NUR2214 MODULE 3 EAQS MUSCULOSKELETAL,
NEUROLOGIC, AND POSTOPERATIVE CARE — Q&A
WITH RATIONALES STUDY GUIDE!!
1. After a lumbar puncture, what nursing care should be provided?
Answer: Keep the client in a flat, supine position for several hours.
Rationale: Lying flat helps reduce the risk of post–lumbar puncture headache by
preventing cerebrospinal fluid leakage.
2. A 5-year-old is prescribed fluoroquinolones. What pediatric-specific adverse
effect should the nurse watch for?
Answer: Tendon rupture.
Rationale: Fluoroquinolones can damage cartilage and tendons, especially in
children whose musculoskeletal systems are still developing.
3. Clients with myasthenia gravis, Guillain-Barré syndrome, and ALS share what
major care concern?
Answer: High risk for respiratory complications.
Rationale: All three conditions impair neuromuscular function, which can weaken
respiratory muscles.
4. A post–hip replacement client wants to swim the day after discharge. How
should the nurse respond?
,Answer: Explain that the incision must fully heal before being submerged in water.
Rationale: Immersing a fresh incision increases infection risk and delays healing.
5. Why is regular exercise emphasized for a client newly diagnosed with type 1
diabetes?
Answer: To enhance the cells’ ability to take up glucose.
Rationale: Muscle activity improves insulin sensitivity and glucose utilization.
6. A client with a cast reports numbness. What is the nurse’s priority assessment
finding?
Answer: Numbness.
Rationale: Numbness may indicate neurovascular compromise or compartment
syndrome and requires immediate attention.
7. Which joint is an example of a gliding joint?
Answer: The sacroiliac joint.
Rationale: Gliding joints allow limited sliding movements between flat articulating
surfaces.
,8. During a diagnostic workup for myasthenia gravis, what is the initial nursing
objective?
Answer: Maintain the client’s current level of muscle strength.
Rationale: Fatigue worsens symptoms, so conserving muscle function is essential.
9. A client with a fractured femur arrives in the ED. What assessment is the
priority?
Answer: Check the pedal pulse in the injured extremity.
Rationale: Distal pulses assess circulation and rule out vascular compromise.
10. Which person is most at risk for carpal tunnel syndrome?
Answer: A software engineer.
Rationale: Repetitive wrist movements from computer work increase median nerve
compression risk.
11. What postoperative intervention best prevents thrombophlebitis?
Answer: Encourage early ambulation.
Rationale: Movement promotes venous return and reduces clot formation.
, 12. A client must use crutches with non–weight-bearing instructions. What is the
most important teaching point?
Answer: Strengthen the triceps, elbow extensors, and finger flexors.
Rationale: These muscles provide the upper-body strength needed for safe crutch
ambulation.
13. After total hip arthroplasty, what is an essential nursing action?
Answer: Place a pillow between the legs to maintain abduction.
Rationale: Abduction prevents hip dislocation by keeping the joint in a stable
position.
14. A client with osteoporosis is prescribed raloxifene. What should the nurse
monitor?
Answer: Liver function tests.
Rationale: Raloxifene can affect liver enzymes and requires monitoring for
hepatotoxicity.
15. A woman with a recent leg fracture develops calf pain, sudden shortness of
breath, and chest pain. What should the triage nurse do?
Answer: “I’m sending an ambulance now. You need emergency care
immediately.”
NEUROLOGIC, AND POSTOPERATIVE CARE — Q&A
WITH RATIONALES STUDY GUIDE!!
1. After a lumbar puncture, what nursing care should be provided?
Answer: Keep the client in a flat, supine position for several hours.
Rationale: Lying flat helps reduce the risk of post–lumbar puncture headache by
preventing cerebrospinal fluid leakage.
2. A 5-year-old is prescribed fluoroquinolones. What pediatric-specific adverse
effect should the nurse watch for?
Answer: Tendon rupture.
Rationale: Fluoroquinolones can damage cartilage and tendons, especially in
children whose musculoskeletal systems are still developing.
3. Clients with myasthenia gravis, Guillain-Barré syndrome, and ALS share what
major care concern?
Answer: High risk for respiratory complications.
Rationale: All three conditions impair neuromuscular function, which can weaken
respiratory muscles.
4. A post–hip replacement client wants to swim the day after discharge. How
should the nurse respond?
,Answer: Explain that the incision must fully heal before being submerged in water.
Rationale: Immersing a fresh incision increases infection risk and delays healing.
5. Why is regular exercise emphasized for a client newly diagnosed with type 1
diabetes?
Answer: To enhance the cells’ ability to take up glucose.
Rationale: Muscle activity improves insulin sensitivity and glucose utilization.
6. A client with a cast reports numbness. What is the nurse’s priority assessment
finding?
Answer: Numbness.
Rationale: Numbness may indicate neurovascular compromise or compartment
syndrome and requires immediate attention.
7. Which joint is an example of a gliding joint?
Answer: The sacroiliac joint.
Rationale: Gliding joints allow limited sliding movements between flat articulating
surfaces.
,8. During a diagnostic workup for myasthenia gravis, what is the initial nursing
objective?
Answer: Maintain the client’s current level of muscle strength.
Rationale: Fatigue worsens symptoms, so conserving muscle function is essential.
9. A client with a fractured femur arrives in the ED. What assessment is the
priority?
Answer: Check the pedal pulse in the injured extremity.
Rationale: Distal pulses assess circulation and rule out vascular compromise.
10. Which person is most at risk for carpal tunnel syndrome?
Answer: A software engineer.
Rationale: Repetitive wrist movements from computer work increase median nerve
compression risk.
11. What postoperative intervention best prevents thrombophlebitis?
Answer: Encourage early ambulation.
Rationale: Movement promotes venous return and reduces clot formation.
, 12. A client must use crutches with non–weight-bearing instructions. What is the
most important teaching point?
Answer: Strengthen the triceps, elbow extensors, and finger flexors.
Rationale: These muscles provide the upper-body strength needed for safe crutch
ambulation.
13. After total hip arthroplasty, what is an essential nursing action?
Answer: Place a pillow between the legs to maintain abduction.
Rationale: Abduction prevents hip dislocation by keeping the joint in a stable
position.
14. A client with osteoporosis is prescribed raloxifene. What should the nurse
monitor?
Answer: Liver function tests.
Rationale: Raloxifene can affect liver enzymes and requires monitoring for
hepatotoxicity.
15. A woman with a recent leg fracture develops calf pain, sudden shortness of
breath, and chest pain. What should the triage nurse do?
Answer: “I’m sending an ambulance now. You need emergency care
immediately.”
