Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery Exam Practice Questions and Answers
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Course
Lewis Medical-Surgical Nursing
Institution
Lewis Medical-Surgical Nursing
Chapter 62: Musculoskeletal Trauma and
Orthopedic Surgery Exam Practice
Questions and Answers
1. When teaching seniors at a community recreation center, which information will the nurse include
about ways to prevent fractures? a. Tack down scatter rugs in the home. b. Most falls happen outside ...
would lead to loss of range of motion (ROM). The drop-arm test is used to test for rotator cuff injury, but
not after surgery. The patient may be able to return to pitching after rehabilitation.
6. The nurse will instruct the patient with a fractured left radius that the cast will need to remain in place
a. for several months. b. for at least 3 weeks. c. until swelling of the wrist has resolved. d. until x-rays
show complete bony union. - Ans:✔✔-ANS: B Bone healing starts immediately after the injury, but since
ossification does not begin until 3 weeks postinjury, the cast will need to be worn for at least 3 weeks.
Complete union may take up to a year. Resolution of swelling does not indicate bone healing
7. A 48-year-old patient with a comminuted fracture of the left femur has Bucks traction in place while
waiting for surgery. To assess for pressure areas on the patients back and sacral area and to provide skin
care, the nurse should a. loosen the traction and help the patient turn onto the unaffected side. b. place
a pillow between the patients legs and turn gently to each side. c. turn the patient partially to each side
with the assistance of another nurse. d. have the patient lift the buttocks by bending and pushing with
the right leg. - Ans:✔✔-ANS: D The patient can lift the buttocks off the bed by using the left leg without
changing the right-leg alignment. Turning the patient will tend to move the leg out of alignment.
Disconnecting the traction will interrupt the weight needed to immobilize and align the fracture.
8. Which nursing intervention will be included in the plan of care after a patient with a right femur
fracture has a hip spica cast applied? a. Avoid placing the patient in prone position. b. Ask the patient
about abdominal discomfort. c. Discuss remaining on bed rest for several weeks. d. Use the cast support
bar to reposition the patient. - Ans:✔✔-ANS: B Assessment of bowel sounds, abdominal pain, and
nausea and vomiting will detect the development of cast syndrome. To avoid breakage, the support bar
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