Question 1

The nurse is required to design a teaching plan for a client with a ruptured Achilles tendon. Which of the following would the nurse emphasize?

Accepted Answer

A)   Dietary restrictions
B)   Activity restrictions
C)   Use of nonprescription medications
D)   Effective pin careE) All of the above
F) B) and C)

Question 2

A 16-year-old female is brought to the clinic by her mother who is concerned about her daughter's complaints of pain in her arm. Theclient is a member of her high school crew team and practices for 2 ½ hours every day after school. Which of the following would the nurse suspect?

Accepted Answer

A)   Tendonitis
B)   Ganglion
C)   Carpal tunnel syndrome
D)   EpicondylitisE) None of the above
F) All of the above

Question 3

A client is being discharged from the Emergency Department after being diagnosed with a sprained ankle. Which client statement indicates the client understands the discharge teaching?

Accepted Answer

A)   "I'll start with ice for the first couple of hours and then apply heat."
B)   "I need to stay off my ankle for at least the next 3 to 4 weeks."
C)   "I'll get the prescription filled for the narcotic pain reliever."
D)   "I'll make sure to keep my ankle elevated as much as possible."E) B) and D)
F) C) and D) D

Question 4

A client comes to the Emergency Department complaining of localized pain and swelling of his lower leg. Ecchymotic areas are noted. History reveals that the client got hit in the leg with a baseball bat. Which of the following would the nurse suspect as most likely?

Accepted Answer

A)   Fracture
B)   Contusion
C)   Sprain
D)   StrainE) B) and C)
F) A) and B)

Question 5

A client who has sustained a fracture reports a increase in pain and decreased function of the affected extremity. The nurse would suspect which of the following?

Accepted Answer

A)   Infection
B)   Pulmonary embolism
C)   Avascular necrosis
D)   Hypovolemic shockE) A) and B)
F) B) and D)

Question 6

Radiographic evaluation of a client's fracture reveals that a bone fragment has been driven into another bone fragment. The nurse identifies this as which type of fracture?

Accepted Answer

A)   Comminuted
B)   Compression
C)   Impacted
D)   GreenstickE) B) and C)
F) A) and B)

Question 7

A male client, an ace professional tennis player, sprains his right ankle during a tennis match. The client is immediately rushed to the nurse who provides him with first-aid care. Which of the following would the nurse immediately provide?

Accepted Answer

A)   Heat, compression, analgesics, and exercise
B)   Rest, heat, compression, and elevation
C)   Rest, ice, compression, elevation, and stabilization
D)   Exercise, ice, compression, and elevationE) All of the above
F) A) and B)

Question 8

A client sustains an injury to the ligaments surrounding a joint. The nurse identifies this as which of the following?

Accepted Answer

A)   Strain
B)   Contusion
C)   Sprain
D)   FractureE) B) and C)
F) None of the above

Question 9

The nurse is preparing to assess Phalen's sign. Which of the following would the nurse identify as indicative of a positive indicator for this sign?

Accepted Answer

A)   Percussion of the median nerve causes tingling and numbness.
B)   Wrist flexion for 30 seconds causes pain and numbness.
C)   Electrical stimulation shows a delay in motor responses.
D)   Shaking hands causes a reduction in the pain.E) None of the above
F) A) and D)

Question 10

Which of the following would lead a nurse to suspect that a client has a rotator cuff tear?

Accepted Answer

A)   Ability to stretch arm over the head
B)   Difficulty lying on affected side
C)   Pain worse in the morning
D)   Minimal pain with movementE) A) and B)
F) B) and C)

Question 11

A client has a history of dislocations of the same joint. The nurse understands that this is most likely due to an insufficient deposit of collagen during the healing process leading to which of the following?

Accepted Answer

A)   Loss of function
B)   Allergic reaction
C)   Lack of mobility
D)   Reduced tensile strengthE) A) and B)
F) A) and C)

Question 12

When describing the sequence of events that occur after a bone breaks, the instructor would identify which of the following as occurring initially?

Accepted Answer

A)   Muscle flaccidity
B)   Swelling
C)   Formation of fibrin network
D)   Muscle spasticityE) B) and C)
F) C) and D) A

Question 13

When caring for a client with a fracture, assessment of which of the following would be the priority?

Accepted Answer

A)   Neurovascular compromise
B)   Hormonal imbalances
C)   Cardiac problems
D)   Altered kidney functionE) A) and C)
F) None of the above A

Question 14

Which of the following may occur if a client experiences compartment syndrome in an upper extremity?

Accepted Answer

A)   Whiplash injury
B)   Volkmann's contracture
C)   Callus
D)   SubluxationE) A) and B)
F) None of the above

Question 15

A client with a fracture asks the nurse when he can expect the limb to regain its former strength. The nurse bases the response on the understanding that approximately how much time needs to pass?

Accepted Answer

A)   6 weeks
B)   3 months
C)   9 months
D)   1 yearE) A) and C)
F) B) and C)

Question 16

A client is diagnosed with carpal tunnel syndrome. Which of the following assessment findings would the nurse expect?

