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Mobility Saunders Comprehensive Review for the Nclex-RN
Exam 9th Ed i PDF
Management of Health Disorders in Adults Clinical (Houston Community College)
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CHAPTER 61 Musculoskeletal Problems 905
3. Presence of a “hot spot” on the cast
PRACTICE QUESTIONS 4. Coolness and pallor of the extremity
1. The nurse is conducting health screening for osteo-
porosis. Which client is at greatest risk of develop- 7. A client has sustained a closed fracture and has just
ing this problem? had a cast applied to the affected arm. The client is
1. A 25-year-old client who runs complaining of intense pain. The nurse elevates the
2. A 36-year-old client who has asthma limb, applies an ice bag, and administers an analge-
3. A 70-year-old client who consumes excess alcohol sic, with little relief. Which problem may be causing
4. A sedentary 65-year-old client who smokes cig- this pain?
arettes 1. Infection under the cast
2. The anxiety of the client
2. The nurse has given instructions to a client who sus- 3. Impaired tissue perfusion
tained a ligament injury who is returning home af- 4. The recent occurrence of the fracture
ter knee arthroscopy. Which statement by the client
indicates that the instructions are understood? 8. The nurse is admitting a client with multiple trauma
1. “I can resume regular exercise tomorrow.” injuries to the nursing unit. The client has a leg frac-
2. “I can’t eat food for the remainder of the day.” ture and had a plaster cast applied. Which position
3. “I need to stay off the leg entirely for the rest of would be best for the casted leg?
the day.” 1. Elevated for 3 hours, then at for 1 hour
4. “I need to report a fever, redness around my in- 2. Flat for 3 hours, then elevated for 1 hour
cisions, or persistent drainage to my health care 3. Flat for 12 hours, then elevated for 12 hours
provider.” 4. Elevated on pillows continuously for 24 to 48
hours
3. The nurse witnessed a vehicle hit a pedestrian. The
victim is dazed and tries to get up. A leg appears 9. A client is being discharged to home after applica-
fractured. Which intervention would the nurse take? tion of a plaster leg cast. Which statement indicates
1. Try to reduce the fracture manually. that the client understands proper care of the cast?
2. Assist the victim to get up and walk to the side- 1. “I need to avoid getting the cast wet.”
walk. 2. “I need to cover the casted leg with warm blan-
3. Leave the victim for a few moments to call an kets.”
ambulance. 3. “I need to use my ngertips to lift and move my
4. Stay with the victim and encourage the victim to leg.”
remain still. 4. “I need to use something like a padded coat
hanger end to scratch under the cast if it itches.”
4. Which cast care instructions would the nurse pro-
vide to a client who just had a plaster cast applied
10. A client being measured for crutches asks the nurse
to the right forearm? Select all that apply.
why the crutches cannot rest up underneath the arm
1. Keep the cast clean and dry.
2. Allow the cast 24 to 72 hours to dry. for extra support. The nurse responds, knowing that
3. Keep the cast and extremity elevated. which would most likely result from this improper
4. Expect tingling and numbness in the extremity. crutch measurement?
5. Use a hair dryer set on a warm to hot setting to 1. A fall and further injury
dry the cast. 2. Injury to the brachial plexus nerves
6. Use a soft, padded object that will t under the 3. Skin breakdown in the area of the axilla
cast to scratch the skin under the cast. 4. Impaired range of motion while the client ambu-
lates
5. The nurse is evaluating a client in skeletal traction.
When evaluating the pin sites, the nurse would be
11. The nurse has given the client instructions about
most concerned with which nding?
crutch safety. Which statements indicate that the
1. Redness around the pin sites
client understands the instructions? Select all that
2. Pain on palpation at the pin sites
apply.
3. Thick, yellow drainage from the pin sites 1. “I would not use someone else’s crutches.”
4. Clear, watery drainage from the pin sites 2. “I need to remove any scatter rugs at home.”
3. “I can use crutch tips even when they are wet.”
6. The nurse is assessing the casted extremity of a cli- 4. “I need to have spare crutches and tips avail-
ent. Which sign is indicative of infection? able.”
