Exam 65: Nursing Management Musculo-skeletal Trauma and Orthopedic Surgery

The nurse is caring for a client who had hip replacement surgery using the posterior approach. Which of the following client actions requires rapid intervention by the nurse?

The nurse is caring for a client who arrives in the emergency department with ankle swelling and severe pain after twisting the ankle playing soccer. Which of the following prescribed collaborative interventions will the nurse implement first?

The nurse is caring for a client who has a comminuted fracture of the right femur and has Buck's traction in place while waiting for surgery. Which of the following actions should the nurse implement to assess for pressure areas on the client's back andsacralarea and to provide skin care?

The nurse is providing discharge teaching to a client who has a short-arm plaster cast applied. Which of the following client statements indicates a good understanding of the discharge teaching?

The nurse is caring for a client in the emergency department who has possible left lower leg fractures. Which of the following actions should the nurse implement initially?

The nurse is admitting a client who has a proximal humerus fracture that is immobilized with a left-sided long-arm cast and has a sling. Which of the following nursing interventions will be included in the plan of care?

The nurse is caring for a client who has just arrived on the orthopedic unit after a right above-the-knee amputation with an immediate prosthetic fitting. Which of the following actions should the nurse implement first?

The nurse is caring for a client with a left femur fracture who has a hip spica cast applied. Which of the following nursing interventions should be included in the plan of care?

The nurse is caring for a client in the emergency department who is employed as a checkout clerk in a grocery store and has a repetitive strain injury in the left elbow. Which of the following treatment options should the nurse include in the teaching plan?

The nurse is caring for a client who has a cast in place after fracturing the radius and the client asks when the cast can be removed. Which of the following information related to the length of time that the cast will need to remain in place should thenursetell the client?

The nurse is providing home care instructions to a client who has multiple forearm fractures and a long-arm cast on the right arm. Which of the following information should the nurse include in the teaching plan?

The nurse is preparing to assist a client who has had an open reduction and internal fixation (ORIF) of a hip fracture out of bed for the first time. Which of the following actions should the nurse take first?

The nurse is caring for a client in the emergency department who is experiencing severe pain and is diagnosed with a patellar dislocation. Which of the following actions should the nurse implement first?

The nurse is admitting a client to the emergency department after falling on the right arm and shoulder. Which of the following findings is most important for the nurse to communicate to the health care provider immediately?

The nurse is preparing a client for discharge 4 days after insertion of a femoral head prosthesis using a posterior approach. Which of the following client statements indicates a need for additional discharge instructions?

In which order will the nurse take these actions when caring for a client with left leg fractures after a motor vehicle accident? A)Obtain x-rays. B)Check pedal pulses. C)Assess lung sounds. D)Take blood pressure. E)Apply splint to the leg. F)Administer tetanus prophylaxis.

The nurse is evaluating the crutch-walking technique of a client who is to have no weight bearing on the right leg. Which of the following observations indicates that the client can safely ambulate independently?

The nurse is caring for a client who has a long-arm plaster cast applied for immobilization of a fractured left radius. Which of the following actions should the nurse implement until the cast has completely dried?

The nurse is counselling a client about ways to prevent fractures. Which of the following information should the nurse include?

The nurse is caring for a client with a fractured pelvis and on day 2 of the hospitalization the client develops acute onset confusion. Which of the following actions should the nurse take first?