Interventions and Assessments
An older patient that has prolonged bed rest is at risk for
pathological fractures and renal calculi
Which laboratory values will the nurse review prior to beginning medication therapy for musculoskeletal disorders?
C-reactive protein (CRP), human leukocyte antigen (HLA), and liver function tests
A patient, age 40, has worked as a data entry clerk for the past 10 years. She is being seen at the clinic for symptoms of carpal tunnel syndrome. What are her symptoms?
complaints of burning pain or tingling in the hands.
A client with left-sided weakness needs to learn how to use a cane. How should the nurse teach the client to position the cane?
Right hand, and 6 inches lateral (side) to the right foot
What should the nurse teach the patient before a magnetic resonance imaging (MRI) procedure?
Remove all metal, such as jewelry, glasses, and hair clips.
What are the two divisions of the skeleton?
Axial and Appendicular
What is the first thing a nurse must do before applying a safety reminder device (SRD)?
Get a health care provider’s order.
A fasciotomy treats which condition?
Compartment Syndrome
A client with left leg skeletal traction has an overhead trapeze to aid in bed mobility. The nurse would pay close attention to monitoring for which high-risk areas for pressure and breakdown?
Right heel
A client has just undergone spinal fusion surgery. The nurse would avoid which of the following to maintain client safety?
Overhead trapeze
Which foods should the home health nurse suggest for her client with osteoporosis to help slow the disease progression?
Leafy green vegetables
A patient with a left below-the-knee amputation. Is complaining of “phantom pain” in his amputated extremity. The nurse to explain phantom pain as:
“Phantom pain occurs because the nerve tracts that register pain in the amputated limb continue to send a message to the brain.”
The emergency department nurse admits a victim of an accidental poisoning. Who should the nurse call to receive the best assistance for this patient?
Poison Control
The bones store which 2 minerals?
Calcium and phosphorus
A nurse is assessing the patient's casted leg. The nurse would recognize what sign/symptom to indicate an infection.
Presence of a "hot spot" on the cast
The nurse has to educate a client that has to uses crutches, the nurse plans to teach the client which crutch walking gait before discharge?
Three-point gait
Freely movable joints are also known as:
diarthrosis
What are early signs of respiratory distress in a patient who has been given a neuromuscular-blocking agent?
Restlessness, anxiety, and lethargy
Which medication will the doctor order for a patient complaining of muscle spasms resulting from a back injury?
Cyclobenzaprine (Flexeril)
What is the rationale that explains why a paraplegic patient would receive baclofen (Lioresal)?
Interruption of reflexes at the level of the spinal cord.
What are early the symptoms of respiratory depression immediately after leaving the postoperative area?
Restlessness, anxiety, lethargy, decreased mental alertness, and headache.
What intervention can a nurse implement for a client who is complaining about skin irritation from the edges of a cast applied the previous day?
Petaling the cast edges with adhesive tape
A 25-year-old who has suffered a compound fracture of the femur. The nurse would expect the physician to order ______ intramuscularly.
tetanus toxoid
The nurse should know this when caring for a patient who is 34 years old and has rheumatoid arthritis:
Rest and exercise are both important parts of therapy and mobility.
Which intervention would be contraindicated in the post procedure care, following a client's bone biopsy of the left arm?
Place the left arm in a dependent position for 24 hours.
Terrorism is defined as:
a violent or dangerous act used to intimidate or coerce a person or government to further a political or social agenda.
What is the immediate medical management of any fracture is:
Splint and elevate the involved part
A patient in skeletal leg traction with an overbed frame is restricted from turning side to side. Which action by the nurse would reduce the risk for impaired skin integrity?
Asking the client pull up on a trapeze to lift the hips off the bed
Which meats are high in purines and can cause a gout flair up?
Brain, liver, kidney
What causes the inflammation in gouty arthritis?
“The inflammation is from small accumulations of uric acid crystals, which are called tophi.”
When can a patient bear weight on their plaster cast?
A plaster cast can tolerate weight bearing once it is dry, which varies from 24 to 72 hours, depending on the nature and thickness of the cast.
An x-ray of comminuted fracture of the distal tibia, will show:
The bone is splintered into pieces
What discharge in instructions should the nurse give a patient with short leg cast applied (right leg) to prevent complications?
Keep the right ankle elevated above the heart level with pillows for 24 hours.
A primary prevention measures regarding osteoporosis:
Maintaining body weight at or slightly above minimum recommended levels
Why would a patient who undergoes total hip replacement be prescribed prophylactic drugs such as heparin or warfarin (Coumadin)? T
decreases the risk of thrombus formation
What should be assessed in the emergency department for a patient whose chief complaint is a dislocated shoulder?
Details related to the mechanism of injury, Degree of impairment, Pain level, Inspection of the affected part for swelling, capillary refill, bruising, redness, localized tenderness, deformities, and paresthesia
Which drug is indicated in treatment of neuroleptic malignant syndrome resulting from antipsychotic medication with a temperature of 106°F and severe muscle rigidity?
Dantrolene (Dantrium)
A patient came to the hospital with a diagnosis of a fractured right femur sustained from a fall 5 hours ago. The nurse develops a plan of care related to monitoring for signs of fat embolism. The nurse should monitor for this.
Dyspnea and chest pain
A patient has a fractured right ankle. He has a cast on his leg. The nurse observes pallor, coolness, and a decrease in capillary refill time to her right foot and toes. These observations are likely to indicate?
Compartment syndrome
What are the steps for PASS, using a fire extinguisher correctly?
Pull, Aim, Squeeze, Sweep
Which information should the nurse provide to a patient with a back injury, having problems with sleepiness after taking a skeletal muscle relaxant?
Avoid activities requiring alertness, such as driving or operating power equipment., Obtain additional and specific information regarding the amount of patient’s sedation, Sedation is an adverse effect, tends to resolve with continued therapy
A patient a total hip replacement under general anesthesia is unable to breathe on her own after the procedure. Which drug will the nurse expect to be administered as an antidote to the neuromuscular-blocking agent?
Neostigmine methylsulfate (Prostigmin)