Deck 77: Nervous System Disorders

Question 1

Which diagnostic tests confirm the presence of inflammation related to an infection or inflammatory condition? Select all that apply.

A) Complete blood cell count (CBC)
B) Erythrocyte sedimentation rate (ESR)
C) Uric acid levels
D) Blood levels of calcium
E) Rheumatoid factor (RF)
F) Creatine kinase (CK)

Answer 1

Erythrocyte sedimentation rate (ESR)
Rheumatoid factor (RF)
Creatine kinase (CK)

Question 2

Which intervention should the nurse implement when providing care of a client pre- and post arthrogram?

A) Ask the client about sensitivities to food, iodine, latex, or medications.
B) Ask the client if he or she has metallic implants, such as orthopedic screws.
C) Ask the client to drink extra fluids to increase excretion of isotope.
D) Following the test, elevate the client's joint and apply ice to control edema.

Answer 2

Ask the client about sensitivities to food, iodine, latex, or medications.

Question 3

Which diagnostic test is used to examine the spinal cord for abnormalities caused by tumors, herniated intervertebral disks, or other lesions?

A) Arthrogram
B) Bone scan
C) Ultrasound
D) Myelogram

Answer 3

Myelogram

Question 4

A client is undergoing a procedure to remove a bone spur from his shoulder. For which procedure would the nurse prepare this client?

A) Arthrogram
B) Arthrocentesis
C) Arthroscopy
D) Bone scan

Question 5

Which diagnostic test is used to determine whether a client's muscles respond appropriately to stimuli?

A) Myelogram
B) Electromyogram
C) Computed tomography
D) Magnetic resonance imaging

Question 6

What discharge teaching should the nurse provide when caring for a client following an arthroscopy procedure of the knee? Select all that apply.

A) Elevate the knee.
B) Apply heat to the knee.
C) Apply ice to the knee.
D) Monitor knee for signs of infections.
E) Begin range of motion exercises immediately.

Question 7

Which treatment should the nurse be prepared to implement to initiate vasodilation and promote healing for a client with severe joint pain?

A) Hot compresses
B) Cold compresses
C) Active range of motion
D) Immobilization

Question 8

Which nursing assessment techniques should be implemented when performing a musculoskeletal assessment? Select all that apply.

A) Palpate skin temperature for warmth.
B) Percuss soft tissues, joints, and muscles.
C) Perform range-of-motion exercises.
D) Observe emotional response to the assessment.
E) Obtain vital signs.
F) Observe posture, coordination, and body build.

Question 9

Which complication is related to the pressure that occurs when an immobilization device is used to stabilize the spinal cord?

A) Elevated temperature
B) Elevated leukocyte count
C) Edema
D) Hypotension

Question 10

The nurse is teaching a client who is in a body cast how to perform exercises to reduce the effects of immobilization. Which teaching point is recommended for clients confined to bed?

A) "Too much exercise is better than too little exercise."
B) "Flex and extend the affected joints regularly."
C) "Do not use the trapeze bar for exercise."
D) "Wiggle the fingers or toes of affected extremities."

Question 11

What nursing intervention should the nurse implement when caring for a client experiencing phantom limb pain?

A) Explain that the condition is rare and occurs because of infections.
B) Instruct the client to ask for pain medication, if needed.
C) Explain that the condition does not interfere with prosthetic fitting.
D) Encourage the client to place a pillow under the stump when sleeping.

Question 12

The nurse is caring for a 45-year-old client following amputation of the right leg. Which nursing consideration is appropriate?

A) Change the compression bandage at least once a day.
B) Wrap the stump so that it forms a rounded shape.
C) Change the dressing using clean technique.
D) Encourage the client to lie in a prone position.

Question 13

A client is recovering from replantation of a severed arm. Which postoperative intervention should be prescribed?

A) Thrombin therapy
B) Adding caffeine to the diet
C) Administration of antibiotics
D) Monitor for increased range of motion

Question 14

Which statement accurately describes lordosis?

A) Narrowing of the intervertebral space
B) Abnormal curvature of lumbar vertebrae
C) Abnormal curvature of thoracic spine
D) Lateral angulation of the spinal column

Question 15

A 50-year-old client diagnosed with intervertebral disk disease has to undergo a type of lumbar decompression that exposes the spinal canal and allows for relief of compression of the spinal cord and spinal nerve roots. What is the term used for this procedure?

A) Diskectomy
B) Spinal fusion
C) Laminectomy
D) Microdiskectomy

Question 16

Which complication is seen frequently in clients with muscular dystrophy?

A) Pathologic bone fractures
B) Muscular spasms
C) Upper respiratory tract infection
D) Necrosis of the tissue

Question 17

Which assessment data support a diagnosis of carpal tunnel syndrome?

A) Symptoms intensify during the day.
B) Positive Tinel sign in affected wrist.
C) Grip in affected hand is unaffected.
D) Noted inflammation of the affected wrist joint.

Question 18

What is an appropriate nursing intervention for a client diagnosed with bursitis that has been trigger by gout?

A) Applying heat to the affected part
B) Applying cold compresses to the affected part
C) Providing active range of motion for the affected part
D) Administering antibiotics as prescribed

Question 19

A butterfly rash on the face is a characteristic of which condition?

A) Gout
B) Scleroderma
C) Rickets
D) Systemic lupus erythematosus (SLE)

Question 20

What nursing intervention should the nurse implement when caring for a client with a
Sprained left ankle?

A) Apply a warm moist pack within 24 hours.
B) Lower the ankle to relieve the pain.
C) Apply an ice pack over the ankle after 48 hours.
D) Apply an elastic bandage to immobilize the area.

Question 21

A 3-year old client is diagnosed with a fracture of the ulnar bone. The fracture appears to be on one side of the bone, whereas the other side is bent. What type of fracture does the client have?

A) Greenstick
B) Depressed
C) Compression
D) Oblique

Question 22

What intervention should the nurse implement when caring for a client with a simple fracture in the right hand that has been immobilized by a plaster cast?

A) Handle the wet cast with the fingertips only.
B) Avoid washing the area around the cast.
C) To move the arm, grasp the cast on one side only.
D) Cover the edges of the cast with tape to minimize skin irritation.

Question 23

A client has just had a cast removed. Which description of the skin should the nurse tell the client to expect?

A) Scaly
B) Edematous
C) Redden
D) Cyanotic

Question 24

Which type of skin traction would be used to temporarily stabilize an upper arm fracture before surgery?

A) Buck' traction
B) Cervical halter traction
C) Dunlop traction
D) Russell traction

Question 25

What type of fracture would be treated with balanced suspension traction?

A) Arm
B) Neck
C) Back
D) Femur

Question 26

A client with a cervical injury is provided with a halo device to stabilize the neck. What intervention should the nurse implement when caring for the client?

A) Place the client in an antidecubitus bed, if possible.
B) Tighten the halo device with a wrench if it loosens.
C) Monitor the client for any difficulty in swallowing.
D) Instruct the client to stay in bed until the injury heals.

Question 27

A nurse is caring for a client who has undergone hip replacement surgery. What intervention should the nurse implement to preserve proper postoperative alignment of the hip?

A) Assist the client to cross the legs as often as possible.
B) Restrict the client from bending more than 90 degrees.
C) Assist the client to gently turn the affected leg inward.
D) Provide back care twice a day when the client is on bed rest.