MS 1
To reduce the roughness of a cast, which of the following measures should be used?
a. Petal the edges
b. Elevate the limb
c. Break off the rough area.
d. Distribute pressure evenly
a. Petal the edges
It would be most correct for the nurse to explain to the patient that the primary purpose for using the Continuous Passive Motion machine (CPM) is which of the following?
a. Relieve foot swelling
b. Restore joint function
c. Strengthen leg muscles
d. Prevents foot drop
b. Restore joint function
The assessment of the musculoskeletal system should start with which of the following?
a. Measuring limb length
b. Assessment of muscle strength
c. Testing range of motion
d. Inspection for symmetry and posture
d. Inspection for symmetry and posture
Which of the following actions can the nurse take to help prevent osteomyelitis for a patient with an open fracture?
a. Wear goggles
b. Wash hands prior to dressing change
c. Wear a protective gown
d. Wear sterile gloves to apply new dressing
e. Wear a mask
b. Wash hands prior to dressing change
A nurse is caring for a patient who has a suspected bone tumor. Which serum laboratory result would be indicative of this problem?
a. Elevated alkaline phosphatase level
b. Increased potassium level
c. Decreased calcium level
d. Increase CPK level
a. Elevated alkaline phosphatase level
The client is scheduled to undergo an electromyography. The nurse understands that this test will be performed to evaluate which of the following?
a. Muscle weakness
b. Metastatic bone lesions
c. Condition of the joint
d. Bone density
a. Muscle weakness
Which information is critical to include in the discharge plans for a client leaving the hospital in a leg cast?
a. Cast care, neurovascular checks and hygiene measures
b. Cast removal procedures, neurovascular checks, and devices to relieve itching
c. Skin care, mouth care, and cast removal procedures
d. Cast care procedures and devices to relieve itching
a. Cast care, neurovascular checks and hygiene measures
If the patient had all of the following laboratory tests when she first developed her joint symptoms, which one would be most diagnostic for rheumatoid arthritis?
a. Blood urea nitrogen (BUN)
b. Erythrocyte sedimentation rate
c. Fasting blood sugar
d. Partial thromboplastin time (PTT)
b. Erythrocyte sedimentation rate
The nurse is reinforcing teaching for a patient who is to have an arthrocentesis. Which of the following statements, if made by the patient indicates understanding of the planned procedure?
a. A needle will be used to draw off some fluid from my knee
b. I’ll be in a closed tube while they take pictures of my knee
c. They will inject dye that shows up on a special camera
d. They will use a small camera to look inside the joint
a. A needle will be used to draw off some fluid from my knee
Whenever a patient has sustained a musculoskeletal injury, it is most important that the nurse assess the patient’s distal extremities for which of the following?
a. proper position and elevation
b. signs of deep vein thrombosis (DVT)
c. paresthesia, numbness, and decreased pulses
d. ability to walk without assistance
c. paresthesia, numbness, and decreased pulses
Following amputation, which of these assessments should the nurse consider a priority to monitor for potential postoperative amputation complications?
a. Level of consciousness
b. Blood sugars
c. Sacral edema
d. Stump dressings
d. Stump dressings
Which of the following findings would indicate a complication of a left fibula fracture?
a. The patient has a decreased pulse, respiration and BP
b. The patient has an absent left pedal pulse
c. The patient has an increased red blood cell count
d. The patient has a decreased leukocyte count
b. The patient has an absent left pedal pulse
A compression dressing on a below the knee amputee would be achieving the desired effects if which of following observations were made?
a. The wound is free of drainage
b. The incision is well approximated
c. The skin edges are pink
d. There is no evidence of edema
d. There is no evidence of edema
A nurse receives a client from the emergency department in Buck’s traction following a fracture of the right femur. The nurse documents which of the following as a priority in the client’s medical record?
a. The effectiveness of pain medication given in the field
b. Medication given in the emergency department
c. Type of pin, wire, or plate used.
d. Status of skin underneath the traction and over bony prominences
d. Status of skin underneath the traction and over bony prominences
Which serum Creatine phosphokinase (CPK) result should the nurse review for a patient who had a crushing injury to the lower extremities?
a. CPK1
b. CPK-MB
c. CPK-MM
d. CPK-BB
c. CPK-MM