ATI Management: Musculoskeletal Trauma and Orthopedic Surgery: Medical-
Surgical Nursing: Assessment and Management of Clinical Problems :{
Questions and Answers rated Score A+}
The nurse suspects an ankle sprain when a patient at the urgent care center relates
a. being hit by another soccer player during a game.
b. having ankle pain after sprinting around the track.
c. dropping a 10-lb weight on his lower leg at the health club.
d. twisting his ankle while running bases during a baseball game. - correct
answer>>>Correct answer: d
Rationale: A sprain is an injury to the ligamentous structures surrounding a joint, and a
wrenching or twisting motion usually causes it. Most sprains occur in the ankle and
knee join
The nurse explains to a patient with a fracture of the distal shaft of the humerus who is
returning for a 4-week checkup that healing is indicated by
a. formation of callus.
b. complete bony union.
,c. hematoma at fracture site.
d. presence of granulation tissue. - correct answer>>>Correct answer: a
Rationale: Bone goes through a remarkable reparative process of self-healing (i.e.,
union) that occurs in stages. The third stage is callus formation. As minerals (i.e.,
calcium, phosphorus, and magnesium) and new bone matrix are deposited in the
osteoid, an unorganized network of bone is formed that is woven about the fracture
parts. Callus is composed primarily of cartilage, osteoblasts, calcium, and phosphorus.
It usually appears by the end of the second week after injury. Evidence of callus
formation can be verified on x-rays.
A patient with a comminuted fracture of the tibia is to have an open reduction with
internal fixation (ORIF) of the fracture. The nurse explains that ORIF is indicated when
a. the patient is unable to tolerate prolonged immobilization.
b. the patient cannot tolerate the surgery of a closed reduction.
c. a temporary cast would be too unstable to provide normal mobility.
d. adequate alignment cannot be obtained by other nonsurgical methods. - correct
answer>>>Correct answer: d
Rationale: A comminuted fracture has more than two bone fragments. Open reduction
with internal fixation (ORIF) is indicated for a comminuted fracture and is used to
realign and maintain bony fragments. Other nonsurgical methods can result in a failure
, to obtain satisfactory reduction. Internal fixation reduces the hospital stay and the
complications associated with prolonged bed rest.
An indication of a neurovascular problem noted during assessment of the patient with a
fracture is
a. exaggeration of strength with movement.
b. increased redness and heat below the injury.
c. decreased sensation distal to the fracture site.
d. purulent drainage at the site of an open fracture. - correct answer>>>Correct answer:
c
Rationale: Musculoskeletal injuries have the potential for causing changes in the
neurovascular status of an injured extremity. In cases of musculoskeletal trauma,
application of a cast or constrictive dressing, poor positioning, and the physiologic
responses to the traumatic injury can cause nerve or vascular damage, usually distal to
the injury. The neurovascular assessment consists of a peripheral evaluation (i.e., color,
temperature, capillary refill, peripheral pulses, and edema) and a peripheral neurologic
evaluation (i.e., sensation, motor function, and pain).
A patient with a stable, closed fracture of the humerus caused by trauma to the arm
has a temporary splint with bulky padding applied with an elastic bandage. The nurse
suspects compartment syndrome and notifies the physician when the patient
experiences
Surgical Nursing: Assessment and Management of Clinical Problems :{
Questions and Answers rated Score A+}
The nurse suspects an ankle sprain when a patient at the urgent care center relates
a. being hit by another soccer player during a game.
b. having ankle pain after sprinting around the track.
c. dropping a 10-lb weight on his lower leg at the health club.
d. twisting his ankle while running bases during a baseball game. - correct
answer>>>Correct answer: d
Rationale: A sprain is an injury to the ligamentous structures surrounding a joint, and a
wrenching or twisting motion usually causes it. Most sprains occur in the ankle and
knee join
The nurse explains to a patient with a fracture of the distal shaft of the humerus who is
returning for a 4-week checkup that healing is indicated by
a. formation of callus.
b. complete bony union.
,c. hematoma at fracture site.
d. presence of granulation tissue. - correct answer>>>Correct answer: a
Rationale: Bone goes through a remarkable reparative process of self-healing (i.e.,
union) that occurs in stages. The third stage is callus formation. As minerals (i.e.,
calcium, phosphorus, and magnesium) and new bone matrix are deposited in the
osteoid, an unorganized network of bone is formed that is woven about the fracture
parts. Callus is composed primarily of cartilage, osteoblasts, calcium, and phosphorus.
It usually appears by the end of the second week after injury. Evidence of callus
formation can be verified on x-rays.
A patient with a comminuted fracture of the tibia is to have an open reduction with
internal fixation (ORIF) of the fracture. The nurse explains that ORIF is indicated when
a. the patient is unable to tolerate prolonged immobilization.
b. the patient cannot tolerate the surgery of a closed reduction.
c. a temporary cast would be too unstable to provide normal mobility.
d. adequate alignment cannot be obtained by other nonsurgical methods. - correct
answer>>>Correct answer: d
Rationale: A comminuted fracture has more than two bone fragments. Open reduction
with internal fixation (ORIF) is indicated for a comminuted fracture and is used to
realign and maintain bony fragments. Other nonsurgical methods can result in a failure
, to obtain satisfactory reduction. Internal fixation reduces the hospital stay and the
complications associated with prolonged bed rest.
An indication of a neurovascular problem noted during assessment of the patient with a
fracture is
a. exaggeration of strength with movement.
b. increased redness and heat below the injury.
c. decreased sensation distal to the fracture site.
d. purulent drainage at the site of an open fracture. - correct answer>>>Correct answer:
c
Rationale: Musculoskeletal injuries have the potential for causing changes in the
neurovascular status of an injured extremity. In cases of musculoskeletal trauma,
application of a cast or constrictive dressing, poor positioning, and the physiologic
responses to the traumatic injury can cause nerve or vascular damage, usually distal to
the injury. The neurovascular assessment consists of a peripheral evaluation (i.e., color,
temperature, capillary refill, peripheral pulses, and edema) and a peripheral neurologic
evaluation (i.e., sensation, motor function, and pain).
A patient with a stable, closed fracture of the humerus caused by trauma to the arm
has a temporary splint with bulky padding applied with an elastic bandage. The nurse
suspects compartment syndrome and notifies the physician when the patient
experiences
