Musculoskeletal Saunders Latest Review
Questions with Correct Answers
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A client being measured for crutches asks the nurse why the crutches cannot rest up underneath the
arm for extra support. The nurse responds knowing that which would most likely result from this
improper crutch measurement? - Answer -Injury to the brachial plexus nerves
A client has been diagnosed with gout, and the nurse provides dietary instructions. The nurse
determines that the client needs additional teaching if the client states that it is acceptable to eat which
food? - Answer -Chicken liver
Liver and other organ meats should be omitted from the diet of a client who has gout because of their
high purine content. Purines are a form of protein
A client has been diagnosed with subluxation of the shoulder. The nurse explains to the client that which
injury has occurred to the joint? - Answer -It has incompletely dislocated.
A subluxation is an incomplete dislocation of the joint surfaces.
A client has been experiencing muscle weakness over a period of several months. The health care
provider suspects polymyositis. Which client statement correctly identifies a confirmation of test results
and this diagnosis? - Answer -"I will know I have polymyositis if the muscle fibers are inflamed.
In polymyositis, necrosis and inflammation are seen in muscle fibers and myocardial fibers.
A client has been placed in Buck's extension traction. The nurse can provide for countertraction to
reduce shear and friction by performing which action? - Answer -Slightly elevating the foot of the
bed
For the client in Buck's extension traction (which is applied to a leg), the foot of the bed is elevated.
A client has had a bone scan done. The nurse determines that the client demonstrates understanding of
postprocedure care when the client makes which statement? - Answer -"I need to drink plenty of
water for 1 to 2 days after the procedure."
,the client is encouraged to drink large amounts of water for 24 to 48 hours to flush the radioisotope
from the system
A client has had surgery to repair a fractured left hip. When repositioning the client from side to side in
the bed, what should the nurse plan to use as the most important item for this maneuver? -
Answer -Abductor splint (abduction take away from the body)
A client has just been admitted to the hospital with a fractured femur and pelvic fractures. The nurse
should plan to carefully monitor the client for which signs/symptoms? - Answer -Tachycardia and
hypotension
Clients who experience fractures of the femur, pelvis, thorax, and spine are at risk for hypovolemic
shock. Bone fragments can damage blood vessels, leading to hemorrhage into the abdominal cavity and
the thigh
A client has just undergone spinal fusion after experiencing herniation of a lumbar disk. The nurse should
include which interventions to maintain client safety after this procedure? Select all that apply. -
Answer -- Keep the head of the bed flat.
- Place pillows under the length of the legs.
- Use logrolling technique for repositioning.
- Assist the client with eating meals and drinking fluids.
A client has skeletal traction applied to the right leg and has an overhead trapeze available for use. The
nurse should assess which area as high risk for pressure and breakdown? - Answer -Left heel
Common areas that are under pressure and are at risk for breakdown include the heel of the good leg
(which is used as a brace when pushing up in bed). The right heel is elevated because of traction.
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 elevates the limb, applies an ice bag, and administers an
analgesic, with little relief. Which problem may be causing this pain? - Answer -Impaired tissue
perfusion
A client has undergone fasciotomy to treat compartment syndrome of the leg. The nurse should
anticipate that which type of wound care to the fasciotomy site will be prescribed? - Answer -
Moist sterile saline dressings
The fasciotomy site is not sutured but is left open to relieve pressure and edema. The site is covered with
moist sterile saline dressings.
, A client immobilized in skeletal leg traction complains of being bored and restless. Based on these
complaints, the nurse identifies which client problem as the priority? - Answer -Inability to
entertain self
A client is admitted to the emergency department with an open fracture of the right tibia. What
intervention is most appropriatefor this client? - Answer -Check the neurovascular status of the
area distal to the extremity.
A client is being discharged to home after application of a plaster leg cast. Which statement indicates
that the client understands proper care of the cast? - Answer -I need to avoid getting the cast
wet."
A client is being discharged to home after spinal fusion with insertion of instrumentation (rod). The unit
nurse should consult with the continuing care nurse regarding the need for modification of the home
environment if the client makes which statement? - Answer -My bedroom and bathroom are on
the second floor of my home."
A client is being transferred to the nursing unit from the postanesthesia care unit after spinal fusion with
rod insertion. The nurse should prepare to transfer the client from the stretcher to the bed by using
which best method? - Answer -A transfer (slider) board and the assistance of three people
A client is complaining of knee pain. The knee is swollen, reddened, and warm to the touch. The nurse
interprets that the client's signs and symptoms are compatible with which conditions? Select all that
apply. - Answer -- Infection
- Recent injury
- Inflammation
A client is complaining of low back pain that radiates down the left posterior thigh. The nurse should ask
the client if the pain is worsened or aggravated by which factor? - Answer -Bending or lifting
A client is complaining of pain underneath a cast in the area of a bony prominence. The nurse interprets
that this client may need which intervention? - Answer -To have a window cut in the cast
A window may be cut in a dried cast to relieve pressure in an area of a bony prominence, to assess
pulses, to relieve discomfort, or to remove drains
A client is having a plaster cast placed on the lower extremity that will extend from mid-thigh to the
center of the foot. Which instruction should be given to the client before hospital discharge? -
Answer -The need to notify the health care provider immediately if the client notices numbness or
swelling or if the foot becomes cold and pale
A client is treated in a health care provider's office for a sprained ankle after a fall. Radiographic
examination has ruled out a fracture. Before sending the client home, the nurse plans to teach the client
to avoid which activity in the next 24 hours? - Answer -Applying a heating pad
Questions with Correct Answers
Guaranteed Pass
A client being measured for crutches asks the nurse why the crutches cannot rest up underneath the
arm for extra support. The nurse responds knowing that which would most likely result from this
improper crutch measurement? - Answer -Injury to the brachial plexus nerves
A client has been diagnosed with gout, and the nurse provides dietary instructions. The nurse
determines that the client needs additional teaching if the client states that it is acceptable to eat which
food? - Answer -Chicken liver
Liver and other organ meats should be omitted from the diet of a client who has gout because of their
high purine content. Purines are a form of protein
A client has been diagnosed with subluxation of the shoulder. The nurse explains to the client that which
injury has occurred to the joint? - Answer -It has incompletely dislocated.
