Lewis Med/Surg (12th ed.) - Musculoskeletal and
Connective Tissue Disorders
Lewis's Medical-Surgical Nursing (12th Ed) by M.
Harding nursing test bank
Which information would the nurse teach older
adults at a community recreation center about
ways to prevent fractures?
a. Tack down scatter rugs on the floor in the
home.
b. Expect most falls to happen outside the home
in the yard.
c. Buy supportive nonskid shoes that are
comfortable to wear.
d. Get instruction in range-of-motion exercises
from a physical therapist. - correct answer-ANS: C
Comfortable nonskid shoes with good support will
help decrease the risk for falls. Scatter rugs
should be eliminated, not just tacked down.
Activities of daily living provide exercise for active
adults; range-of-motion does not need to be
,taught by a physical therapist. Falls inside the
home are responsible for many injuries.
Which recommendation would the occupational
health nurse provide to a patient whose job
involves many hours of typing?
a. Obtain a keyboard pad to support the wrist.
b. Do stretching exercises before starting work.
c. Wrap the wrists with compression bandages
each morning.
d. Avoid using nonsteroidal antiinflammatory
drugs (NSAIDS). - correct answer-ANS: A
Repetitive strain injuries caused by prolonged
work at a keyboard can be prevented by using a
pad to keep the wrists in a straight position.
Stretching exercises during the day may be
helpful, but these would not be needed before
starting work. Use of a compression bandage is
not needed, although a splint may be used for
carpal tunnel syndrome. NSAIDs are appropriate
to decrease swelling.
The nurse would instruct a patient with a
nondisplaced fractured left radius that the cast will
need to remain in place for what amount of time?
a. Two weeks
, b. At least six weeks
c. Until swelling of the wrist has resolved
d. Until x-rays show complete bony union - correct
answer-ANS: B
Bone healing starts immediately after the injury,
but because ossification does not begin until 3
weeks after injury, the cast will need to be worn
for more than 3 weeks. Complete union may take
up to 1 year. Resolution of swelling does not
indicate bone healing.
A patient who had open reduction and internal
fixation (ORIF) of left lower leg fractures continues
to report severe pain in the leg 15 minutes after
receiving the prescribed IV morphine. The nurse
determines pulses are faintly palpable and the
foot is cool to the touch. Which action would the
nurse take next?
a. Notify the health care provider.
b. Assess the incision for redness.
c. Reposition the left leg on pillows.
d. Check the patient's blood pressure. - correct
answer-ANS: A
The patient's clinical manifestations suggest
possible compartment syndrome and delay in
diagnosis and treatment may lead to severe
Connective Tissue Disorders
Lewis's Medical-Surgical Nursing (12th Ed) by M.
Harding nursing test bank
Which information would the nurse teach older
adults at a community recreation center about
ways to prevent fractures?
a. Tack down scatter rugs on the floor in the
home.
b. Expect most falls to happen outside the home
in the yard.
c. Buy supportive nonskid shoes that are
comfortable to wear.
d. Get instruction in range-of-motion exercises
from a physical therapist. - correct answer-ANS: C
Comfortable nonskid shoes with good support will
help decrease the risk for falls. Scatter rugs
should be eliminated, not just tacked down.
Activities of daily living provide exercise for active
adults; range-of-motion does not need to be
,taught by a physical therapist. Falls inside the
home are responsible for many injuries.
Which recommendation would the occupational
health nurse provide to a patient whose job
involves many hours of typing?
a. Obtain a keyboard pad to support the wrist.
b. Do stretching exercises before starting work.
c. Wrap the wrists with compression bandages
each morning.
d. Avoid using nonsteroidal antiinflammatory
drugs (NSAIDS). - correct answer-ANS: A
Repetitive strain injuries caused by prolonged
work at a keyboard can be prevented by using a
pad to keep the wrists in a straight position.
Stretching exercises during the day may be
helpful, but these would not be needed before
starting work. Use of a compression bandage is
not needed, although a splint may be used for
carpal tunnel syndrome. NSAIDs are appropriate
to decrease swelling.
The nurse would instruct a patient with a
nondisplaced fractured left radius that the cast will
need to remain in place for what amount of time?
a. Two weeks
, b. At least six weeks
c. Until swelling of the wrist has resolved
d. Until x-rays show complete bony union - correct
answer-ANS: B
Bone healing starts immediately after the injury,
but because ossification does not begin until 3
weeks after injury, the cast will need to be worn
for more than 3 weeks. Complete union may take
up to 1 year. Resolution of swelling does not
indicate bone healing.
A patient who had open reduction and internal
fixation (ORIF) of left lower leg fractures continues
to report severe pain in the leg 15 minutes after
receiving the prescribed IV morphine. The nurse
determines pulses are faintly palpable and the
foot is cool to the touch. Which action would the
nurse take next?
a. Notify the health care provider.
b. Assess the incision for redness.
c. Reposition the left leg on pillows.
d. Check the patient's blood pressure. - correct
answer-ANS: A
The patient's clinical manifestations suggest
possible compartment syndrome and delay in
diagnosis and treatment may lead to severe
