Level 2 - RNSG 1443 – Musculoskeletal
Questions With Complete Solutions
A knee immobilizer may be used for several days after a
meniscus injury to stabilize the knee and minimize pain. Patients
are encouraged to ambulate with crutches. The knee is assessed
by flexing, internally rotating, and extending the knee
(McMurrays test). Correct Answer McMurrays test., - is
flexing, internally rotating, and extending the knee
a mandibular fracture involves wiring the mouth shut. Correct
Answer if the patient vomits or has an airway obstruction of any
kind, the first intervention is to cut the wires.
A patient having an open reduction and internal fixation (ORIF)
is at risk for problems such as wound infection and
osteomyelitis. Correct Answer sudden confusion would suggest
a fat embolus. The most important assessment is oxygenation.
A patient with a right lower leg fracture will be discharged home
with an external fixation device in place. Which information will
the nurse teach? Correct Answer You will need to check and
clean the pin insertion sites daily., - Pin insertion sites should be
cleaned daily to decrease the risk for infection at the site.
a rotator cuff injury., - is an injury to one of the 4 muscles
stabilizing the humeral head. Correct Answer a tear can result
in dislocation, pain, weakness, frozen shoulder
, a strain., - is the stretching of muscle and fascia., over-
stretching., misuse, overexertion., & history of trauma Correct
Answer a sprain., - is an injury to ligaments of joint., wrench or
twisting of the joints
After knee arthroplasty, active or passive flexion exercises are
used to obtain a 90-degree flexion of the knee. The goal for
extension of the knee will be 180 degrees. Correct Answer The
goal of hand surgery in rheumatoid arthritis (RA) is to restore
function, not to correct cosmetic deformity or treat the
underlying process.
Assessment of bowel sounds, abdominal pain, & nausea &
vomiting will detect the development of cast syndrome in a
patient with a hip spica cast Correct Answer Ice application for
the first 24 hours after a fracture will help reduce swelling and
can be placed over the cast.
Bucks traction keeps the leg immobilized and reduces painful
muscle spasm. Correct Answer Phantom limb sensation is
treated like any other type of post-op pain would be treated.
bursitis., - is synovial sacs inflammation Correct Answer .
carpal tunnel is a soft tissue injury Correct Answer .
closed non-displaced., - is a fracture causing the skin to remain
intact., - this type of fracture is not externally visible. the bone
that is fractured remains near its anatomical position Correct
Answer comminuted, or fragmented., - is a fracture that is
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