Chapter 41: Musculoskeletal Care Modalities exam 2024 with 100% correct answers
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Course
Chapter 41: Musculoskeletal Care Modalities
Institution
Chapter 41: Musculoskeletal Care Modalities
The client displays manifestations of compartment syndrome. The nurse expects the client to be scheduled for:
a) A fasciotomy
b) A total hip replacement
c) An open reduction
d) A total knee replacement correct answersA fasciotomy
Explanation:
A treatment option for compartment is fasci...
The client displays manifestations of compartment syndrome. The nurse expects the client to be
scheduled for:
a) A fasciotomy
b) A total hip replacement
c) An open reduction
d) A total knee replacement correct answersA fasciotomy
Explanation:
A treatment option for compartment is fasciotomy.
A client is about to have a cast applied to his left arm. The nurse would alert the client to which of the
following as the cast is applied?
a) Arm being moved to various positions
b) Sensation of warmth or heat with application
c) Increased in pain in left arm
d) Sensation of weakness correct answersSensation of warmth or heat with application
Explanation:
When a cast is applied, the client needs to be aware that he may feel a sensation of warmth or heat due
to the material being mixed with water. The client should not feel an increase in pain during the
application. The arm will be held in place to ensure proper alignment during the application. The client
should not feel weakness in the extremity. This is more commonly experiences after a cast is removed.
A patient diagnosed with a right ulnar fracture asks why the cast needs to go all the way up the arm.
What is the best response by the nurse?
, a) "This will allow for the strength in the arm to remain consistent."
b) "The joint above the fracture and below the fracture must be immobilized."
c) "The method will allow for the fastest healing time and the greatest mobility."
d) "When a spica cast is ordered, the arm must be immobilized." correct answers"The joint above the
fracture and below the fracture must be immobilized."
Explanation:
Generally, the joints proximal and distal to the fracture are immobilized to promote healing. The purpose
is not for the strength to remain consistent, most patients will lose strength. A spica cast would not be
ordered for an ulnar fracture. Although immobilizing the joints above and below fractures may aide in
healing time, it does not allow for increased mobility
Which of the following principles apply to the patient in traction?
a) Skeletal traction is never interrupted.
b) Knots in the ropes should touch the pulley.
c) Weights are removed routinely.
d) Weights should rest on the bed. correct answersSkeletal traction is never interrupted.
Explanation:
Skeletal traction is applied directly to the bone and is never interrupted. In order to be effective, the
weights must hang freely and not rest on the bed or floor. Knots in the rope or the footplate must not
touch the pulley or the foot of the bed. Traction must be continuous to be effective in reducing and
immobilizing fractures.
A client's left leg is in skeletal traction with a Thomas leg splint and Pearson attachment. Which
intervention should the nurse include in this client's care plan?
a) Remove the traction at least every 8 hours.
b) Apply the traction straps snugly.
c) Teach the client how to prevent problems caused by immobility.
d) Assess the client's level of consciousness. correct answersTeach the client how to prevent problems
caused by immobility.
Explanation:
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