Deck 29: Alterations in Musculoskeletal Function

Question 1

The nurse is providing care to a toddler client who is diagnosed with osteogenesis imperfecta. Which nursing intervention is appropriate for this client?
1) Support of the trunk and extremities when moving
2) Traction care
3) Cast care
4) Postop spinal surgery care

Answer 1

1

Question 2

The nurse completes parent education related to treatment for a pediatric client with congenital clubfoot. Which statement by the parents indicates the need for further education?
1) "We're happy this is the only cast our baby will need."
2) "We'll watch for any swelling of the feet while the casts are on."
3) "We'll keep the casts dry."
4) "We're getting a special car seat to accommodate the casts."

Answer 2

1

Question 3

The parents of a child with Duchenne muscular dystrophy are in the clinic after diagnosis and ask the nurse if the family should have genetic testing completed. Who should the nurse suggest to have genetic testing? Select all that apply.
1) Female cousins
2) Aunts
3) Sisters
4) Brothers
5) Uncles and male cousins

Answer 3

1, 2, 3

Question 4

The nurse has completed discharge teaching for the family of a child diagnosed with Legg-Calve-Perthes disease. Which statement by the family indicates the need for further education?
1) "We're glad this will only take about 6 weeks to correct."
2) "We understand swimming is a good sport for Legg-Calve-Perthes."
3) "We know to watch for areas on the skin the brace may rub."
4) "We understand that abduction of the affected leg is important."

Question 5

A nurse notes blue sclera during a newborn assessment. Which item will the newborn require further assessment for based on this finding?
1) Marfan syndrome
2) Achondroplasia
3) Osteogenesis imperfecta
4) Muscular dystrophy

Question 6

The nurse is caring for a pediatric client in Bryant skin traction. Which nursing intervention is most appropriate for this client?
1) Remove the adhesive traction straps daily to prevent skin breakdown.
2) Check the traction frequently to ensure that proper alignment is maintained.
3) Place the child in a prone position to maintain good alignment.
4) Move the child as infrequently as possible to maintain traction.

Question 7

A school-age client is admitted to the hospital with osteomyelitis. Which statement regarding the treatment of osteomyelitis is most appropriate for the nurse to share with the parents?
1) "Cultures should be done immediately after the first dose of antibiotic infuses."
2) "Antibiotics are ineffective against this virus."
3) "Methicillin is the antibiotic of choice."
4) "Antibiotic therapy should continue for 3 to 6 weeks."

Question 8

The school nurse is providing care to a school-age client who experienced a sprain of the right ankle on the playground. Which intervention is appropriate for the nurse to implement for this client?
1) Apply ice to the extremity
2) Apply a warm, moist pack to the extremity
3) Perform passive range of motion to the extremity
4) Lower the extremity to below the level of the heart

Question 9

The nurse in the newborn nursery is performing the admission assessment on a neonate. Which assessment finding indicates the neonate may have congenital hip dysplasia?
1) Asymmetry of the gluteal and thigh fat folds
2) Trendelenburg sign
3) Telescoping of the affected limb
4) Lordosis

Question 10

An adolescent client must wear a brace for the correction of scoliosis. Which nursing diagnosis is most appropriate for this client?
1) Risk for Impaired Skin Integrity
2) Risk for Altered Growth and Development
3) Risk for Impaired Mobility
4) Risk for Impaired Gas Exchange

Question 11

An infant returns from surgery for correction of bilateral congenital clubfeet. The infant has bilateral long-leg casts. The toes on both feet are edematous, but there is color, sensitivity, and movement to them. Which action by the nurse is the most appropriate?
1) Call the healthcare provider to report the edema.
2) Elevate the legs on pillows.
3) Apply a warm, moist pack to the feet.
4) Encourage movement of toes.

Question 12

A school health nurse is screening school-age students for scoliosis. Which assessment findings indicate the need for further evaluation for scoliosis? Select all that apply.
1) Uneven shoulders and hips
2) A one-sided rib hump
3) Prominent scapula
4) Lordosis
5) Pain

Question 13

The nurse is caring for the newborn with bilateral clubfoot. What nursing diagnoses would the nurse address? Select all that apply.
1) Activity intolerance
2) Impaired physical mobility
3) Risk for impaired skin integrity
4) Ineffective breathing pattern
5) Impaired parenting

Question 14

A nurse is assessing a child after an open reduction of a fractured femur. Which assessment findings would indicate that the child is experiencing compartment syndrome? Select all that apply.
1) Pink, warm extremity
2) Pain not relieved by pain medication
3) Dorsalis pedis pulse present
4) Prolonged capillary-refill time with paresthesia
5) Skin appears tense.

Question 15

An adolescent client who is diagnosed with Duchenne muscular dystrophy is seen in the clinic for a routine health visit. Which nursing diagnosis is the priority for this client?
1) Risk for Impaired Mobility Related to Hypertrophy of Muscles
2) Risk for Infection Related to Altered Immune System
3) Risk for Impaired Skin Integrity Related to Paresthesia
4) Risk for Altered Comfort Related to Effects of the Illness

Question 16

The nurse is teaching family members how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip. Which statement will the nurse include in the teaching session?
1) "Apply lotion or powder to minimize skin irritation."
2) "Put clothing over the harness for maximum effectiveness of the device."
3) "Check at least 2 or 3 times a day for red areas under the straps."
4) "Place a diaper over the harness, preferably using a thin, superabsorbent, disposable diaper."

Question 17

A child returns from spinal-fusion surgery. Which item is the priority assessment for this child?
1) Increased intracranial pressure
2) Seizure activity
3) Impaired pupillary response during neurological checks
4) Impaired color, sensitivity, and movement to lower extremities