NUR 1172 Prep U Module 1, Ch. 40
Musculoskeletal Care Modalities, CH 41
1. A nurse is caring for a client who recently underwent a total hip replacement. What is the best
action by the nurse for client care?
Answer
Limit hip flexion of the client's hip when the client sits up
2. The nurse teaches the client which intervention to avoid hip dislocation after replacement
surgery?
Answer
Never cross the affected leg when seated
3. Which is a benefit of a continuous passive motion (CPM) device when applied after knee
surgery?
Answer
It promotes healing by increasing circulation and movement of the knee joint
4. A client has a plaster cast applied to the left leg. Which comment by the client following the
procedure should the nurse address first?
Answer
"My toes are stiff."
-Compartment syndrome is characterized by neurovascular compromise. Stiffness of the toes
may be a preliminary finding that the client is having trouble with motor function.
,5. The client with a fractured femur is upset and agitated that skeletal traction will be necessary
for 6 to 8 weeks. The client states, "How can I stay like this for weeks? I can't even move!"
Based on these statements, the nurse would identify which of the following as the most
appropriate nursing diagnosis?
Answer
- Ineffective Coping related to prolonged immobility
6. The nurse is caring for a client who lives alone and had a total knee replace- ment. An
appropriate nursing diagnosis for the client is
Answer
Risk for ineffective therapeutic regimen management
7. A client is about to have a cast applied to the left arm. What will nurse alert the client to as
the cast is applied?
Answer
Sensation of warmth or heat with application
8. A client is reporting pain following orthopedic surgery. Which intervention will help relieve
pain?
Answer
Elevate the affected extremity and use cold applications.
9. Which is not a guideline for avoiding hip dislocation after replacement surgery.
Answer
The hip may be flexed to put on clothing such as pants, stockings, socks, or shoes
,10. A 68-year-old female client who had a total hip replacement is to be discharged because
her healing is almost complete. Which of the following would be most important for this client?
Answer
Exploring factors related to the client's home environment
11. The nurse is caring for a client with an external fixator that requires pin care twice a day.
The nurse observes that there is a new purulent drainage around one of the pins.What
intervention should the nurse anticipate doing?-
Answer
Obtaining a culture
-A culture should be obtained if purulent drainage is present. Drainage should be gently
removed, not scrubbed. Iodine-based products interfere with tissue healing
and are not recommended for cleaning pin sites. Ointment should not be applied to the pin site
unless specifically ordered.
12. The nurse is preparing a client to have his cast cut off after having it for 6 weeks to treat a
fractured tibia. What should the nurse inform the client prior to the cast being removed?
Answer
The skin may be covered with a yellowish crust that will shed in a few days.
13. A client with a long arm cast continues to complain of unrelieved throbbing pain even after
receiving opioid pain medication. Which is the priority action by the nurse
Answer
Assess for complications
, -Unrelieved pain can be an indicator of a complication, such as compartment syndrome.
14. A patient arrives in the emergency department with a suspected bone fracture of the right
arm. How does the nurse expect the patient to describe the pain?
Answer
Sharp and piercing
15. Which nursing assessment finding indicates the client with traction has not met expected
outcomes?
Answer
Right calf warm and swollen
16. Which statement is accurate regarding care of a plaster cast?
Answer
The cast can be dented while it is damp.
17. The client displays manifestations of compartment syndrome. What treat- ment will the
nurse expect the client to be scheduled for?
Answer
A fasciotomy
18. A client's cast is removed. The client is worried because the skin appears mottled and is
covered with a yellowish crust. What advice should the nurse give the client to address the skin
problem?
Answer
Apply lotions and take warm baths or soaks.
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