NCLEX PN MUSCULOSKELETAL
DISORDERS
tenosynovitis - ANS-inflammation of the synovial fluid surround the joints
what should the nurse instruct the patient to do if he is experiencing tenosynovitis - ANS-avoid
repetitive movement of the affected joint
What nursing intervention is PRIORITY in relieving soft tissue swelling? -
ANS-********PRIORITY***********
APPLY ICE TO THE AFFECTED AREA
where should the nurse apply the elastic bandage on a patient with a sprain of the lower
extremity or ankle? - ANS-start from the metatarsals
what technique should the nurse use when applying the elastic bandage to the lower extremity ?
- ANS-use figure-eight turns
what discharge instructions should the nurse instruct in a patient with a lower extremity sprain? -
ANS-to rewrap the effected area if the toes look swollen
what is indicative a dislocated shoulder? - ANS-the affected arm is longer than the other
how does the physician manage a shoulder dislocation? - ANS-most likely a manual
manipulation - this means he repositions the bone ends manually with the help of the nurse and
sometimes a sheet or towel ( IT HURTS) so patient should be medicated with analgesic prior to
procedure
how should a dislocated shoulder be immobilized? - ANS-in a sling with effected side and hand
above elbow
in an emergency if a nurse suspects a fracture of the tibia how should she immobilize and apply
the splint? - ANS-below that ankle to above the knee
what is a comminuted fracture? - ANS-the bone is splintered in two pieces
who should sign a consent for a teenager? - ANS-the patients parent
where does the nurse take any jewelry that a patient is wearing ? - ANS-to a hospital safe
, what PRIORITY documentation should the nurse add to the chart for a patient after having
surgery to correct a fracture and checking the circulation status? -
ANS-***********PRIORITY**********
ADEQUATE NEUROVASCULAR FUNCTIONING
if a patient has multiple fractures of the long bones , what signs indicate the patient is
developing fat embolism syndrome? - ANS-SELECT ALL THAT APPLY
1. Petechiae
2. Dyspnea
3. Mental Status Changes
if a nurse stops at a vehicle accident to help a patient who has been thrown from the car after
not wearing his seat belt , what is the PRIORITY nursing action? -
ANS-*************PRIORITY**********
CHECK THE PATIENTS BREATHING STATUS
what sign indicates that a patient has developed secondary complications from fractured ribs? -
ANS-Asymmetrical chest expansion
if a patient has a protruding fracture of the femur and is bleeding profusely how would the nurse
control the bleeding? - ANS-Compress the femoral artery
what position do you transport a patient who has a suspected back injury ? - ANS-supine
what sign indicates that a patient has a fractured hip? - ANS-SELECT ALL THAT APPLY
1. the patient cannon bear weight on the affected leg
2. the patients affected leg is shorter
3. the patients affected leg is externally rotated
what factor increases the risk of a women sustaining a hip fracture? - ANS-the patient is
postmenopausal
what snack would the nurse instruct the patient to have if the patient has immobility due to a
fractured hip? - ANS-anything high in protein
what is the correct way to perform ISOMETRIC QUADRICEPS SETTING EXERCISES? -
ANS-contract and relax the thigh muscles
how does the nurse explain the use of antiembolism stockings? - ANS-antiembolism stockings
prevent blood from pooling in the legs
when would the nurse apply antiembolism stockings after surgery - ANS-before the patient gets
out of bed
DISORDERS
tenosynovitis - ANS-inflammation of the synovial fluid surround the joints
what should the nurse instruct the patient to do if he is experiencing tenosynovitis - ANS-avoid
repetitive movement of the affected joint
What nursing intervention is PRIORITY in relieving soft tissue swelling? -
ANS-********PRIORITY***********
APPLY ICE TO THE AFFECTED AREA
where should the nurse apply the elastic bandage on a patient with a sprain of the lower
extremity or ankle? - ANS-start from the metatarsals
what technique should the nurse use when applying the elastic bandage to the lower extremity ?
- ANS-use figure-eight turns
what discharge instructions should the nurse instruct in a patient with a lower extremity sprain? -
ANS-to rewrap the effected area if the toes look swollen
what is indicative a dislocated shoulder? - ANS-the affected arm is longer than the other
how does the physician manage a shoulder dislocation? - ANS-most likely a manual
manipulation - this means he repositions the bone ends manually with the help of the nurse and
sometimes a sheet or towel ( IT HURTS) so patient should be medicated with analgesic prior to
procedure
how should a dislocated shoulder be immobilized? - ANS-in a sling with effected side and hand
above elbow
in an emergency if a nurse suspects a fracture of the tibia how should she immobilize and apply
the splint? - ANS-below that ankle to above the knee
what is a comminuted fracture? - ANS-the bone is splintered in two pieces
who should sign a consent for a teenager? - ANS-the patients parent
where does the nurse take any jewelry that a patient is wearing ? - ANS-to a hospital safe
, what PRIORITY documentation should the nurse add to the chart for a patient after having
surgery to correct a fracture and checking the circulation status? -
ANS-***********PRIORITY**********
ADEQUATE NEUROVASCULAR FUNCTIONING
if a patient has multiple fractures of the long bones , what signs indicate the patient is
developing fat embolism syndrome? - ANS-SELECT ALL THAT APPLY
1. Petechiae
2. Dyspnea
3. Mental Status Changes
if a nurse stops at a vehicle accident to help a patient who has been thrown from the car after
not wearing his seat belt , what is the PRIORITY nursing action? -
ANS-*************PRIORITY**********
CHECK THE PATIENTS BREATHING STATUS
what sign indicates that a patient has developed secondary complications from fractured ribs? -
ANS-Asymmetrical chest expansion
if a patient has a protruding fracture of the femur and is bleeding profusely how would the nurse
control the bleeding? - ANS-Compress the femoral artery
what position do you transport a patient who has a suspected back injury ? - ANS-supine
what sign indicates that a patient has a fractured hip? - ANS-SELECT ALL THAT APPLY
1. the patient cannon bear weight on the affected leg
2. the patients affected leg is shorter
3. the patients affected leg is externally rotated
what factor increases the risk of a women sustaining a hip fracture? - ANS-the patient is
postmenopausal
what snack would the nurse instruct the patient to have if the patient has immobility due to a
fractured hip? - ANS-anything high in protein
what is the correct way to perform ISOMETRIC QUADRICEPS SETTING EXERCISES? -
ANS-contract and relax the thigh muscles
how does the nurse explain the use of antiembolism stockings? - ANS-antiembolism stockings
prevent blood from pooling in the legs
when would the nurse apply antiembolism stockings after surgery - ANS-before the patient gets
out of bed
