Musculoskeletal - Clinical Quiz
Sally recently suffered trauma to her tibia. Her dr said she has developed inflammation of the bone caused by pathogens. He prescribed antibiotics. What is her condition?
7 yo broke tibia, placed in hard splint. Hours later, extreme pain, not relieved by pain meds. Next BEST step in management?
A. keep giving ibuprofen
B. apply ice packs to the splint
C. arrange for follow-up with ortho in 24 hours
D. loosen the splint, go to ER immediately
A nurse is reinforcing teaching about placement of a prosthesis with a client who is having a below the knee amputation. Which of the following information should the nurse include in the teaching?
A. “This will improve your ability to ambulate sooner.”
B. “This will decrease the chance of you experiencing phantom limb pain.”
C. “This will help to decrease the frequency of dressing changes.”
D. “Placing this now will improve the fit of the prosthesis.”
Autoimmune Musculoskeletal Disorder resulting in systemic (bodywide) joint inflammation and pain is known as
C. Remy Disease
D. Rheumatoid Arthritis
A nurse is reinforcing teaching for a client who is to have a myelogram. Which of the following statements indicates the client understands the teaching?
A. “I will have a radioactive substance injected during the procedure.”
B. “I will not eat or drink anything for 8 hours before the procedure.”
C. “I will not be allowed to drink much liquid for 12 hours after the procedure.”
D. “I can expect to have some itching during the procedure.”
A nurse is collecting data on a client who has a femur fracture. Which of the following findings is a manifestation of fat embolism syndrome?
A. Reduced pulses distal to the client’s fracture
B. Swelling below the client’s injury
C. A drop in the client’s temperature
D. Petechiae over the client’s chest
A musculoskeletal disorder that involves nerve pain at the wrist, sometimes cause by repetitive movement such as typing.
B. carpal tunnel
A nurse is talking with a client who has a new diagnosis of acute bursitis in her right shoulder. Which of the following self-care strategies should the nurse recommend?
A. Range-of-motion exercise
B. Intermittent ice and heat
C. Elevation of the right arm
D. Corticosteroid therapy
A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take?
A. Loosen the knots on the ropes if the client is experiencing pain.
B. Ensure the client’s weights are hanging freely from the bed.
C. Check the client’s bony prominences every 12 hr.
D. Cleanse the client’s pin sites with povidone-iodine.
A nurse is contributing to the plan of care for an older adult client who is postoperative following a right hip arthroplasty. Which of the following interventions should the nurse include in the plan?
A. Perform the client’s personal care activities for her.
B. Limit the client’s fluid intake.
C. Monitor the Homan’s sign.
D. Maintain abduction of the right hip.
A nurse is assisting with the plan of care for an older adult client who is 4 hr postoperative following an open reduction and internal fixation of a fractured femur. Which of the following interventions should the nurse include in the plan of care?
A. Restrict oral fluid intake to 1,000 mL per day.
B. Remove antiembolic stockings once each day to examine skin integrity.
C. Maintain the client on bed rest for 72 hr after surgery.
D. Check capillary refill in the affected extremity every 4 hr.
A nurse is caring for a client who has a new below-the-knee amputation. Which of the following actions should the nurse take?
A. Rewrap the stump 3 times a day.
B. Anchor the elastic bandage to the distal site of the amputation.
C. Elevate the stump on 2 pillows for the first 3 days following the amputation.
D. Wrap the stump in a consecutive circular direction.
What is Osteoarthritis
A. A type of pain
B. A degenerative bone disease
C. A degenerative joint disease
D. Something to do with bones and arthritis?
A nurse is collecting data from a client following the application of a leg cast for the treatment of a fracture. Which of the following findings should the nurse expect to find first if the cast is too tight?
A. Toes cool to touch
B. Edema of the toes
C. Pallor of the toes
D. Inability to move toes
abnormal inward curvature of the lumbar region of the back
A. ruptured disc
Which of the below treatment can be the last option for osteoarthritis patient?
A. Wear joint support
B. Use assistive aid
C. Joint replacement
D. Corticosteroid injection
Osteoarthritis can cause pain due to inflammation of the joints. What type of pain medication may the provider ask you to administer?
D. none of the above
The term rhabdomyolysis is defined as _____ of striated muscle.
D. surgical fixation
Which of these substances are found in bones?
Bones need a balanced diet that includes:
A. calcium and vitamin D
B. calcium and vitamin A
C. Vitamin C and Calcium
D. calcium Vitamin A
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