Musculoskeletal A NGN
Study online at https://quizlet.com/_dy7lvz
1. An older adult client has an open reduction and Encourage the client to C&DB
internal fixation on the left femoral head after a q2h
fracture. Which action by the nurse is best?
Explained: The respiratory
complication of atelectasis is
a common occurrence within
the first 24h post-op. To pre-
vent this complication, it is es-
sential for older adult clients
to C&DB at least every 2 hours
2. The nurse prepares a client for a total hip replace- The client reports burning on
ment. Which information will likely postpone the urination
surgery?
Explained: This could be an
indication of a UTI. An infec-
tion from any source in the
body is a contraindication to a
total joint replacement
3. Total hip arthroplasty is scheduled for a client with Abducted with toes pointing
degenerative joint disease of the left femoral head. upward
Following surgery, it is most important for the nurse
to place the client's left leg in which position? Explained: A major complica-
tion of hip replacement is dis-
location of the prosthesis. The
nurse will maintain abduction
by placing a pillow between
the legs. The client will be in-
structed to avoid stooping or
crossing the legs
4.
, Musculoskeletal A NGN
Study online at https://quizlet.com/_dy7lvz
Aspirin is prescribed for a client. The nurse adminis- A glass of milk
ters this medication with which liquid?
Explained: The client can take
aspirin with food, milk, or a
large glass of water to reduce
GI upset
5. The nurse provides care for a client with a newly ap- Elevates the leg on pillows
plied plaster cast to the lower extremity. The nurse and leaves the cast open to
takes which action? air
Explained: Elevation of the
extremity will prevent ede-
ma and elevation of the leg
on pillows will prevent the
cast from having contact with
the hard surface that might
cause pressure. Leaving the
cast open to air will facilitate
drying
6. The nurse teaches a client Dx'd with a fractured left "I'll teach you how to do iso-
femur that's in a cast. The client asks how to keep metric exercises with your left
the muscles of the legs strong during the time the leg."
cast is on the left leg. Which response by the nurse
is best? Explained: The only safe
method of enhancing mus-
cle strength and venous re-
turn in a casket extremity is by
isometrics (contractions of a
particular muscle or group of
muscles), such as quadriceps
setting or straight leg raises
, Musculoskeletal A NGN
Study online at https://quizlet.com/_dy7lvz
7. The nurse in the OutPt clinic instructs a client receiv- "Drink 6-8 glasses of water
ing probenecid. It's most important for the nurse to each day."
make which statement?
Explained: Probenecid is an
anti-gout medication that in-
creases the excretion of uric
acid
8. An older adult client is Dx'd with a fractured femur. Altered mental status
The nurse recognizes which observation is an early
sign of fat embolism? Explained: The earliest sign of
fat embolism is an alteration
in the mental status d/t low
arterial oxygen levels. If that
embolism is more common in
men btw the ages of 20 and
40 and all adults btw the ages
of 70 and 80
9. The nurse assesses a client Dx'd with osteoarthritis. Pain usually provoked by ac-
The nurse expects to observe which S&S? tivity, and stiffness of the joints
after periods of rest.
Explained: Osteoarthritis is a
"wear and tear" disease char-
acterized by stiffness in the
joints, usually in the hips, ver-
tebrae, and fingers. Joint pain
is the predominant symp-
tom and typically the reason
clients seek medical Tx. Stiff-
ness of the joints occurs af-
Study online at https://quizlet.com/_dy7lvz
1. An older adult client has an open reduction and Encourage the client to C&DB
internal fixation on the left femoral head after a q2h
fracture. Which action by the nurse is best?
Explained: The respiratory
complication of atelectasis is
a common occurrence within
the first 24h post-op. To pre-
vent this complication, it is es-
sential for older adult clients
to C&DB at least every 2 hours
2. The nurse prepares a client for a total hip replace- The client reports burning on
ment. Which information will likely postpone the urination
surgery?
Explained: This could be an
indication of a UTI. An infec-
tion from any source in the
body is a contraindication to a
total joint replacement
3. Total hip arthroplasty is scheduled for a client with Abducted with toes pointing
degenerative joint disease of the left femoral head. upward
Following surgery, it is most important for the nurse
to place the client's left leg in which position? Explained: A major complica-
tion of hip replacement is dis-
location of the prosthesis. The
nurse will maintain abduction
by placing a pillow between
the legs. The client will be in-
structed to avoid stooping or
crossing the legs
4.
, Musculoskeletal A NGN
Study online at https://quizlet.com/_dy7lvz
Aspirin is prescribed for a client. The nurse adminis- A glass of milk
ters this medication with which liquid?
Explained: The client can take
aspirin with food, milk, or a
large glass of water to reduce
GI upset
5. The nurse provides care for a client with a newly ap- Elevates the leg on pillows
plied plaster cast to the lower extremity. The nurse and leaves the cast open to
takes which action? air
Explained: Elevation of the
extremity will prevent ede-
ma and elevation of the leg
on pillows will prevent the
cast from having contact with
the hard surface that might
cause pressure. Leaving the
cast open to air will facilitate
drying
6. The nurse teaches a client Dx'd with a fractured left "I'll teach you how to do iso-
femur that's in a cast. The client asks how to keep metric exercises with your left
the muscles of the legs strong during the time the leg."
cast is on the left leg. Which response by the nurse
is best? Explained: The only safe
method of enhancing mus-
cle strength and venous re-
turn in a casket extremity is by
isometrics (contractions of a
particular muscle or group of
muscles), such as quadriceps
setting or straight leg raises
, Musculoskeletal A NGN
Study online at https://quizlet.com/_dy7lvz
7. The nurse in the OutPt clinic instructs a client receiv- "Drink 6-8 glasses of water
ing probenecid. It's most important for the nurse to each day."
make which statement?
Explained: Probenecid is an
anti-gout medication that in-
creases the excretion of uric
acid
8. An older adult client is Dx'd with a fractured femur. Altered mental status
The nurse recognizes which observation is an early
sign of fat embolism? Explained: The earliest sign of
fat embolism is an alteration
in the mental status d/t low
arterial oxygen levels. If that
embolism is more common in
men btw the ages of 20 and
40 and all adults btw the ages
of 70 and 80
9. The nurse assesses a client Dx'd with osteoarthritis. Pain usually provoked by ac-
The nurse expects to observe which S&S? tivity, and stiffness of the joints
after periods of rest.
Explained: Osteoarthritis is a
"wear and tear" disease char-
acterized by stiffness in the
joints, usually in the hips, ver-
tebrae, and fingers. Joint pain
is the predominant symp-
tom and typically the reason
clients seek medical Tx. Stiff-
ness of the joints occurs af-
