NURSING 250-muscle saunders questions

NURSING 250-muscle saunders questions The nurse is conducting health screening for osteoporosis. Which client is at greatest risk of developing this disorder? Ans: A sedentary 65 year old woman who smoke cigarettes The nurse has given instructions to a client returning home after knee arthroscopy. Which statement by the client indicates that the instructions are understood? ANS: "I need to report a fever or swelling to my health care provider." The nurse witnessed a vehicle hit a pedestrian. The victim is dazed and tries to get up. A leg appears fractured. Which intervention should the nurse take? ANS: Stay with the victim and encourage him or her to remain still. Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? Select all that apply. ANS: Keep the cast clean and dry, allow the cast 24 to 72 hours to dry, and Keep the cast and extremity elevated The nurse is evaluating a client in skeletal traction. When evaluating the pin sites, the nurse would be most concerned with which finding? ANS: Thick yellow drainage from the pin site The nurse is assessing the casted extremity of a client. Which sign is indicative of infection? ANS: Presence of a hot spot on the cast 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? ANS: Impaired tissue perfusion The nurse is admitting a client with multiple trauma injuries to the nursing unit. The client has a leg fracture and had a plaster cast applied. Which position would be best for the casted leg? ANS: Elevated on pillows continuously for 24 to 48 hours 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? ANS: "I need to avoid getting the cast wet." 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 likelyresult from this improper crutch measurement? Answer: Injury to the brachial plexus nerves The nurse has given the client instructions about crutch safety. Which statement indicates that the client understands the instructions? Select all that apply. Answer: I should not use someone else’s crutches, I need to remove any scatter rugs at home, I need to have spare crutches and tips available The nurse is caring for a client being treated for fat embolus after multiple fractures. Which data would the nurse evaluate as the most favorable indication of resolution of the fat embolus? Answer: Clear mentation The nurse has conducted teaching with a client in an arm cast about the signs and symptoms of compartment syndrome. The nurse determines that the client understands the information if the client states that he or she should report which early symptom of compartment syndrome? ANS: numbness and tingling in the fingers A client with diabetes mellitus has had a right below-knee amputation. Given the client's history of diabetes mellitus, which complication is the client at most risk for after surgery? Answer: Separation of the wound edges The nurse is caring for a client who had an above-knee amputation 2 days ago. The residual limb was wrapped with an elastic compression bandage, which has come off. Which immediateaction should the nurse take? Answer: Rewrap the residual limb with an elastic compression bandage. 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? ANS: bending or lifting The nurse is caring for a client who has had spinal fusion, with insertion of hardware. The nurse would be most concerned with which assessment finding? Answer: Temperature of 101.6°F (38.7°C) orally The nurse is caring for a client with a diagnosis of gout. Which laboratory value would the nurse expect to note in the client? Answer Uric acid level of 9.0 mg/dL (0.54 mmol/L) A client with a hip fracture asks the nurse about Buck's (extension) traction that is being applied before surgery and what is involved. The nurse should provide which information to the client? Answer: Provides comfort by reducing muscle spasms, provides fracture immobilization, and involves pulleys and wheels A client has been on treatment for rheumatoid arthritis for 3 weeks. During the administration of etanercept, which is most important for the nurse to assess? Answer: the white blood cell counts and platelet counts Allopurinol is prescribed for a client and the nurse provides medication instructions to the client. Which instruction should the nurse provide? ANS: Drink 3000 mL of fluid a day. Colchicine is prescribed for a client with a diagnosis of gout. The nurse reviews the client's record, knowing that this medication would be used with caution in which disorder? Ans: Kidney disease Alendronate is prescribed for a client with osteoporosis and the nurse is providing instructions on administration of the medication. Which instruction should the nurse provide? Ans: Take the medication with a full glass of water after rising in the morning. The nurse is preparing discharge instructions for a client receiving baclofen. Which instruction should be included in the teaching plan? Ans: Avoid the use of alcohol The nurse is analyzing the laboratory studies on a client receiving dantrolene. Which laboratory test would identify an adverse effect associated with the administration of this medication? Ans: Liver function tests Cyclobenzaprine is prescribed for a client for muscle spasms and the nurse is reviewing the client's record. Which disorder, if noted in the record, would indicate a need to contact the health care provider about the administration of this medication? Ans: glaucoma In monitoring a client's response to disease-modifying antirheumatic drugs (DMARDs), which assessment findings would the nurse consider acceptable responses? Select all that apply. Ans: control of symptoms during periods of emotional stress, normal white blood cell, platelet, and neutrophil counts, radiological findings that show no progression of joint degeneration, an increased range of motion in the affected joints 3 months into therapy. The nurse is administering an intravenous dose of meth