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Bio 103 Ch. 40 Testbank Questions

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Detailed and comprehensive testbank that contains questions and correct answers on Ch.40 ;Musculoskeletal Care Modalities.

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  • October 6, 2024
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TestBank-Brunner&Suddarth'sTextbookofMedical-SurgicalNursing14e(Hinkle2017) 765



Chapter40:MusculoskeletalCareModalities


1. Anurseiscaringforapatientwhohashadaplasterarmcastapplied.Immediatelypostapplication,the
nurseshouldprovidewhatteachingtothepatient?


A) Thecastwillfeelcooltotouchforthefirst30minutes.


B) Thecastshouldbewrappedsnugglywithatoweluntilthepatientgetshome.


C) Thecastshouldbesupportedonaboardwhiledrying.


D) Thecastwillonlyhavefullstrengthwhendry.


Ans: D


Feedback:


Acastrequiresapproximately24to72hourstodry,anduntildry,itdoesnothavefullstrength.While
drying,thecastshouldnotbeplacedonahardsurface.Thecastwillexudeheatwhileitdriesandshould
notbewrapped.


2. Apatientbrokehisarminasportsaccidentandrequiredtheapplicationofacast.Shortlyfollowing
application,thepatientcomplainedofaninabilitytostraightenhisfingersandwassubsequently
diagnosedwithVolkmanncontracture.Whatpathophysiologicprocesscausedthiscomplication?


A) Obstructedarterialbloodflowtotheforearmandhand


B) Simultaneouspressureontheulnarandradialnerves


C) IrritationofMerkelcellsinthepatientsskinsurfaces


D) Uncontrolledmusclespasmsinthepatientsforearm


Ans: A


Feedback:


Volkmanncontractureoccurswhenarterialbloodflowisrestrictedtotheforearmandhandandresults
incontracturesofthefingersandwrist.Itdoesnotresultfromnervepressure,skinirritation,orspasms.


3. Apatientisadmittedtotheunitintractionforafracturedproximalfemurandrequirestractionpriorto
surgery.Whatisthemostappropriatetypeoftractiontoapplytoafracturedproximalfemur?

,TestBank-Brunner&Suddarth'sTextbookofMedical-SurgicalNursing14e(Hinkle2017) 766


A) Russellstraction


B) Dunlopstraction


C) Bucksextensiontraction


D) Cervicalheadhalter


Ans: C


Feedback:

Bucksextensionisusedforfracturesoftheproximalfemur.Russellstractionisusedforlowerleg
fractures.Dunlopstractionisappliedtotheupperextremityforsupracondylarfracturesoftheelbowand
humerus.Cervicalheadhaltersareusedtostabilizetheneck.

4. Anurseiscaringforapatientwhoisinskeletaltraction.Topreventthecomplicationofskinbreakdown
inapatientwithskeletaltraction,whatactionshouldbeincludedintheplanofcare?


A) Applyocclusivedressingstothepinsites.


B) Encouragethepatienttopushupwiththeelbowswhenrepositioning.


C) Encouragethepatienttoperformisometricexercisesonceashift.


D) Assessthepininsertionsiteevery8hours.


Ans: D


Feedback:

Thepininsertionsiteshouldbeassessedevery8hoursforinflammationandinfection.Loosecover
dressingsshouldbeappliedtopinsites.Thepatientshouldbeencouragedtousetheoverheadtrapezeto
shiftweightforrepositioning.Isometricexercisesshouldbedone10timesanhourwhileawake.

5. Anurseiscaringforapatientwhoispostoperativeday1righthipreplacement.Howshouldthenurse
positionthepatient?


A) Keepthepatientshipsinabductionatalltimes.


B) Keephipsflexedatnolessthan90degrees.


C) ElevatetheheadofthebedtohighFowlers.


D) Seatthepatientinalowchairassoonaspossible.


Ans: A

, TestBank-Brunner&Suddarth'sTextbookofMedical-SurgicalNursing14e(Hinkle2017) 767




Feedback:


Thehipsshouldbekeptinabductionbyanabductorpillow.Hipsshouldnotbeflexedmorethan90
degrees,andtheheadofbedshouldnotbeelevatedmorethan60degrees.Thepatientshipsshouldbe
higherthantheknees;assuch,highseatchairsshouldbeused.


6. Whileassessingapatientwhohashadkneereplacementsurgery,thenursenotesthatthepatienthas
developedahematomaatthesurgicalsite.Theaffectedleghasadecreasedpedalpulse.Whatwouldbe
theprioritynursingdiagnosisforthispatient?


A) RiskforInfection


B) RiskforPeripheralNeurovascularDysfunction


C) UnilateralNeglect


D) DisturbedKinestheticSensoryPerception


Ans: B


Feedback:


Thehematomamaycauseaninterruptionoftissueperfusion,sothemostappropriatenursingdiagnosis
isRiskofPeripheralNeurovascularDysfunction.Thereisalsoanassociatedriskforinfectionbecause
ofthehematoma,butimpairedneurovascularfunctionisamoreacutethreat.Unilateralneglectand
impairedsensationarelowerprioritiesthanneurovascularstatus.


7. Apatientwasbroughttotheemergencydepartmentafterafall.Thepatientistakentotheoperating
roomtoreceivearighthipprosthesis.Intheimmediatepostoperativeperiod,whathealtheducation
shouldthenurseemphasize?


A) Makesureyoudontbringyourkneesclosetogether.


B) Trytolieasstillaspossibleforthefirstfewdays.


C) Trytoavoidbendingyourkneesuntilnextweek.


D) Keepyourlegshigherthanyourchestwheneveryoucan.


Ans: A


Feedback:


Afterreceivingahipprosthesis,theaffectedlegshouldbekeptabducted.Mobilityshouldbe

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