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NURS 309 - Musculoskeletal Exam Set Medical Surgical Nursing: Patient-Centered Collaborative Care, 7th Edition; Ignatavicius, Workman; Chapter 54: Care of Patients with Musculoskeletal Trauma $15.99
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NURS 309 - Musculoskeletal Exam Set Medical Surgical Nursing: Patient-Centered Collaborative Care, 7th Edition; Ignatavicius, Workman; Chapter 54: Care of Patients with Musculoskeletal Trauma
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NURS 309 - Musculoskeletal Exam Set Medical Surgical Nursing: Patient-Centered Collaborative Care, 7th Edition; Ignatavicius, Workman; Chapter 54: Care of Patients with Musculoskeletal Trauma

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  • August 28, 2024
  • 47
  • 2024/2025
  • Exam (elaborations)
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  • nurs 309 musculoskeletal exam set medical surgic

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NURS 309 - Musculoskeletal Exam Set Medical Surgical
Nursing: Patient-Centered Collaborative Care, 7th Edition;
Ignatavicius, Workman; Chapter 54: Care of Patients with
Musculoskeletal Trauma

A 30 year old pt who is hospitalized for repair of a fractured
tibia and fibula reports shortness of breath.

Which complication related to the injury might the pt be
experiencing? Correct Answers Fat embolism

A 40 year old pt is admitted for acute osteomyelitis of the left
lower leg.

What does the Rn expect to find documented in the pt's
admitting assessment? Correct Answers Temperature greater
than 101 F; swelling, tenderness, erythema, and warmth of area

A chronic complication of bone healing is called avascular
necrosis.

Which statements about this complication are true? Correct
Answers It involves disrupting the blood supply to the bone.

It results in the death of bone tissue.

It is most often a complication of hip fractures.

A client has a long leg cast.

,What instructions should the Rn give the client in preparation
for crutch walking? Correct Answers Do exercises in bed to
strengthen the upper extremities

A client is admitted to the emergency department after a
motorcycle accident with a compound fracture of the left femur.
Which action will be most essential for the nurse to take first?
A. Check the dorsalis pedis pulses.
B. Immobilize the left leg with a splint.
C. Administer the prescribed analgesic.
D. Place a dressing on the affected area. Correct Answers
Check the dorsalis pedis pulses.

A client is ready to walk with crutches after knee surgery.

Which crutch walking technique will the RN most likely have to
reinforce after the client returns form physical therapy? Correct
Answers Three-point

A client newly diagnosed with scleroderma states, "where did I
get this from?"

The RN's BEST response is "Although no cause has been
determined for scleroderma, it is thought to be the result of:
Correct Answers autoimmunity

A female pt with osteoporosis comes to the ED after falling
suddenly while opening her car door.
She said it felt as though her "leg gave way" and caused her to
fall.

,What type of fracture does this pt likely have? Correct Answers
Pathologic (spontaneous)

A mother is a carrier of muscular dystrophy (MD) and has a
daughter. The client asks the nurse what the daughter's genetic
risk is for having MD. What is the nurse's best response?
A. "Because you are a carrier of the MD gene, your daughter
will develop MD."
B. "She will not have MD nor will she be a carrier."
C. "There is a 50% chance that your daughter may carry the
gene."
D. "Your daughter is X-linked dominant for the MD gene."
Correct Answers "There is a 50% chance that your daughter
may carry the gene."

A nurse plans care to prevent deformities in a client with RA.

Which intervention should be alternated with periods of rest?
Correct Answers Active exercise.

A pt arrives in the Ed reporting pain and immobility of the right
shoulder.
The pt reports a history of recurrent dislocations of the same
shoulder.

The RN observes for which other signs and symptoms that are
associated with a dislocation injury? Correct Answers
Alteration in contour of the joint.

Deviation in length of the extremity.

, A pt comes into the ED after falling off his four wheeler.
His lower leg is obviously broken; it is bleeding and bone
fragments are protruding from the skin.

What type of fracture does this pt likely have? Correct Answers
Open (compound)

A pt comes to the ED after accidentally puncturing his hand
with an automatic nail gun.

Which disorder is this pt primarily at risk for? Correct Answers
Osteomyelitis

A pt comes to the ED after slipping on some chalk in her
classroom.
She did not fall far and was able to walk with the assistance of
one of her students.

What type of fracture does this pt likely have? Correct Answers
Incomplete.

A pt comes to the Ed with crush syndrome form a crush injury
to his right upper extremity and right lower extremity when
heavy equipment fell on him at a construction site.
The pt has signs and symptoms of hypovolemia, hyperkalemia,
and compartment syndrome.

Management of care for this pt will focus on preventing which
complications? Correct Answers Cardiac dysrhythmias

Acute kidney failure

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