Musculoskeletal Prep U Module 1, Chapter 40 Musculoskeletal Care Modalities Questions and Correct Answers
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Course
NUR 1172
Institution
NUR 1172
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 inter...
Musculoskeletal Prep U Module 1,
Chapter 40 Musculoskeletal Care
Modalities Questions and Correct
Answers
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
A client has a Fiberglass cast on the right arm. Which action should the nurse include in
the care plan? ✅assessing movement and sensation in the fingers of the right hand
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 nursing assessment finding indicates the client with traction has not met
expected outcomes? ✅right calf warm and swollen
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 providing instructions to the client who is being prepared for skeletal
traction. Which statement by the client indicates teaching was effective? ✅metal pins
will go through my skin to the bone
Which intervention would the nurse implement with the client in a plaster cast? Select all
that apply ✅Handle wet cast with palms of hands.
Trim, reshape, and smooth edges of cast.
A client has undergone a leg amputation. What teachings should the nurse offer such a
client to prevent abduction deformity? Select all that apply. ✅Advise the client to use a
trochanter roll.
Advise the client to adduct the stump so it presses against the other leg when the client
is lying on the stomach.
A client has severe osteoarthritis in the left hip and is having surgery to replace both
articular surfaces of the hip. What type of surgical procedure will the nurse prepare the
client for? ✅total arthroplasty
The nurse is assigned to care for a client who has had a total knee arthroplasty
yesterday. What type of pharmacologic therapy does the nurse anticipate administering
to this client to prevent complications related to the surgery? ✅anti-coagulation therapy
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
A nurse is caring for a client with a cast on the left arm after sustaining a fracture. Which
assessment finding is most significant for this client? ✅fingers of the left hand are cool
and swollen
A nurse is giving instructions to a client who's going home with a leg cast. Which
teaching point is most critical? ✅reporting signs of impaired circulation
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 ROM of joint
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 lotion and take warm baths or soaks
A group of students is studying for a test on traction. The students demonstrate
understanding of the types of traction when they identify which of the following as an
example of skin traction? ✅Buck's
,A client is reporting pain following orthopedic surgery. Which intervention will help
relieve pain? ✅Elevate effected extremity and use cold applications
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 in a yellowish crust that will shed in a few days
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 ensure that it does not get infected
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
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
The nurse teaching the client with a cast about home care includes which instruction?
✅dry a wet fiberglass cast to avoid skin problems
Which statement is accurate regarding care of a plaster cast? ✅the cast can be dented
while it is wet
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
inactivity
A client has undergone an external fixation. Which actions would be the priority for this
client? ✅maintaining pin care
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 during application
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
, Which is not a guideline for avoiding hip dislocation after replacement surgery. ✅the
hip may be flexed to put on clothes such as pants, stockings, shoes, or socks
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.
he nurse teaches the client which intervention to avoid hip dislocation after replacement
surgery? ✅never cross the affected leg while seated
Which is an inaccurate principle of traction? ✅skeletal traction is interrupted to turn
and re-position the client
The client displays manifestations of compartment syndrome. What treatment will the
nurse expect the client to be scheduled for? ✅a fasciotomy
A patient in pelvic traction needs circulatory status assessed. How should the nurse
assess for a positive Homans' sign? ✅Have the patient extend each leg and dorsiflex
each foot to determine if pain or tenderness is present in the lower leg.
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 healthcare provider
Which orthopedic surgery is done to correct and align a fracture after surgical dissection
and exposure of the fracture? ✅open reduction
A client who is undergoing skeletal traction reports pressure on bony areas. Which
action would be most appropriate to provide comfort for the client? ✅change the
client's position within perscribed limits
A client is brought to the emergency department by a softball team member who states
the client and another player ran into each other, and the client is having severe pain in
the right shoulder. What symptoms of a fractured clavicle does the nurse recognize?
✅right shoulder slopes downward and droops inward
A client sustained a stable fracture of the cervical spine and is having skeletal traction
applied. What type of traction does the nurse educate the client about? ✅Crutchfield
tongs
Which principle applies to the client in traction? ✅skeletal traction is never interrupted
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