Saunders NCLEX Musculoskeletal
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The nurse is conducting health screening for osteoporosis. Which client is at greatest risk of developing
this disorder?
,1.
A 25-year-old woman who runs
2.
A 36-year-old man who has asthma
3.
A 70-year-old man who consumes excess alcohol
4.
A sedentary 65-year-old woman who smokes cigarettes - correct ans:A sedentary 65-year-old woman
who smokes cigarettes
Risk factors for osteoporosis include female gender, being postmenopausal, advanced age, a low-
calcium diet, excessive alcohol intake, being sedentary, and smoking cigarettes. Long-term use of
corticosteroids, anticonvulsants, and/or furosemide also increases the risk.
The nurse has given instructions to a client returning home after knee arthroscopy. Which statement by
the client indicates that the instructions are understood?
1.
"I can resume regular exercise tomorrow."
2.
"I can't eat food for the remainder of the day."
3.
"I need to stay off the leg entirely for the rest of the day."
4.
"I need to report a fever or swelling to my health care provider." - correct ans:"I need to report a fever
or swelling to my health care provider."
,After arthroscopy, the client usually can walk carefully on the leg once sensation has returned. The client
is instructed to avoid strenuous exercise for at least a few days. The client may resume the usual diet.
Signs and symptoms of infection should be reported to the health care provider.
The nurse witnessed a vehicle hit a pedestrian. The victim is dazed and tries to get up. A leg appears
fractured. Which intervention should the nurse take?
1.
Try to reduce the fracture manually.
2.
Assist the victim to get up and walk to the sidewalk.
3.
Leave the victim for a few moments to call an ambulance.
4.
Stay with the victim and encourage him or her to remain still. - correct ans:Stay with the victim and
encourage him or her to remain still.
With a suspected fracture, the victim is not moved unless it is dangerous to remain in that spot. The
nurse should remain with the victim and have someone else call for emergency help. A fracture is not
reduced at the scene. Before the victim is moved, the site of fracture is immobilized to prevent further
injury.
Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to
the right forearm? Select all that apply.
1.
Keep the cast clean and dry.
2.
Allow the cast 24 to 72 hours to dry.
3.
Keep the cast and extremity elevated.
, 4.
Expect tingling and numbness in the extremity.
5.
Use a hair dryer set on a warm to hot setting to dry the cast.
6.
Use a soft, padded object that will fit under the cast to scratch the skin under the cast. - correct ans:1.
Keep the cast clean and dry.
2.
Allow the cast 24 to 72 hours to dry.
3.
Keep the cast and extremity elevated.
A plaster cast takes 24 to 72 hours to dry (synthetic casts dry in 20 minutes). The cast and extremity
should be elevated to reduce edema if prescribed. A wet cast is handled with the palms of the hand until
it is dry, and the extremity is turned (unless contraindicated) so that all sides of the wet cast will dry. A
cool setting on the hair dryer can be used to dry a plaster cast (heat cannot be used on a plaster cast
because the cast heats up and burns the skin). The cast needs to be kept clean and dry, and the client is
instructed not to stick anything under the cast because of the risk of breaking skin integrity. The client is
instructed to monitor the extremity for circulatory impairment, such as pain, swelling, discoloration,
tingling, numbness, coolness, or diminished pulse. The health care provider is notified immediately if
circulatory impairment occurs.
The nurse is evaluating a client in skeletal traction. When evaluating the pin sites, the nurse would be
most concerned with which finding?
1.
Redness around the pin sites
2.
Pain on palpation at the pin sites
3.
Thick, yellow drainage from the pin sites
4.
LATEST EXAM VERSION With
Expected real and comprehensive
Questions and Revised Correct
Answers Guarantee Pass A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
The nurse is conducting health screening for osteoporosis. Which client is at greatest risk of developing
this disorder?
,1.
A 25-year-old woman who runs
2.
A 36-year-old man who has asthma
3.
A 70-year-old man who consumes excess alcohol
4.
A sedentary 65-year-old woman who smokes cigarettes - correct ans:A sedentary 65-year-old woman
who smokes cigarettes
Risk factors for osteoporosis include female gender, being postmenopausal, advanced age, a low-
calcium diet, excessive alcohol intake, being sedentary, and smoking cigarettes. Long-term use of
corticosteroids, anticonvulsants, and/or furosemide also increases the risk.
The nurse has given instructions to a client returning home after knee arthroscopy. Which statement by
the client indicates that the instructions are understood?
1.
"I can resume regular exercise tomorrow."
2.
"I can't eat food for the remainder of the day."
3.
"I need to stay off the leg entirely for the rest of the day."
4.
"I need to report a fever or swelling to my health care provider." - correct ans:"I need to report a fever
or swelling to my health care provider."
,After arthroscopy, the client usually can walk carefully on the leg once sensation has returned. The client
is instructed to avoid strenuous exercise for at least a few days. The client may resume the usual diet.
Signs and symptoms of infection should be reported to the health care provider.
The nurse witnessed a vehicle hit a pedestrian. The victim is dazed and tries to get up. A leg appears
fractured. Which intervention should the nurse take?
1.
Try to reduce the fracture manually.
2.
Assist the victim to get up and walk to the sidewalk.
3.
Leave the victim for a few moments to call an ambulance.
4.
Stay with the victim and encourage him or her to remain still. - correct ans:Stay with the victim and
encourage him or her to remain still.
With a suspected fracture, the victim is not moved unless it is dangerous to remain in that spot. The
nurse should remain with the victim and have someone else call for emergency help. A fracture is not
reduced at the scene. Before the victim is moved, the site of fracture is immobilized to prevent further
injury.
Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to
the right forearm? Select all that apply.
1.
Keep the cast clean and dry.
2.
Allow the cast 24 to 72 hours to dry.
3.
Keep the cast and extremity elevated.
, 4.
Expect tingling and numbness in the extremity.
5.
Use a hair dryer set on a warm to hot setting to dry the cast.
6.
Use a soft, padded object that will fit under the cast to scratch the skin under the cast. - correct ans:1.
Keep the cast clean and dry.
2.
Allow the cast 24 to 72 hours to dry.
3.
Keep the cast and extremity elevated.
A plaster cast takes 24 to 72 hours to dry (synthetic casts dry in 20 minutes). The cast and extremity
should be elevated to reduce edema if prescribed. A wet cast is handled with the palms of the hand until
it is dry, and the extremity is turned (unless contraindicated) so that all sides of the wet cast will dry. A
cool setting on the hair dryer can be used to dry a plaster cast (heat cannot be used on a plaster cast
because the cast heats up and burns the skin). The cast needs to be kept clean and dry, and the client is
instructed not to stick anything under the cast because of the risk of breaking skin integrity. The client is
instructed to monitor the extremity for circulatory impairment, such as pain, swelling, discoloration,
tingling, numbness, coolness, or diminished pulse. The health care provider is notified immediately if
circulatory impairment occurs.
The nurse is evaluating a client in skeletal traction. When evaluating the pin sites, the nurse would be
most concerned with which finding?
1.
Redness around the pin sites
2.
Pain on palpation at the pin sites
3.
Thick, yellow drainage from the pin sites
4.
