Musculoskeletal disorders
1. A patient in balanced suspension traction for a fractured femur needs to be repositioned toward the head of the bed. During repositioning, the nurse should:
A. place slight additional tension on the traction cords.
B. release the weights, and replace them immediately after positioning
C. lift the traction and the patient during repositioning.
D. maintain the same degree of traction tension.
2. A patient undergoes cast placement for a fractured left radius. The nurse should suspect compartment syn-drome if the patient experiences pain that:
A. intensi es with the elevation of the left arm.
B. disappears with the exion of the left arm.
C. increases with the arm in a dependent position.
D. maintain the same degree of traction. tension.
3. A patient received a right hip prosthesis after a fall. In the immediate postoperative period, the nurse should: ?
A. maintain the leg in an adducted position.
B. maintain the leg in an abducted position.
C. maintain the leg in a neutral position.
D. maintain the leg with the hip exed greater than 90 degrees.
4. A 78-year-old patient has a history of osteoarthritis. Which signs and symptoms would the nurse expect to nd on physical assessment ?
A. Joint pain, crepitus, Heberden’s nodes .
B. Hot, in amed joints; crepitus; joint pain
C. Tophi, enlarged joints, Bouchard’s nodes .
D. Swelling, joint pain, tenderness on palpation .
5. The nurse is caring for an elderly female patient who has osteoporosis. When teaching her, the nurse should include information about which major complication ?
A. Bone fracture
B. Loss of estrogen
C. Negative calcium balance
D. Scoliosis
6. Conservative treatment of a herniated nucleus pulposus would include which measures?
A. Surgery
B. Spinal fusion
C. Bed rest, pain medication, and physiotherapy
D. Strenuous exercise, pain medication, and physiotherapy
7. Which areas should be included in a neurovascular assessment. ?
A. Orientation, movement, pulses, and warmth
B. Capillary re ll time, movement, pulses, and warmth .
C. Orientation, pupillary response, temperature, and pulses
D. Respiratory pattern, orientation, pulses, and temperature
8. Which of the following are considered signs and symptoms of a fracture ?
A. Tingling, coolness, and loss of pulses .
B. Loss of sensation, redness, and coolness.
C. Coolness, redness, and a new pain site .
D. Discoloration, deformity, and pain at the site of injury
9. What diagnostic test would be used to evaluate the presence of rhabdomyolysis ?
A. Glycosylated hemoglobin
B. Serum troponin
C. Serum myoglobin
D. Bone biopsy
10. What complication should the nurse be alert for in a diabetic patient who has been placed in skeletal traction after a motor vehicle collision ?
A. Osteoarthritis
B. Osteomyelitis
C. Osteoporosis
D. Osteosarcoma