Musculoskeletal Saunders Exam Questions with Answers
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Course
Musculoskeletal Saunders
Institution
Musculoskeletal Saunders
Musculoskeletal Saunders Exam Questions with Answers
The nurse is reviewing the postprocedure plan of care formulated by a nursing student for a client scheduled for a bone biopsy. The nurse determines that the student needs additional information about postprocedure care if which inaccurate inte...
Musculoskeletal Saunders Exam
Questions with Answers
The nurse is reviewing the postprocedure plan of care formulated by a nursing student
for a client scheduled for a bone biopsy. The nurse determines that the student needs
additional information about postprocedure care if which inaccurate intervention is
documented? - Answer-Administering opioid analgesics intramuscularly
A client has had a bone scan done. The nurse determines that the client demonstrates
understanding of postprocedure care when the client makes which statement? -
Answer-"I need to drink plenty of water for 1 to 2 days after the procedure."
the client is encouraged to drink large amounts of water for 24 to 48 hours to flush the
radioisotope from the system
The nurse is caring for a client who is an athlete and has sustained an injury to the
anterior cruciate ligament. The nurse is providing education to the client regarding the
potential treatment measures for this injury. What should the nurse include in the
teaching? Select all that apply. - Answer--Physical therapy
- Knee immobilizer
- Aspiration of joint fluid
- Antiinflammatory medications
The nurse is evaluating a client's use of a cane for left-sided weakness. The nurse
should intervene and correct the client if the nurse observed that the client performs
which action? - Answer-Moves the cane when the right leg is moved
The nurse is planning to teach a client how to stand on crutches. The nurse will
incorporate into written instructions that the client should be told to place the crutches in
what manner? - Answer-6 inches (15 cm) to the front and side of the toes
A client is having a plaster cast placed on the lower extremity that will extend from mid-
thigh to the center of the foot. Which instruction should be given to the client before
hospital discharge? - Answer-The need to notify the health care provider immediately if
the client notices numbness or swelling or if the foot becomes cold and pale
A client is complaining of knee pain. The knee is swollen, reddened, and warm to the
touch. The nurse interprets that the client's signs and symptoms are compatible with
which conditions? Select all that apply. - Answer-- Infection
- Recent injury
- Inflammation
,The nurse in the hospital emergency department is caring for a client with a fractured
arm and is preparing the client for a reduction of the fracture that will be done in the
casting room in the emergency department. The nurse should take which actions?
Select all that apply. - Answer--Administer a prescribed analgesic.
- Explain the procedure to the client.
-Obtain informed consent for the procedure.
The nurse teaches a client who is going to have a plaster cast applied about the
procedure. Which statement by the client indicates a need for further teaching? -
Answer-"I can bear weight on the cast in one-half hour."
A plaster cast can tolerate weight bearing once it is dry, which takes from 24 to 72
hours, depending on the nature and thickness of the cast.
The nurse has suggested specific leg exercises for a client immobilized in right skeletal
lower leg traction. The nurse determines that the client needs further instruction if the
nurse observes the client performing which action? - Answer-Performing active range of
motion to the right ankle and knee
what exercises can be performed in right skeletal lower leg traction - Answer-- Pulling
up using the trapeze
- Flexing and extending the feet
- Doing quadriceps-setting and gluteal-setting exercises
The nurse is giving a client with a left leg cast crutch-walking instructions using the
three-point gait. The client is allowed touch-down of the affected leg. The nurse should
tell the client to perform which action? - Answer-Advance the crutches along with the left
leg, and then advance the right leg.
A client who has experienced a stroke has partial hemiplegia of the left leg. The nurse
interprets that the client could benefit from the support and stability provided by which
item? - Answer-Quad cane
The nurse is caring for a client who has just had a plaster leg cast applied. The nurse
should plan to prevent the development of compartment syndrome by performing which
action? - Answer-Elevate the limb slightly.
A client has undergone fasciotomy to treat compartment syndrome of the leg. The nurse
should anticipate that which type of wound care to the fasciotomy site will be
prescribed? - Answer-Moist sterile saline dressings
The fasciotomy site is not sutured but is left open to relieve pressure and edema. The
site is covered with moist sterile saline dressings.
, The nurse is assessing a client with a shortened, adducted, and externally rotated left
leg. On the basis of this finding, which condition should the nurse anticipate? - Answer-
Fracture of the femoral neck
Typical signs after femoral neck fracture include shortening of the affected leg,
adduction, and external rotation.
Which cast care instructions should the nurse provide to a client who just had a plaster
cast applied to the right forearm? Select all that apply. - Answer--Keep the cast clean
and dry.
- Allow the cast 24 to 72 hours to dry.
- Keep the cast and extremity elevated
plaster cast teaching - Answer-- A cool setting on the hair dryer can be used to dry a
plaster cast (heat cannot be used on a plaster cast because the cast heats up and
burns the skin).
- not to stick anything under the cast because of the risk of breaking skin integrity.
- The client is instructed to monitor the extremity for circulatory impairment, such as
pain, swelling, discoloration, tingling, numbness, coolness, or diminished pulse.
A client is being discharged to home after application of a plaster leg cast. Which
statement indicates that the client understands proper care of the cast? - Answer-I need
to avoid getting the cast wet."
The nurse is assessing the casted extremity of a client. Which sign is indicative of
infection? - Answer-Presence of a "hot spot" on the cast
fracture pain - Answer-Most pain associated with fractures can be minimized with rest,
elevation, application of cold, and administration of analgesics. Pain that is not relieved
by these measures should be reported to the health care provider because pain
unrelieved by medications and other measures may indicate neurovascular
compromise.
A client has sustained a closed fracture and has just had a cast applied to the affected
arm. The client is complaining of intense pain. The nurse elevates the limb, applies an
ice bag, and administers an analgesic, with little relief. Which problem may be causing
this pain? - Answer-Impaired tissue perfusion
The nurse is admitting a client with multiple trauma injuries to the nursing unit. The
client has a leg fracture and had a plaster cast applied. Which position would be best for
the casted leg? - Answer-Elevated on pillows continuously for 24 to 48 hours
A client being measured for crutches asks the nurse why the crutches cannot rest up
underneath the arm for extra support. The nurse responds knowing that which would
most likely result from this improper crutch measurement? - Answer-Injury to the
brachial plexus nerves
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