Musculoskeletal Exam 2024 with 100% complete solutions
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Course
Musculoskeletal E
Institution
Musculoskeletal E
The nurse is evaluating the pin sites of a client in skeletal traction. The nurse would be least concerned with which finding?
1.Inflammation
2.Serous drainage
3.Pain at a pin site
4.Purulent drainage correct answers2.Serous drainage
The nurse has provided instructions regarding specific...
The nurse has provided instructions regarding specific leg exercises for the client immobilized in right
skeletal lower leg traction. The nurse determines that the client needs further teaching if the nurse
observes the client doing which activity?
1.Pulling up on the trapeze
2.Flexing and extending the feet
3.Doing quadriceps-setting and gluteal-setting exercises
4.Performing active range of motion (ROM) to the right ankle and knee correct answers4.Performing
active range of motion (ROM) to the right ankle and knee
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 has elevated the limb, applied an ice bag, and administered an
analgesic, which was ineffective in relieving the pain. The nurse interprets that this pain may be caused
by which condition?
1.Infection under the cast
2.The anxiety of the client
3.Impaired tissue perfusion
4.The newness of the fracture correct answers3.Impaired tissue perfusion
The nurse is assigned to care for a client with multiple traumas who is admitted to the hospital. The
client has a leg fracture, and a plaster cast has been applied. In positioning the casted leg, the nurse
should perform which intervention?
1.Keep the leg in a level position.
,2.Elevate the leg for 3 hours, and put it flat for 1 hour.
3.Keep the leg level for 3 hours, and elevate it for 1 hour.
4.Elevate the leg on pillows continuously for 24 to 48 hours. correct answers4.Elevate the leg on pillows
continuously for 24 to 48 hours.
A client is complaining of skin irritation from the edges of a cast applied the previous day. The nurse
should plan for which intervention?
1.Massaging the skin at the rim of the cast
2.Petaling the cast edges with adhesive tape
3.Using a rough file to smooth the cast edges
4.Applying lotion to the skin at the rim of the cast correct answers2.Petaling the cast edges with
adhesive tape
The nurse is preparing a list of cast care instructions for a client who just had a plaster cast applied to his
right forearm. Which instructions should the nurse include on the list? Select all that apply.
1.Keep the cast and extremity elevated.
2.The cast needs to be kept clean and dry.
3.Allow the wet cast 24 to 72 hours to dry.
4.Expect tingling and numbness in the extremity.
5.Use a hair dryer set on a warm to hot setting to dry the cast.
6.Use a soft-padded object that will fit under the cast to scratch the skin under the cast. correct
answers1.Keep the cast and extremity elevated.
2.The cast needs to be kept clean and dry.
3.Allow the wet cast 24 to 72 hours to dry.
A client has had skeletal traction applied to the right leg and has an overhead trapeze available for use.
The nurse should monitor which area as a high-risk area for pressure and breakdown?
1.Scapulae
2.Left heel
3.Right heel
4.Back of the head correct answers2.Left heel
, A client has been placed in Buck's extension traction. Which technique provided by the nurse will
provide countertraction?
1.Using a footboard
2.Providing an overhead trapeze
3.Slightly elevating the foot of the bed
4.Slightly elevating the head of the bed correct answers3.Slightly elevating the foot of the bed
The nurse is caring for a client with diabetes mellitus who is scheduled to have a right below-knee
amputation. The nurse assesses which factors that can put this client at risk for amputation? Select all
that apply.
1.Psoriasis
2.Bony deformity
3.Limited joint mobility
4.Peripheral neuropathy
5.Peripheral vascular disease
6.History of skin ulcers or previous amputation correct answers2.Bony deformity
3.Limited joint mobility
4.Peripheral neuropathy
5.Peripheral vascular disease
6.History of skin ulcers or previous amputation
The nurse has provided instructions to a client with a herniated lumbar disk about proper body
mechanics and other items pertinent to low back care. The nurse determines that the client needs
further teaching if the client verbalizes which action should be done?
1.Increase fiber and fluids in the diet.
2.Bend at the knees to pick up objects.
3.Strengthen the back muscles by swimming or walking.
4.Get out of bed by sitting straight up and swinging the legs over the side of the bed. correct
answers4.Get out of bed by sitting straight up and swinging the legs over the side of the bed.
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