Prep U: musculoskeletal disorders
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?
Hypersensitivity
(x) Bleeding Bronchospasm Anaphylactic shock
Following a total joint replacement, which complication has the greatest
likelihood of occurring?
(x) deep vein thrombosis (DVT) wound evisceration polyuria displacement of
the new joint
When caring for a client with acute osteomyelitis in the right tibia, which
measure is most appropriate to implement when repositioning the client's leg?
(x) Support the leg above and below the affected area when positioning. Hold
the leg by the ankle when repositioning to avoid touching the tibia. Have the
client move the leg by himself to decrease pain. Apply warm, moist
compresses to the leg before repositioning.
To prevent the development of osteoporosis in a client who is immobilized, the
nurse - correct answer ✔answer
A client with an extracapsular hip fracture returns to the nursing unit after
internal fixation and pin insertion with a drainage tube at the incision site. Her
husband asks, "Why does she have this tube inserted in her hip?" Which
response would be best?
, "We have a way to administer antibiotics into the wound." (x) "Fluid will not be
allowed to accumulate at the site." "This way we will not have to irrigate the
wound." "The tube helps us to detect a wound infection early on."
The client with rheumatoid arthritis has been taking large doses of aspirin to
relieve joint pain. The nurse should assess the client for:
dysuria. drowsiness. chest pain. tinnitus.
To help prevent osteoporosis, what should a nurse advise a young woman to
do?
Avoid trauma to the affected bone. Consume at least 1,000 mg of calcium
daily. Keep the serum uric acid level within the normal range. Encourage the
use of a firm mattress.
A client - correct answer ✔
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?
vital signs including pulse oximeter
pain rating of the operative site
(x) urine output
neurovascular check distal to the operative site
The nurse is planning care for a group of clients who have had total hip
replacement. Of the clients listed below, which is at highest risk for infection
and should be assessed first?
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?
Hypersensitivity
(x) Bleeding Bronchospasm Anaphylactic shock
Following a total joint replacement, which complication has the greatest
likelihood of occurring?
(x) deep vein thrombosis (DVT) wound evisceration polyuria displacement of
the new joint
When caring for a client with acute osteomyelitis in the right tibia, which
measure is most appropriate to implement when repositioning the client's leg?
(x) Support the leg above and below the affected area when positioning. Hold
the leg by the ankle when repositioning to avoid touching the tibia. Have the
client move the leg by himself to decrease pain. Apply warm, moist
compresses to the leg before repositioning.
To prevent the development of osteoporosis in a client who is immobilized, the
nurse - correct answer ✔answer
A client with an extracapsular hip fracture returns to the nursing unit after
internal fixation and pin insertion with a drainage tube at the incision site. Her
husband asks, "Why does she have this tube inserted in her hip?" Which
response would be best?
, "We have a way to administer antibiotics into the wound." (x) "Fluid will not be
allowed to accumulate at the site." "This way we will not have to irrigate the
wound." "The tube helps us to detect a wound infection early on."
The client with rheumatoid arthritis has been taking large doses of aspirin to
relieve joint pain. The nurse should assess the client for:
dysuria. drowsiness. chest pain. tinnitus.
To help prevent osteoporosis, what should a nurse advise a young woman to
do?
Avoid trauma to the affected bone. Consume at least 1,000 mg of calcium
daily. Keep the serum uric acid level within the normal range. Encourage the
use of a firm mattress.
A client - correct answer ✔
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?
vital signs including pulse oximeter
pain rating of the operative site
(x) urine output
neurovascular check distal to the operative site
The nurse is planning care for a group of clients who have had total hip
replacement. Of the clients listed below, which is at highest risk for infection
and should be assessed first?
