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Exam (elaborations)

Musculoskeletal (All Solved Accurately)

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The nurse is one of several people who witness a vehicle hit a pedestrian at a fairly low speed on a small street. The individual is dazed and tries to get up, and the leg appears fractured. The nurse should plan to perform which action? correct answers Stay with the person and encourage the person to remain still. The nurse witnesses a client sustain a fall and suspects that the client's leg may be fractured. Which action is the priority? correct answers Immobilize the leg before moving the client. A client with a hip fracture asks the nurse why Buck's extension traction is being applied before surgery. The nurse's response is based on the understanding that Buck's extension traction has which primary function? correct answers Provides comfort by reducing muscle spasms and provides fracture immobilization The nurse is evaluating the pin sites of a client in skeletal traction. The nurse would be least concerned with which finding? correct answers Serous drainage The nurse is caring for the client who has had skeletal traction applied to the left leg. The client is complaining of severe left leg pain. Which action should the nurse take first? correct answers Check the client's alignment in bed. The nurse has provided instructions regarding specific leg exercises for the client immobilized in right skeletal lower leg traction. The nurse determines that the client needs further teaching if the nurse observes the client doing which activity? correct answers Performing active range of motion (ROM) to the right ankle and knee The nurse is checking the casted extremity of a client. The nurse should check for which sign indicative of infection? correct answers Presence of a "hot spot" on the cast A client has sustained a closed fracture and has just had a cast applied to the affected arm. The client is complaining of intense pain. The nurse has elevated the limb, applied an ice bag, and administered an analgesic, which was ineffective in relieving the pain. The nurse interprets that this pain may be caused by which condition? correct answers Impaired tissue perfusion The nurse is assigned to care for a client with multiple traumas who is admitted to the hospital. The client has a leg fracture, and a plaster cast has been applied. In positioning the casted leg, the nurse should perform which intervention? correct answers Elevate the leg on pillows continuously for 24 to 48 hours. A client is complaining of skin irritation from the edges of a cast applied the previous day. The nurse should plan for which intervention? correct answers Petaling the cast edges with adhesive tape


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