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Chapter 55: Saunders Musculoskeletal review - AHN p. 1095 Questions With Complete Solutions
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Chapter 55: Saunders Musculoskeletal review - AHN p. 1095 Questions With Complete Solutions
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Chapter 55: Saunders Musculoskeletal review - AHN p. 1095Questions With Complete Solutions
A 28-year-old male patient has a fractured left humerus. He has
a cast on his arm. The nurse observes pallor, coolness, and a
decrease in capillary refill time to his left hand and fingers.
These observations are likely to indicate Correct Answers
compartment syndrome.
A 71-year-old patient is manifesting signs and symptoms of
gout. When assessing him for signs and symptoms of gout, the
nurse should pay particular attention to Correct Answers
Edema, inflammation, and discoloration of the great toe
A 76-year-old female patient is being seen for osteoarthritis of
the knee in the clinic. In discussing strengthening exercises,
which exercises would you recommend? Correct Answers
Bicycling for short distances
A client being measured for crutches asks the nurse why the
crutches cannot rest up underneath the arm for extra support.
The nurse's response is based on the understanding that this
could result in: Correct Answers Injury to the brachial plexus
nerves
A client diagnosed with gout has been started on medication
therapy with allopurinol (Zyloprim). The nurse teaches the client
which of the following points about this medication? Correct
Answers It is important to drink 3 L of fluid per day
,A client has a newly fractured fibula, which is planter called in
the emergency department. Because the client will need to use
crutches, the nurse plans to teach the client which crutch
walking gait before discharge? Correct Answers Three Point
Gait
A client has been taught to use a walker to aid in mobility
following internal fixation of a hip fracture. The nurse
determines that the client is using the walker incorrectly if the
client: Correct Answers Advances the walker with both legs at
the same time
A client has been taught to use a walker to aid in mobility
following internal fixation of a hip fracture. The nurse
determines that the client is using the walker incorrectly if which
action is noted? Correct Answers The client advances the
walker alternately for each with movement of the legs.
A client has had surgery to repair a fractured left hip. The nurse
plans to use which important item when repositioning the client
from side to side in the bed? Correct Answers Abductor splint
A client has just had an application of a leg cast and the nurse is
giving the client instructions on cast care at home. Which
statement by the client indicated the need for further teaching?
Correct Answers " I should use a hair dryer set to the hot setting
to dry by cast if it gets wet"
A client has just had skeletal traction applied following insertion
of pins. The nurse should place highest priority on doing which
, of the following while caring for the client? Correct Answers
Ensure that the weights on the traction setup are hanging free.
A client has just undergone spinal fusion after suffering a
herniated lumbar disk. The nurse would avoid which of the
following to maintain client safety after this procedure? Correct
Answers Overhead trapeze
A client has sustained multiple fractures in the left leg and is in
skeletal traction. The nurse has obtained an overhead trapeze for
the client's use to aid in bed mobility. The nurse would pay
particular attention to monitoring for which of the following
high-risk areas for pressure and breakdown? Correct Answers
Right heel
A client in skeletal leg traction with an overbed frame is not
allowed to turn from side to side. Which action by the nurse
would be most useful in trying to provide good skin care to the
client? Correct Answers Asking the client pull up on a trapeze
to lift the hips off the bed
A client is being discharged after application of a plaster leg
cast. The nurse determines that the client understands proper
care of the cast if the client makes which statement? Correct
Answers "I need to avoid getting the cast wet"
A client is being discharged to home following spinal fusion
with insertion of rods. The nurse would suggest a consultation
with the continuing care nurse regarding the need for follow-up
modification of the home environment if the client states that:
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