NUR 2790 / NUR2790 Professional Nursing III / PN3 Final Exam Study Guide Questions and Answers with Rationale | Rated A Quiz Bank | Latest 2020 / 2021 |Rasmussen College - $15.49   Add to cart

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NUR 2790 / NUR2790 Professional Nursing III / PN3 Final Exam Study Guide Questions and Answers with Rationale | Rated A Quiz Bank | Latest 2020 / 2021 |Rasmussen College

NUR 2790 / NUR2790 Professional Nursing III / PN3 Final Exam Study Guide Questions and Answers with Rationale | Rated A Quiz Bank | Latest 2020 / 2021 |Rasmussen College 1 Musculoskeletal Trauma: Nursing Management 1.A client tells the nurse that he has pain, swelling, fatigue, and numbness of his hands. The nurse should assess the client for which of the following occupations? 1. Retail store clerk 2. Lifeguard 3. Computer keyboard operator 4. Bus driver ANS: 3 Some occupations, sports, and tasks can create repetitive motion injuries or cumulative trauma. A computer keyboard operator is an occupation with a high incidence of overuse syndrome. 2.A client who plays baseball on the weekends is experiencing an arm injury. The nurse realizes this client needs to be evaluated for: 1. a rotator cuff tear. 2. lateral epicondylitis. 3. dislocation of the shoulder. 4. patellar tendinopathy. ANS: 1 A rotator cuff tear can be caused by extensive overhead movements found in sports and activities such baseball, softball, tennis, swimming, and volleyball. A dislocation of the shoulder is most commonly caused by a fall on an outstretched hand and arm. Lateral epicondylitis, or tennis elbow, is an overuse injury that involves the extensor/supinator muscles that attach to the distal humerus. Patellar tendinopathy, also known as jumpers knee, is seen in athletes who participate in activities that require a lot of jumping such as basketball. 3.A client, diagnosed with an ankle sprain, is prescribed ibuprofen to control pain and inflammation. What instruction should the client receive concerning this medication? 1. Bleeding is not a problem with this medication. 2. Take on an empty stomach to maximize its effect. 3. Take with food to minimize gastrointestinal irritation. 4. Wear sunscreen if outside to prevent a burn. ANS: 3 Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID). NSAIDs should be taken with food to minimize gastrointestinal irritation. Ibuprofen does not increase photosensitivity; however, bleeding can be a problem when taking ibuprofen. 4.A client, experiencing a fractured arm, asks the nurse why the splint is being applied. Which of the following should the nurse respond to this client? 1. It reduces the need for a cast. 2. It reduces bleeding, swelling and pain. 3. It prevents the need for surgery. 4. It immobilizes the muscles and joints. ANS: 2 Splinting of a fractured extremity minimizes bleeding, edema, and pain. Splinting does not reduce the need for a cast nor prevent the need for surgery. A cast immobilizes the muscles and joints. 5.A client has had a cast applied to immobilize a right ulnar fracture. Which of the following nursing interventions is most important? 1. Calling physical therapy for a sling 2. Checking capillary refill time 3. Giving pain medication 4. Starting discharge teaching ANS: 2 Checking the capillary refill time determines that circulation is not compromised. The other options can be completed after ensuring that circulation to the site is still adequate. 6.A client with a right arm cast is experiencing signs of a serious complication. Which of the following would cause the nurse the most concern? 1. Capillary refill time less than 3 seconds 2. Finger movement 3. Itching under the cast 4. Severe pain to the right arm continues after receiving pain medication ANS: 4 Severe pain that continues after receiving pain medication would be considered as being disproportionate to the injury, can be a sign of compartment syndrome, and should be immediately reported. The other options are expected assessment findings for a client with a cast. 7.A client is unable to pass the chair raise test. The nurse realizes this client is experiencing: 1. carpal tunnel syndrome. 2. rotator cuff tear. 3. fractured arm. 4. lateral epicondylitis. ANS: 4 The chair raise test examines the clients ability to grip and lift. The client stands behind a chair and places the hands on the chair back. The client then attempts to raise the chair. If pain is experienced over the lateral elbows, lateral epicondylitis may be present. The chair raise test is not used to diagnose carpal tunnel syndrome, rotator cuff tear, or a fractured arm. 8.A client has been wearing a splint for carpal tunnel syndrome for 7 weeks. The nurse realizes that which of the following would be the next course of treatment for this client? 1. Surgery 2. Exercises 3. Corticosteroid injection 4. Casting ANS: 3 If after 2 to 7 weeks of conservative treatment the carpal tunnel syndrome symptoms do not improve, corticosteroid injection is recommended. Surgery is not recommended until after corticosteroid injections have been tried. Exercises are implemented with the use of the splint. Casting is not a treatment for carpal tunnel syndrome. 9.The nurse is planning care for a client recovering from a meniscal injury. Which of the following should be included as strategies to avoid future injuries? 1. Avoid hamstring muscle exercises. 2. Stretch before and after exercise. 3. Wear similar shoes for all activities. 4. Avoid skiing. ANS: 2 Strategies to prevent future meniscal injuries include having strong thigh and hamstring muscles; stretching before and after exercise; wearing shoes that fit and are appropriate for the activity; and when skiing, having bindings that release the skis with a fall. 10.A client with an ankle sprain is instructed to follow RICE. Which of the following should the nurse instruct the client regarding this process? 1. Maintain your normal level of activity. 2. Apply ice to the ankle once a day. 3. Apply an elastic bandage to the site. 4. Elevate the extremity every day for 20 to 30 minutes. ANS: 3 The nurse should instruct the client to use crutches to allow for the rest of the ankle joint and relieve pain; apply ice for 20 to 30 minutes 3 to 4 times a day; apply an elastic bandage to the site; and elevate the ankle for the first 48 hours after the injury. 11.The nurse is evaluating the effectiveness of care for a client recovering from an injured Achilles tendon. Which of the following would indicate that care has been effective? 1. Client states steroid injections will be helpful to reduce the amount of pain. 2. Client plans to participate in rehabilitation for 5 to 6 months after the injury. 3. Client resumes sports activities as soon as possible. 4. Client uses heat to decrease the inflammation and swelling from the injury. ANS: 2 Evidence that care has been effective for a client recovering from an injured Achilles tendon would be that the client plans to participate in rehabilitation for 5 to 6 months after the injury. Steroid injections are not used for this type of injury. Sports activities should be avoided until the injury has healed and rehabilitation is completed. Cryotherapy, not heat, is used to decrease the inflammation and swelling from the injury. 12.The nurse is instructing a client on ways to prevent the onset of stress fractures. Which of the following should be included in these instructions? 1. Avoid overtraining 2. Increase intensity of training 10% each day 3. Limit warm up exercises 4. Avoid shock absorbing footwear ANS: 1 Interventions to prevent the onset of stress fractures include: avoid overtraining; gradually increase the intensity of workouts by 10% each week; perform adequate warm up exercises; and use shock absorbing footwear and insoles. 13.The nurse suspects a client, recovering from hip replacement surgery, is experiencing an infection when which of the following is assessed? 1. Client using crutches to ambulate 2. Blood pressure 110/68 mmHg

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