MSK Final Review Questions with All Correct Answers

MSK Final Review Questions with All Correct Answers A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the following actions should the nurse take? A.)Perform a neurovascular check of the lower extremities. B.)Keep the client's leg in a dependent position. C.)Discourage the client from ambulating. D.)Use a hair dryer on the hot setting to dry the cast. - Answer-A.)Perform a neurovascular check of the lower extremities. An older adult patient is postoperative for a total hip joint replacement. Which nursing care is inappropriate for this patient on the day of surgery? A.)Assisted out of bed the evening of surgery. B.)Provided with an elevated toilet seat. C.)Medicated with oral pain medications. D.)Prescribed weight-bearing is maintained. - Answer-C.)Medicated with oral pain medications. The nurse is assisting with the care of patients who have had joint replacement surgery. Which action is unnecessary for the patient after a total knee replacement (TKR)? A.)Monitor for excessive bleeding. B.)Check for indications of a DVT. C.)Ambulate as prescribed by HCP. D.)Maintain proper joint alignment. - Answer-D.)Maintain proper joint alignment. The nurse is assisting with patients on an orthopedic unit. Which is an important factor to remember when caring for patients after a total hip replacement? A.)Side-lying position is permitted with a pillow between the legs. B.)A triangular pillow is used between the legs to avoid adduction. C.)Sitting in a bedside chair is permitted if the legs are elevated. D.)Place three pillows between the legs, one distal and three proximal - Answer-B.)A triangular pillow is used between the legs to avoid adduction. The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse must remember in which way RA care is different from osteoarthritis care. Which nursing care does the nurse specifically provide for the patient with RA? A.)Exercise is poorly tolerated and frequent rest is needed. B.)Acutely inflamed joints will respond best to heat therapy. C.)It is essential to monitor all body systems for effects of the disease. D.)Injury and age are the greatest contributors to disease development. - Answer-C.)It is essential to monitor all body systems for effects of the disease. A patient is being prepared for a prosthesis following surgery for an amputation. Which information will the nurse provide to the client regarding the use of a prosthesis? A.)Manual massage will help shape the end of the residual limb. B.)A prosthesis will not be fitted until the surgery site is healed. C.)A shrinker sock is worn with the prosthesis to prevent sores. D.)Skin inspection is performed each time the sock is removed. - Answer-D.)Skin inspection is performed each time the sock is removed. The nurse is providing care for a patient after an above-the-knee amputation because of ischemia related to diabetes mellitus complications. Which nursing care is essential for promoting ambulation? A.)Building upper body strength B.)Promoting coordination exercises C.)Maintaining residual limb elevation . D.)Lying on the abdomen as prescribed - Answer-D.)Lying on the abdomen as prescribed A patient with gout has been instructed on the prescribed medication allopurinol (Lyloprim).Which patient statement indicates understanding of the action of this medication? A.)"It excretes proteins " B.)"It blocks formation of uric acid." C.)"It increases formation of purines." D.)"It increases metabolism of purines." - Answer-B.)"It blocks formation of uric acid." The nurse turns a 2-day postoperative patient with a right total hip replacement using three pillows between the legs. The nurse later returns and finds the patient lying supine with legs crossed. Which of the following should the nurse immediately observe to determine whether a complication has developed? A.)The right knee for crepitation B.)The left leg for internal rotation C.)The left leg for loss of function D.)The right leg for shortening - Answer-D.)The right leg for shortening Which of the following medications should a patient with gout be encouraged to avoid in order to prevent a gout attack? A.)Aspirin B.)Acetaminophen C.)Motrin D.)Codeine - Answer-A.)Aspirin The nurse is reviewing an erythrocyte sedimentation rate for a patient. Which of the following does the nurse understand is the purpose of this test? A.)To identify the number of red blood cells the patient has. B.)To determine sedimentation found in red blood cells. C.)To identify presence of systemic inflammation. D.)To diagnose various types of arthritis. - Answer-C.)To identify presence of systemic inflammation. Which of the following symptoms would the nurse most likely be told was the first symptom that caused a patient with rheumatoid arthritis to seek health care? A.)Cold intolerance B.)Stiff, sore joints C.)Shortness of breath D.)Crepitation - Answer-B.)Stiff, sore joints