Exam (elaborations) NURS 1102 PASSPOINT MUSCULOSKELETAL

NURS 1102 PASSPOINT MUSCULOSKELETAL Question 1 See full question A physician orders chlorzoxazone, 500 mg P.O. t.i.d for a client. The nurse knows that chlorzoxazone, a centrally acting skeletal muscle relaxant, is commonly used to treat: You Selected:  severe muscle spasm. Correct response:  severe muscle spasm. Explanation: Remediation: Question 2 See full question A nurse monitors a client receiving enoxaparin 30 mg subcutaneously b.i.d after hip replacement surgery. Which adverse reaction is the client most likely to experience? You Selected:  Bleeding Correct response:  Bleeding Explanation: Remediation: Question 3 See full question A nurse is caring for a client who complains of lower back pain. Which instruction should the nurse give to the client to prevent back injury? You Selected:  "Narrow the stance when lifting." Correct response:  "Stand close to the object you're lifting." Explanation: Remediation: Question 4 See full question During a scoliosis screening in a college health center, a student asks the public health nurse about the consequences of untreated scoliosis. The nurse indentifies one of the direct complications as: NURS 1102 PASSPOINT MUSCULOSKELETAL You Selected:  spontaneous spinal cord injury. Correct response:  impingement on pulmonary function. Explanation: Remediation: Question 5 See full question The media requests information from a nurse caring for a client who is a criminal. Which statement best shows the nurse's understanding of confidentiality requirements when the client is a criminal? You Selected:  The nurse shouldn't provide the media with any information about the client. Correct response:  The nurse shouldn't provide the media with any information about the client. Explanation: Question 6 See full question A client has a total hip replacement. Which of the following client statements indicates a need for further teaching before discharge? You Selected:  "I will be careful not to cross my legs." Correct response:  "I can't wait to take a tub bath when I get home." Explanation: Remediation: Question 7 See full question The client sustained an open fracture of the femur from an automobile accident. The nurse should assess the client for which type of shock? You Selected:  cardiogenic Correct response:  hypovolemic Explanation: Remediation: Question 8 See full question A client reports having pain in the casted left arm that is unrelieved by pain medication. The nurse assesses the arm and notes that the fingers are swollen and difficult to separate. What should the nurse do first? You Selected:  Administer morphine 2 mg intravenously. Correct response:  Call the health care provider (HCP) to report swelling and pain. Explanation: Remediation: Question 9 See full question When assessing a client who reports a back injury, it is critical for the nurse to question the client about: You Selected:  family history of back problems. Correct response:  mechanism of injury. Explanation: Remediation: Question 10 See full question The nurse is caring for an elderly client who has hip pain related to rheumatoid arthritis. The client is practicing appropriate self-care activities when the client chooses to sit in which type of chair? You Selected:  curved-back rocking chair Correct response:  straight-back chair with elevated seat Explanation: Remediation: Question 11 See full question The initial postoperative assessment is completed on a client who had an arthroscopy of the knee. Which information is not necessary to obtain every 15 minutes during the first postoperative hour? You Selected:  pain rating of the operative site Correct response:  urine output Explanation: Remediation: Question 12 See full question A client has been positioned in the lithotomy position under general anesthesia for a pelvic procedure. In which anatomic area may the client expect to experience postoperative discomfort? You Selected:  thighs Correct response:  shoulders Explanation: Remediation: Question 13 See full question Which condition should the nurse assess when completing the history and physical examination of a client diagnosed with osteoarthritis? You Selected:  weight loss Correct response:  local joint pain Explanation: Remediation: Question 14 See full question A client who had a total hip replacement 2 days ago has developed an infection with a fever and profuse diaphoresis. The nurse establishes a goal to reduce the fluid deficit. Which outcome is the most appropriate? You Selected:  The client drinks 2000 mL of fluid per day. Correct response:  The client drinks 2000 mL of fluid per day. Explanation: Remediation: Question 15 See full question The nurse is assessing a client’s left leg for neurovascular changes following a total left knee replacement. Which are expected normal findings? Select all that apply. You Selected:  moves toes  pulse on left leg weaker than right leg  pain absent Correct response:  reduced edema of the left knee  skin warm to touch  capillary refill response of less than 3 seconds  moves toes Explanation: Remediation: Question 16 See full question Which client statement identifies a knowledge deficit about cast care? You Selected:  "I can pull out cast padding to scratch inside the cast." Correct response:  "I can pull out cast padding to scratch inside the cast." Explanation: Remediation: Question 17 See full question A client has a left tibial fracture that required casting. Approximately 5 hours later, the client has increasing pain distal to the fracture despite the morphine injection administered 30 minutes previously. Which area should be the nurse's next assessment? You Selected:  vital sign changes Correct response:  distal pulse Explanation: Remediation: Question 18 See full question When caring for a client with acute osteomyelitis in the right tibia, which measure is mostappropriate to implement when repositioning the client’s leg? You Selected:  Hold the leg by the ankle when repositioning to avoid touching the tibia. Correct response:  Support the leg above and below the affected area when positioning. Explanation: Remediation: Question 19 See full question The nurse is planning an educational program about the prevention of