1. Dependent edema 5. “When I’m using the crutches, my arms need to
2. Diminished distal pulse be completely straight.”
Downloaded by John Wangari ()
Mobility Saunders Comprehensive Review for the Nclex-RN
Exam 9th Ed i PDF
Management of Health Disorders in Adults Clinical (Houston Community College)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by John Wangari ()
, lOMoARcPSD|56128505
CHAPTER 61 Musculoskeletal Problems 905
3. Presence of a “hot spot” on the cast
PRACTICE QUESTIONS 4. Coolness and pallor of the extremity
1. The nurse is conducting health screening for osteo-
porosis. Which client is at greatest risk of develop- 7. A client has sustained a closed fracture and has just
ing this problem? had a cast applied to the affected arm. The client is
1. A 25-year-old client who runs complaining of intense pain. The nurse elevates the
2. A 36-year-old client who has asthma limb, applies an ice bag, and administers an analge-
3. A 70-year-old client who consumes excess alcohol sic, with little relief. Which problem may be causing
4. A sedentary 65-year-old client who smokes cig- this pain?
arettes 1. Infection under the cast
2. The anxiety of the client
2. The nurse has given instructions to a client who sus- 3. Impaired tissue perfusion
tained a ligament injury who is returning home af- 4. The recent occurrence of the fracture
ter knee arthroscopy. Which statement by the client
indicates that the instructions are understood? 8. The nurse is admitting a client with multiple trauma
1. “I can resume regular exercise tomorrow.” injuries to the nursing unit. The client has a leg frac-
2. “I can’t eat food for the remainder of the day.” ture and had a plaster cast applied. Which position
3. “I need to stay off the leg entirely for the rest of would be best for the casted leg?
the day.” 1. Elevated for 3 hours, then at for 1 hour
4. “I need to report a fever, redness around my in- 2. Flat for 3 hours, then elevated for 1 hour
cisions, or persistent drainage to my health care 3. Flat for 12 hours, then elevated for 12 hours
provider.” 4. Elevated on pillows continuously for 24 to 48
hours
3. The nurse witnessed a vehicle hit a pedestrian. The
victim is dazed and tries to get up. A leg appears 9. A client is being discharged to home after applica-
fractured. Which intervention would the nurse take? tion of a plaster leg cast. Which statement indicates
1. Try to reduce the fracture manually. that the client understands proper care of the cast?
2. Assist the victim to get up and walk to the side- 1. “I need to avoid getting the cast wet.”
walk. 2. “I need to cover the casted leg with warm blan-
3. Leave the victim for a few moments to call an kets.”
ambulance. 3. “I need to use my ngertips to lift and move my
4. Stay with the victim and encourage the victim to leg.”
remain still. 4. “I need to use something like a padded coat
hanger end to scratch under the cast if it itches.”
4. Which cast care instructions would the nurse pro-
vide to a client who just had a plaster cast applied
10. A client being measured for crutches asks the nurse
to the right forearm? Select all that apply.
why the crutches cannot rest up underneath the arm
1. Keep the cast clean and dry.
2. Allow the cast 24 to 72 hours to dry. for extra support. The nurse responds, knowing that
3. Keep the cast and extremity elevated. which would most likely result from this improper
4. Expect tingling and numbness in the extremity. crutch measurement?
5. Use a hair dryer set on a warm to hot setting to 1. A fall and further injury
dry the cast. 2. Injury to the brachial plexus nerves
6. Use a soft, padded object that will t under the 3. Skin breakdown in the area of the axilla
cast to scratch the skin under the cast. 4. Impaired range of motion while the client ambu-
lates
5. The nurse is evaluating a client in skeletal traction.
When evaluating the pin sites, the nurse would be
11. The nurse has given the client instructions about
most concerned with which nding?
crutch safety. Which statements indicate that the
1. Redness around the pin sites
client understands the instructions? Select all that
2. Pain on palpation at the pin sites
apply.
3. Thick, yellow drainage from the pin sites 1. “I would not use someone else’s crutches.”
4. Clear, watery drainage from the pin sites 2. “I need to remove any scatter rugs at home.”
3. “I can use crutch tips even when they are wet.”
6. The nurse is assessing the casted extremity of a cli- 4. “I need to have spare crutches and tips avail-
ent. Which sign is indicative of infection? able.”
1. Dependent edema 5. “When I’m using the crutches, my arms need to
2. Diminished distal pulse be completely straight.”
Downloaded by John Wangari ()
