lOMoARcPSD|3013804
Chapter 47 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 47: Concepts of Care for Patients With Musculoskeletal Trauma
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A client who had a surgical fractured femur repair reports new-onset shortness of breath and
increased respirations. What is the nurse’s first action?
a.
Place the client in a high-Fowler position.
b.
Document the client’s oxygen saturation level.
c.
Start oxygen therapy at 2 L/min via nasal cannula.
d.
Contact the primary health care provider.
ANS: A
The client is experiencing respiratory distress which could be due to pulmonary embolus, fat
embolism syndrome, or anxiety. Regardless of the cause, the nurse would place the client in
a sitting position first and then perform additional assessment. Oxygen would likely be
needed, especially if the client’s oxygen saturation was under 95%.
DIF: Applying TOP: Integrated Process: Nursing Process: Planning and Implementation
KEY: Fracture, Complications
MSC: Client Needs Category: Physiological Integrity: Reduction of Risk Potential
2. A client who had a fractured ankle open reduction internal fixation (ORIF) 4 weeks ago
reports burning pain and tingling in the affected foot. For which potential complication
would the nurse anticipate?
a.
Delayed bone healing
G R AD ESLAB.COM
b.
Complex regional pain syn dr om e
c.
Peripheral neuropathy
d.
Compartment syndrome
ANS: B
Burning pain and tingling that occurs weeks or months after a fracture or other trauma may
indicate complex regional pain syndrome. Compartment syndrome tends to occur within
days of the initial injury.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
KEY: Fracture, Complications
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. An older client who fell at home is admitted to the emergency department and reports pain in
her left groin and behind her left knee. What action would the nurse anticipate?
a.
Administer IV push morphine.
b.
Prepare for application of a leg cast.
c.
Begin oxygen at 6 L/min via mask.
d.
Obtain a left hip x-ray.
ANS: D
The location of the client’s pain indicates a possible fractured hip and therefore an x-ray of
the hip is needed. A leg cast is not appropriate and oxygen may not be needed. Medication to
make the client more comfortable would likely be needed after a diagnosis is determined.
Chapter 47 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 47: Concepts of Care for Patients With Musculoskeletal Trauma
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A client who had a surgical fractured femur repair reports new-onset shortness of breath and
increased respirations. What is the nurse’s first action?
a.
Place the client in a high-Fowler position.
b.
Document the client’s oxygen saturation level.
c.
Start oxygen therapy at 2 L/min via nasal cannula.
d.
Contact the primary health care provider.
ANS: A
The client is experiencing respiratory distress which could be due to pulmonary embolus, fat
embolism syndrome, or anxiety. Regardless of the cause, the nurse would place the client in
a sitting position first and then perform additional assessment. Oxygen would likely be
needed, especially if the client’s oxygen saturation was under 95%.
DIF: Applying TOP: Integrated Process: Nursing Process: Planning and Implementation
KEY: Fracture, Complications
MSC: Client Needs Category: Physiological Integrity: Reduction of Risk Potential
2. A client who had a fractured ankle open reduction internal fixation (ORIF) 4 weeks ago
reports burning pain and tingling in the affected foot. For which potential complication
would the nurse anticipate?
a.
Delayed bone healing
G R AD ESLAB.COM
b.
Complex regional pain syn dr om e
c.
Peripheral neuropathy
d.
Compartment syndrome
ANS: B
Burning pain and tingling that occurs weeks or months after a fracture or other trauma may
indicate complex regional pain syndrome. Compartment syndrome tends to occur within
days of the initial injury.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
KEY: Fracture, Complications
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. An older client who fell at home is admitted to the emergency department and reports pain in
her left groin and behind her left knee. What action would the nurse anticipate?
a.
Administer IV push morphine.
b.
Prepare for application of a leg cast.
c.
Begin oxygen at 6 L/min via mask.
d.
Obtain a left hip x-ray.
ANS: D
The location of the client’s pain indicates a possible fractured hip and therefore an x-ray of
the hip is needed. A leg cast is not appropriate and oxygen may not be needed. Medication to
make the client more comfortable would likely be needed after a diagnosis is determined.