Accepted Answer

A)   Pain radiating down the dorsal surface of the forearm
B)   Tenderness in the affected wrist
C)   Inability to flex index and middle fingers
D)   A decrease in grasp strengthE) C) and D)
F) A) and B)

Question 17

A client arriving at the Emergency Department is diagnosed with a dislocation. Assessment would most likely reveal which of the following? Select all that apply.

Accepted Answer

A)   Complaint of a popping sound
B)   Protrusion in the area of the dislocation
C)   Swelling
D)   Pain
E)   Area warm to touchF) A) and B)
G) C) and D)

Question 18

A client is receiving subcutaneous heparin after surgery to repair a fractured hip. The nurse understands that the rationale for this therapy is to reduce the risk for which the following?

Accepted Answer

A)   Compartment syndrome
B)   Pulmonary embolism
C)   Shock
D)   Avascular necrosisE) C) and D)
F) None of the above

Question 19

A daughter brings her 77-year-old mother to the Emergency Department after falling in her home. The daughter states, "I hope she hasn't broken her hip." Which of the following would the nurse assess if the client did sustain a hip fracture?

Accepted Answer

A)   Internal rotation of the affected extremity
B)   Lengthening of the affected extremity
C)   Bruising in the abdominal area
D)   Severe pain radiating to the kneeE) A) and B)
F) B) and C)

Question 20

The physician tells a client with a traumatic musculoskeletal injury to take nonsteroidal anti-inflammatory drugs (NSAIDs)  for pain relief. Which of the following pointers should the nurse emphasize with the client?

Accepted Answer

A)   Take medications with food.
B)   Stay on complete bed rest.
C)   Avoid the intake of dairy products.
D)   Avoid exposure to direct sunlight.E) B) and C)
F) B) and D)

Exam 62: Caring for Clients With Traumatic Musculos Keletal Injuries

The nurse is required to design a teaching plan for a client with a ruptured Achilles tendon. Which of the following would the nurse emphasize?

Correct AnswerverifiedShow Answer

A 16-year-old female is brought to the clinic by her mother who is concerned about her daughter's complaints of pain in her arm. Theclient is a member of her high school crew team and practices for 2 ½ hours every day after school. Which of the following would the nurse suspect?

Correct AnswerverifiedShow Answer

A client is being discharged from the Emergency Department after being diagnosed with a sprained ankle. Which client statement indicates the client understands the discharge teaching?

Correct AnswerverifiedD

A client comes to the Emergency Department complaining of localized pain and swelling of his lower leg. Ecchymotic areas are noted. History reveals that the client got hit in the leg with a baseball bat. Which of the following would the nurse suspect as most likely?

Correct AnswerverifiedShow Answer

A client who has sustained a fracture reports a increase in pain and decreased function of the affected extremity. The nurse would suspect which of the following?

Correct AnswerverifiedShow Answer

Radiographic evaluation of a client's fracture reveals that a bone fragment has been driven into another bone fragment. The nurse identifies this as which type of fracture?

Correct AnswerverifiedShow Answer

A male client, an ace professional tennis player, sprains his right ankle during a tennis match. The client is immediately rushed to the nurse who provides him with first-aid care. Which of the following would the nurse immediately provide?

Correct AnswerverifiedShow Answer

A client sustains an injury to the ligaments surrounding a joint. The nurse identifies this as which of the following?

Correct AnswerverifiedShow Answer

The nurse is preparing to assess Phalen's sign. Which of the following would the nurse identify as indicative of a positive indicator for this sign?

Correct AnswerverifiedShow Answer

Which of the following would lead a nurse to suspect that a client has a rotator cuff tear?

Correct AnswerverifiedShow Answer

A client has a history of dislocations of the same joint. The nurse understands that this is most likely due to an insufficient deposit of collagen during the healing process leading to which of the following?

Correct AnswerverifiedShow Answer

When describing the sequence of events that occur after a bone breaks, the instructor would identify which of the following as occurring initially?

Correct AnswerverifiedA

When caring for a client with a fracture, assessment of which of the following would be the priority?

Correct AnswerverifiedA

Which of the following may occur if a client experiences compartment syndrome in an upper extremity?

Correct AnswerverifiedShow Answer

A client with a fracture asks the nurse when he can expect the limb to regain its former strength. The nurse bases the response on the understanding that approximately how much time needs to pass?

Correct AnswerverifiedShow Answer

A client is diagnosed with carpal tunnel syndrome. Which of the following assessment findings would the nurse expect?

Correct AnswerverifiedShow Answer

A client arriving at the Emergency Department is diagnosed with a dislocation. Assessment would most likely reveal which of the following? Select all that apply.

Correct AnswerverifiedShow Answer

A client is receiving subcutaneous heparin after surgery to repair a fractured hip. The nurse understands that the rationale for this therapy is to reduce the risk for which the following?

Correct AnswerverifiedShow Answer

A daughter brings her 77-year-old mother to the Emergency Department after falling in her home. The daughter states, "I hope she hasn't broken her hip." Which of the following would the nurse assess if the client did sustain a hip fracture?

Correct AnswerverifiedShow Answer

The physician tells a client with a traumatic musculoskeletal injury to take nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief. Which of the following pointers should the nurse emphasize with the client?

Correct AnswerverifiedShow Answer

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