N450 PrepU CH 42 Management of Patients with Musculoskeletal Trauma-Questions with Correct Answers/Verified/ Latest Update 2024/2025
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Course
N450
Institution
N450
Which term refers to a break in the continuity of a bone? -️️Fracture
A fracture is a break in the continuity of the bone. A malunion occurs when a fractured bone heals in
a misaligned position. Dislocation is a separation of joint surfaces. A subluxation is a partial
separation or dislocati...
N450 PrepU CH 42 Management of Patients with Musculoskeletal
Trauma-Questions with Correct Answers/Verified/ Latest Update
2024/2025
Which term refers to a break in the continuity of a bone? - ✔️✔️Fracture
A fracture is a break in the continuity of the bone. A malunion occurs when a fractured bone heals in
a misaligned position. Dislocation is a separation of joint surfaces. A subluxation is a partial
separation or dislocation of joint surfaces.
The type of fracture described as having one side of the bone broken and the other side bent would
be: - ✔️✔️greenstick
A greenstick fracture is the type of fracture described as having one side of the bone broken and the
other side bent. An oblique fracture occurs at an angle across the bone. A spiral fracture is a fracture
that twists around the shaft of the bone. A transverse fracture is a fracture that is straight across the
bone.
A client undergoes a total hip replacement. Which statement made by the client indicates to the
nurse that the client requires further teaching? - ✔️✔️"I don't know if I'll be able to get off that low
toilet seat at home by myself."
The client requires additional teaching if he is concerned about using a low toilet seat. To prevent
hip dislocation after a total hip replacement, the client must avoid bending the hips beyond 90
degrees. The nurse should instruct the client to use assistive devices, such as a raised toilet seat, to
prevent severe hip flexion. Using an abduction pillow or placing several pillows between the legs
reduces the risk of hip dislocation by preventing adduction and internal rotation of the legs.
Teaching the client to avoid crossing the legs also reduces the risk of hip dislocation. A sock puller
helps a client get dressed without flexing the hips beyond 90 degrees.
A nurse is caring for a construction worker who fell from the second story of a building site and
fractured the femoral neck. Which nursing diagnosis is a priority for the client? Select all that apply. -
✔️✔️Risk for injury
Impaired physical mobility
Risk for infection
, The usual surgical management for a femoral neck fracture is an open reduction and internal fixation
with nails or screws, placing the client at risk for infection from a surgical incision. The client's
physical mobility is impaired, increasing the risk for injury. Disturbed body image and urinary
incontinence are not expected problems for the client with a femoral neck fracture.
A client with a traumatic amputation of the right lower leg is refusing to look at the leg. Which action
by the nurse is most appropriate? - ✔️✔️Provide feedback on the client's strengths and available
resources.
The nurse should encourage the client to look at, and assist with, care of the residual limb. Providing
feedback on the client's strengths and resources may allow the client to start to adapt to the body
image and lifestyle change. The nurse should also allow time for the client to discuss their feelings
related to the amputation. Requesting a referral to occupational therapy and encouraging the client
to perform ROM exercises are appropriate but do not address the emotional aspect of losing an
extremity.
A client who has fallen and injured a hip cannot place weight on the leg and is in significant pain.
After radiographs indicate intact but malpositioned bones, what would the physician diagnose? -
✔️✔️dislocation
In joint dislocation, radiographic films show intact yet malpositioned bones. Arthrography or
arthroscopy may reveal damage to other structures in the joint capsule. A strain is an injury to a
muscle when it is stretched or pulled beyond its capacity. Sprains are injuries to the ligaments
surrounding a joint. A fracture is a break in the continuity of a bone.
An adult is swinging a small child by the arms, and the child screams and grabs his left arm. It is
determined in the emergency department that the radial head is partially dislocated. What is this
partially dislocated radial head documented as? - ✔️✔️Subluxation
A partial dislocation is referred to as a subluxation. A Volkmann's contracture is a claw like deformity
that results from compartment syndrome or obstructed arterial blood flow to the forearm and hand.
Compartment syndrome is a condition in which a structure such as a tendon or nerve is constricted
in a confined space and affects nerve innervation, leading to subsequent palsy. A sprain is injury to
the ligaments surrounding the joint.
A client with arterial insufficiency undergoes below-knee amputation of the right leg. Which action
should the nurse include in the postoperative care plan? - ✔️✔️Elevating the stump for the first 24
hours
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