A subluxation is an incomplete dislocation of the joint surfaces.
A client has been experiencing muscle weakness over a period of several months. The health care
provider suspects polymyositis. Which client statement correctly identifies a confirmation of test results
and this diagnosis? - Answer -"I will know I have polymyositis if the muscle fibers are inflamed.
In polymyositis, necrosis and inflammation are seen in muscle fibers and myocardial fibers.
A client has been placed in Buck's extension traction. The nurse can provide for countertraction to
reduce shear and friction by performing which action? - Answer -Slightly elevating the foot of the
bed
For the client in Buck's extension traction (which is applied to a leg), the foot of the bed is elevated.
A client has had a bone scan done. The nurse determines that the client demonstrates understanding of
postprocedure care when the client makes which statement? - Answer -"I need to drink plenty of
water for 1 to 2 days after the procedure."
,the client is encouraged to drink large amounts of water for 24 to 48 hours to flush the radioisotope
from the system
A client has had surgery to repair a fractured left hip. When repositioning the client from side to side in
the bed, what should the nurse plan to use as the most important item for this maneuver? -
Answer -Abductor splint (abduction take away from the body)
A client has just been admitted to the hospital with a fractured femur and pelvic fractures. The nurse
should plan to carefully monitor the client for which signs/symptoms? - Answer -Tachycardia and
hypotension
Clients who experience fractures of the femur, pelvis, thorax, and spine are at risk for hypovolemic
shock. Bone fragments can damage blood vessels, leading to hemorrhage into the abdominal cavity and
the thigh
A client has just undergone spinal fusion after experiencing herniation of a lumbar disk. The nurse should
include which interventions to maintain client safety after this procedure? Select all that apply. -
Answer -- Keep the head of the bed flat.
- Place pillows under the length of the legs.
- Use logrolling technique for repositioning.
- Assist the client with eating meals and drinking fluids.
A client has skeletal traction applied to the right leg and has an overhead trapeze available for use. The
nurse should assess which area as high risk for pressure and breakdown? - Answer -Left heel
Common areas that are under pressure and are at risk for breakdown include the heel of the good leg
(which is used as a brace when pushing up in bed). The right heel is elevated because of traction.
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 elevates the limb, applies an ice bag, and administers an
analgesic, with little relief. Which problem may be causing this pain? - Answer -Impaired tissue
perfusion
A client has undergone fasciotomy to treat compartment syndrome of the leg. The nurse should
anticipate that which type of wound care to the fasciotomy site will be prescribed? - Answer -
Moist sterile saline dressings
The fasciotomy site is not sutured but is left open to relieve pressure and edema. The site is covered with
moist sterile saline dressings.
, A client immobilized in skeletal leg traction complains of being bored and restless. Based on these
complaints, the nurse identifies which client problem as the priority? - Answer -Inability to
entertain self
A client is admitted to the emergency department with an open fracture of the right tibia. What
intervention is most appropriatefor this client? - Answer -Check the neurovascular status of the
area distal to the extremity.
A client is being discharged to home after application of a plaster leg cast. Which statement indicates
that the client understands proper care of the cast? - Answer -I need to avoid getting the cast
wet."
A client is being discharged to home after spinal fusion with insertion of instrumentation (rod). The unit
nurse should consult with the continuing care nurse regarding the need for modification of the home
environment if the client makes which statement? - Answer -My bedroom and bathroom are on
the second floor of my home."
A client is being transferred to the nursing unit from the postanesthesia care unit after spinal fusion with
rod insertion. The nurse should prepare to transfer the client from the stretcher to the bed by using
which best method? - Answer -A transfer (slider) board and the assistance of three people
A client is complaining of knee pain. The knee is swollen, reddened, and warm to the touch. The nurse
interprets that the client's signs and symptoms are compatible with which conditions? Select all that
apply. - Answer -- Infection
- Recent injury
- Inflammation
A client is complaining of low back pain that radiates down the left posterior thigh. The nurse should ask
the client if the pain is worsened or aggravated by which factor? - Answer -Bending or lifting
A client is complaining of pain underneath a cast in the area of a bony prominence. The nurse interprets
that this client may need which intervention? - Answer -To have a window cut in the cast
A window may be cut in a dried cast to relieve pressure in an area of a bony prominence, to assess
pulses, to relieve discomfort, or to remove drains
A client is having a plaster cast placed on the lower extremity that will extend from mid-thigh to the
center of the foot. Which instruction should be given to the client before hospital discharge? -
Answer -The need to notify the health care provider immediately if the client notices numbness or
swelling or if the foot becomes cold and pale
A client is treated in a health care provider's office for a sprained ankle after a fall. Radiographic
examination has ruled out a fracture. Before sending the client home, the nurse plans to teach the client
to avoid which activity in the next 24 hours? - Answer -Applying a heating pad
