast for odor and drainage d. Evaluate the response to analgesics correct answers D 3. After a computer tomography scan with intravenous contrast medium, a client returns to the unit complaining of shortness of breath and itching. The nurse should be prepared to treat the client for: a. An anaphylactic reaction to the dye b. Inflammation from the extravasation of fluid during injection. c. Fluid overload from the volume of the infusions d. A normal reaction to the stress of the diagnostic procedure. correct answers a 4. While caring for a client with a newly applied plaster of Paris cast, the nurse makes note of all the following conditions. Which assessment finding requires immedite notification of the physician? a. Moderate pain, as reported by the client b. Report, by client, the heat is being felt under the cast c. Presence of slight edema of the toes of the casted foot d. Onset of paralysis in the toes of the casted foot correct answers d 5. Which of these nursing actions will best promote independence for the client in skeletal traction? a. Instruct the client to call for an analgesic before pain becomes severe. b. Provide an overhead trapeze for client use c. Encourage leg exercise within the limits of traction d. Provide skin care to prevent skin breakdown. correct answers b