NUR 1172 Prep U Module 1, Ch. 40
Musculoskeletal Care Modalities Ch. 41
1. Which is a benefit of a continuous passive motion (CPM) device when applied after knee
surgery?
Answer
It promotes healing by increasing circulation and movement of the knee joint.
2. The nurse is checking the traction apparatus for a client in skin traction. Which finding
would require the nurse to intervene?
Answer
Weights hanging and touching the floor
3. 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?
Answer
cut a cast window
4. 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?
Answer
obtain a culture
5. The client returns to the nursing unit following an open reduction with inter- nal 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?
Answer
hypovolemic shock
6. A client has a Fiberglass cast on the right arm. Which action should the nurse include in the
care plan?
Answer
assessing movement and sensation in the fingers of the right hand
7. 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?
Answer
discuss the complications that the client may experience if there is lack of cooperation with the
care plan.
8. Which nursing assessment finding indicates the client with traction has not met expected
outcomes?
Answer
right calf warm and swollen
9. 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
Answer
exploring factors related to the client's home environment
,10. The nurse is providing instructions to the client who is being prepared for skeletal traction.
Which statement by the client indicates teaching was effective?
Answer
metal pins will go through my skin to the bone
11. Which intervention would the nurse implement with the client in a plaster cast? Select all
that apply
Answer
Handle wet cast with palms of hands.
Trim, reshape, and smooth edges of cast.
12. A client has undergone a leg amputation.What teachings should the nurse offer such a client
to prevent abduction deformity? Select all that apply.
Answer
Ad-
vise 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.
13. 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?
Answer
total arthroplasty
14. 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?
Answer
anti-coagulation therapy
15. 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?
Answer
sharp and piercing
16. 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?
Answer
fingers of the left hand are cool and swollen
17. A nurse is giving instructions to a client who's going home with a leg cast. Which teaching
point is most critical?
Answer
reporting signs of impaired circulation
18. Following a total knee replacement, the surgeon orders a continuous pas- sive motion
(CPM) device. The client asks about the purpose of this treatment. What is the best response by
the nurse?
Answer
CPM increases ROM of joint
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