NUR 1172 Prep U Module 1, Chapter 40 Musculoskeletal Care Modalities Test Questions and Answers
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Course
NUR 1172
Institution
NUR 1172
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?Limit hip flexion of the client's hip when the client sits up
The nurse teaches the client which intervention to avoid hip dislocation after replacement surgery?Never...
NUR 1172 Prep U Module 1, Chapter 40
Musculoskeletal Care Modalities Test
Questions and Answers
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?✅Limit hip flexion of the client's hip when
the client sits up
The nurse teaches the client which intervention to avoid hip dislocation after
replacement surgery?✅Never cross the affected leg when seated
Which is a benefit of a continuous passive motion (CPM) device when applied after
knee surgery?✅It promotes healing by increasing circulation and movement of the
knee joint
A client has a plaster cast applied to the left leg. Which comment by the client following
the procedure should the nurse address first?✅"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.
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?✅Ineffective Coping related to prolonged
immobility
The nurse is caring for a client who lives alone and had a total knee replacement. An
appropriate nursing diagnosis for the client is:✅Risk for ineffective therapeutic regimen
management
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?✅Sensation of warmth or heat with application
A client is reporting pain following orthopedic surgery. Which intervention will help
relieve pain?✅Elevate the affected extremity and use cold applications.
Which is not a guideline for avoiding hip dislocation after replacement surgery.✅The
hip may be flexed to put on clothing such as pants, stockings, socks, or shoes
,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?✅Exploring factors related to the client's home environment
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?✅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.
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?✅The skin may be covered with a yellowish crust that will shed in a few
days.
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✅Assess for complications
-Unrelieved pain can be an indicator of a complication, such as compartment syndrome.
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?✅Sharp and
piercing
Which nursing assessment finding indicates the client with traction has not met
expected outcomes?✅Right calf warm and swollen
Which statement is accurate regarding care of a plaster cast?✅The cast can be
dented while it is damp.
The client displays manifestations of compartment syndrome. What treatment will the
nurse expect the client to be scheduled for?✅A fasciotomy
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?✅Apply lotions and take warm baths or soaks.
Which action would be most important postoperatively for a client who has had a knee
or hip replacement?✅Assisting in early ambulation.
An older female client who had a total hip replacement is to be discharged because her
healing is almost complete. What would be most important for this client✅Exploring
factors related to the client's home environment
,The nurse is assigned to care for a client who has had an open reduction and internal
fixation of a fractured right femur 2 days ago. The nurse is listening to the client's lungs
and, when moving the gown, observes petechial hemorrhages on the skin of the chest.
What is the first action by the nurse?✅Call the physician to inform them of the findings
A client is seen in the emergency department for an injury acquired from falling off of a
bicycle and fracturing the arm. The client also has a long laceration that has been
sutured in the same area. The client asks the nurse why a splint is applied and not a
cast. What is the best explanation by the nurse?✅"We will need to monitor the status
of the laceration to be sure it does not get infected."
The nurse is caring for a patient who had a total hip replacement. What lethal
postoperative complication should the nurse closely monitor for?✅Pulmonary
embolism
After undergoing surgery the previous day for a total knee replacement, a client states,
"I am not ready to ambulate yet." What should the nurse do?✅Discuss the
complications that the client may experience if there is lack of cooperation with the care
plan
Which orthopedic surgery is done to correct and align a fracture after surgical dissection
and exposure of the fracture?✅Open reduction
The client returns to the nursing unit following an open reduction with internal fixation of
the right hip. Nursing assessment findings include temperature 100.8 degrees
Farenheit, heart rate 112 beats per minute, respiratory rate 28 breaths per minute, and
blood pressure 86/58. There is no urine in the Foley catheter collection bag. The nurse
interprets these findings as indicating which complication?✅Hypovolemic shock
Following a total knee replacement, the surgeon orders a continuous passive motion
(CPM) device. The client asks about the purpose of this treatment. What is the best
response by the nurse?✅"CPM increases range of motion of the joint.
A client has undergone an external fixation. Which actions would be the priority for this
client?✅Maintaining pin care
A client's fracture was reduced by surgically exposing the bone and realigning it. What
type of treatment does the nurse identity this as?✅Open reduction
A client with a right leg fracture is returning to the orthopedist to have the cast removed.
What would the physician prescribe as further treatment?✅physical therapy
, The nurse assesses a clientafter total right hip arthroplasty and observes a shortening
of the extremity. The client reports severe pain in the right side of the groin. What is the
priority action of the nurse?✅Notify the health care provider
A client who is undergoing skeletal traction reports pressure on bony areas. Which
action would be most appropriate to provide comfort for the client?✅Changing the
client's position within prescribed limits
The nurse is caring for a client who sustained rib fractures in an automobile accident.
What symptoms does the nurse recognize as a complication of rib fractures and should
immediately be reported to the physician?✅Crackles in the lung bases
-Crackles in the lung bases can be an indicator that the client has developed
pneumonia from shallow respirations. The blood pressure is high but may be due to
pain. It is expected that the client will have pain in the rib area when taking deep
breaths. A heart rate of 94 beats/minuteis within normal range
What is the best action by the nurse to achieve optimal outcomes when caring for a
client with a musculoskeletal disorder who is using a cast?✅Educate the client on cast
care and complications
A client 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?✅"The joint above the fracture
and below the fracture must be immobilized."
Which is a benefit of a continuous passive motion (CPM) device when applied after
knee surgery?✅It promotes healing by increasing circulation and movement of the
knee joint.
The nurse is checking the traction apparatus for a client in skin traction. Which finding
would require the nurse to intervene?✅Weights hanging and touching the floor
A client with a fractured distal left radius reports discomfort at the cast site, with pain
specifically in the upper forearm. What would the nurse expect the physician to
do?✅cut a cast window
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?✅obtain a culture
The client returns to the nursing unit following an open reduction with internal fixation of
the right hip. Nursing assessment findings include temperature 42 degree Celsius, heart
rate 112 beats per minute, respiratory rate 28 breaths per minute, and blood pressure
86/58. There is no urine in the Foley catheter collection bag. The nurse interprets these
findings as indicating which of the following complications?✅hypovolemic shock
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