osteoporosis for a group of women. Which preventive measures would be appropriate for the nurse to include in the teaching plan? You Selected:  encouraging weight-bearing exercise on a regular basis Correct response:  encouraging weight-bearing exercise on a regular basis Explanation: Remediation: Question 20 See full question The nurse is evaluating the outcome of therapy for a client with osteoarthritis. Which outcome indicates the goals of therapy have been met? You Selected:  joint range of motion improved Correct response:  joint range of motion improved Explanation: Remediation: Question 21 See full question The client returns from surgery for a below-the-knee amputation with the residual limb covered with dressings and a woven elastic bandage. At first, the bandage was dry. Now, 30 minutes later, the nurse notices a small amount of bloody drainage. The nurse should first: You Selected:  mark the area of drainage. Correct response:  mark the area of drainage. Explanation: Remediation: Question 22 See full question What would be the most important nursing intervention in caring for the client’s residual limb during the first 24 hours after amputation of the left leg? You Selected:  Abduct the residual limb on a scheduled basis. Correct response:  Elevate the residual limb on a pillow. Explanation: Remediation: Question 23 See full question Passive range-of-motion (ROM) exercises for the legs and assisted ROM exercises for the arms are part of the care regimen for a client with a spinal cord injury. Which observation by the nurse would indicate a successful outcome of this treatment? You Selected:  absence of tissue ischemia over bony prominences Correct response:  free, easy movement of the joints Explanation: Remediation: Question 24 See full question The nurse is teaching a client with osteoporosis about taking alendronate sodium. The nurse emphasizes that the client is to take the medication: You Selected:  with a full glass of water and remain upright for 30 minutes. Correct response:  with a full glass of water and remain upright for 30 minutes. Explanation: Remediation: Question 25 See full question A client takes prednisone for an acute exacerbation of rheumatoid arthritis. The nurse determines the client understands how to take the prednisone when the client says: You Selected:  ”I can stop taking the prednisone as soon as my joints feel better.” Correct response:  "It is best if I take this medication with some food.” Explanation: Remediation: Question 26 See full question A client comes to the emergency department reporting pain in the right leg. When obtaining the history, the nurse learns that the client has a history of obesity and hypertension. Based on this information the nurse anticipates the client having which musculoskeletal disorder? You Selected:  Muscular dystrophy Correct response:  Degenerative joint disease Explanation: Question 27 See full question A nurse is teaching a client who was recently diagnosed with carpal tunnel syndrome. Which statement should the nurse include? You Selected:  "Surgery is the only sure way to manage this condition." Correct response:  "Ergonomic changes can be incorporated into your workday to reduce stress on your wrist." Explanation: Remediation: Question 28 See full question A client undergoes an arthroscopy at the outpatient clinic. After the procedure, the nurse provides discharge teaching. Which response by the client indicates the need for further teaching? You Selected:  "Elevating my leg will reduce swelling after the procedure." Correct response:  "I should use my heating pad this evening to reduce some of the pain in my knee." Explanation: Remediation: Question 29 See full question A client is brought to the emergency department after injuring his right arm in a bicycle accident. The orthopedic surgeon tells the nurse that the client has a greenstick fracture of the arm. What does this mean? You Selected:  The fracture results from an underlying bone disorder. Correct response:  One side of the bone is broken and the other side is bent. Explanation: Remediation: Question 30 See full question For a client with osteoporosis, the nurse should provide which dietary instruction? You Selected:  "Eat more fruits to increase your potassium intake." Correct response:  "Eat more dairy products to increase your calcium intake." Explanation: Remediation: Question 31 See full question A client with osteoarthritis tells the nurse she is concerned that the disease will prevent her from doing her chores. Which suggestion should the nurse offer? You Selected:  "Do all your chores in the evening, when pain and stiffness are least pronounced." Correct response:  "Pace yourself and rest frequently, especially after activities." Explanation: Remediation: Question 32 See full question A client is admitted with acute osteomyelitis that developed after an open fracture of the right femur. When planning this client's care, the nurse should anticipate which measure? You Selected:  Administering large doses of oral antibiotics as ordered Correct response:  Administering large doses of I.V. antibiotics as ordered Explanation: Remediation: Question 33 See full question Which nursing diagnosis takes highest priority for a client with a compound fracture? You Selected:  Activity intolerance related to weight-bearing limitations Correct response:  Risk for infection related to effects of trauma Explanation: Remediation: Question 34 See full question After a person experiences a closure of the epiphyses, which statement is true? You Selected:  The bone grows in length but not thickness. Correct response:  No further increase in bone length occurs. Explanation: Question 35 See full question Two days after surgery to amputate his left lower leg, a client states that he has pain in the missing extremity. Which action by the nurse is most appropriate? You Selected:  Contact the physician. Correct response:  Administer medication, as ordered, for the reported discomfort. Explanation: Remediation: Question 36 See full question Elderly clients who fall are most at risk for which injuries? You Selected:  Cervical spine fractures Correct response:  Pelvic fractures Explanation: Remediation: Question 37 See full question