Question 1

A nurse performing a head-to-toe neurovascular check on a patient in a long leg cast notes an indication of altered perfusion as evidenced by:

Accepted Answer

A)  capillary refill of 3 seconds. 
B)  palpable peripheral pulses. 
C)  warm feet and hands. 
D)  numbness of distal limb. 
A)  capillary refill of 3 seconds. 
B)  palpable peripheral pulses. 
C)  warm feet and hands. 
D)  numbness of distal limb.

Question 2

The nurse designs care for the immobilized patient to help combat the major dangers of immobilization, which include: (Select all that apply.)

Accepted Answer

A)  pressure injuries. 
B)  loss of bone mass. 
C)  urinary infection. 
D)  pneumonia. 
E)  permanent loss of function. 
A)  pressure injuries. 
B)  loss of bone mass. 
C)  urinary infection. 
D)  pneumonia. 
E)  permanent loss of function.

Question 3

The daughter of an elderly woman with a diagnosis of a fractured tibia asks why her mother is in Buck's traction. The nurse's most informative response would be that Buck's traction:

Accepted Answer

A)  helps the bone heal more quickly. 
B)  allows for large traction weights to reduce the fracture. 
C)  does not cause skin disruptions. 
D)  reduces muscle spasm that accompanies fractures. 
A)  helps the bone heal more quickly. 
B)  allows for large traction weights to reduce the fracture. 
C)  does not cause skin disruptions. 
D)  reduces muscle spasm that accompanies fractures.

Question 4

The nurse explains that an air-fluidized mattress would not be advocated for the patient with:

Accepted Answer

A)  a spinal cord injury. 
B)  recurrent pressure ulcers. 
C)  burns that have been newly grafted. 
D)  severe arthritis. 
A)  a spinal cord injury. 
B)  recurrent pressure ulcers. 
C)  burns that have been newly grafted. 
D)  severe arthritis.

Question 5

The nurse, in order to prevent the cast from chafing, will instruct the patient for home care to _______ the rough edges with adhesive tape.

Accepted Answer

petal
Adhesive tape may be use

Question 6

The nurse demonstrates a crutch walking technique by advancing the left crutch and the right foot and then the right crutch and the left foot. This is the _____ gait.

Accepted Answer

two-point
The two-po

Question 7

A patient has just had a leg cast applied with plaster of Paris. The nurse can best reduce the incidence of edema by:

Accepted Answer

A)  elevating the leg on one to two pillows. 
B)  petaling the edges of the cast. 
C)  placing the patient in high Fowler's position. 
D)  speeding the drying with a hair dryer. 
A)  elevating the leg on one to two pillows. 
B)  petaling the edges of the cast. 
C)  placing the patient in high Fowler's position. 
D)  speeding the drying with a hair dryer.

Question 8

When handling a freshly applied plaster cast while assisting a patient from stretcher to bed, the nurse should handle the cast using:

Accepted Answer

A)  fingertips and palms. 
B)  palms only. 
C)  fingertips and flat parts of fingers. 
D)  palms and flat parts of fingers. 
A)  fingertips and palms. 
B)  palms only. 
C)  fingertips and flat parts of fingers. 
D)  palms and flat parts of fingers.

Exam 39: Promoting Musculoskeletal Function

A nurse performing a head-to-toe neurovascular check on a patient in a long leg cast notes an indication of altered perfusion as evidenced by:

The nurse designs care for the immobilized patient to help combat the major dangers of immobilization, which include: (Select all that apply.)

The daughter of an elderly woman with a diagnosis of a fractured tibia asks why her mother is in Buck's traction. The nurse's most informative response would be that Buck's traction:

The nurse explains that an air-fluidized mattress would not be advocated for the patient with:

The nurse, in order to prevent the cast from chafing, will instruct the patient for home care to _______ the rough edges with adhesive tape.

The nurse demonstrates a crutch walking technique by advancing the left crutch and the right foot and then the right crutch and the left foot. This is the _____ gait.

A patient has just had a leg cast applied with plaster of Paris. The nurse can best reduce the incidence of edema by:

When handling a freshly applied plaster cast while assisting a patient from stretcher to bed, the nurse should handle the cast using:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse-Patient Relationship

Patient Teaching for Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, the Dying Patient, and Palliative Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Lifting, Moving, and Positioning Patients

Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting, Transferring, and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid–Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Diet Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain, Comfort, and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Common Physical Care Problems of the Elderly

Common Psychosocial Care Problems of the Elderly

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