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Exam (elaborations)

NR511 final Exam Questions and Answers 100% Correct

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NR511 final Exam Questions and Answers 100% Correct Signs and symptoms and management of musculoskeletal sprains/strains/dislocations 16-15 When Maxwell, age 12, slid into home plate while playing baseball, he injured his ankle. The nurse practitioner is trying to differentiate between a sprain and a strain. A sprain A. is an injury to the ligaments that attach to bones in a joint. B. is an injury to the tendons that attach to the muscles in a joint. C. is an injury resulting in extensive tears of the muscles. - Answer- A. is an injury to the ligaments that attach to bones in a joint. Alexander, age 12, sprained his ankle playing ice hockey. He is confused as to whether to apply heat or cold. What should the nurse practitioner tell him? A. "Use continuous heat for the first 12 hours and then use heat or cold to your own preference." B. "Use continuous cold for the fi rst 12 hours and then use heat or cold to your own preference." D. "Alternate between cold and heat for 20 minutes each for the fi rst 24 to 48 hours." - Answer- D. "Alternate between cold and heat for 20 minutes each for the fi rst 24 to 48 hours." Ankylosis is defi ned as A. muscle shortening. B. joint stiffness. C. malposition of a joint. D. dislocation of a joint. - Answer- B. joint stiffness. Jill, age 49, has recently begun a rigorous weight- lifting regimen. She presents to the primary care office with a shoulder dislocation. Which of the following clinical manifestations lead the nurse practitioner to suspect an anterior shoulder dislocation over a posterior dislocation? A. Inability to shrug the shoulder B. Absence of pain C. Inability to rotate the shoulder externally D. Shortening of the arm - Answer- A. Inability to shrug the shoulder In assessing an infant for developmental dysplasia of the hip (DDH), the practitioner places the infant supine, fl exes the knees by holding the thumbs on the inner mid- thighs, with fi ngers outside on the hips touching the greater trochanters, stabilizes one hip, and abducts and gently pulls anteriorly on the other thigh. If this external rotation feels smooth with no sound present, there is no hip dislocation. This is A. the Allis test. B. Lasè gue's sign. C. the McMurray test. D. the Ortolani maneuver - Answer- D. the Ortolani maneuver

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