Question 1

A client is to undergo surgery to repair a ruptured Achilles tendon and application of a brace. The client demonstrates understanding of his activity limitations when he states that he will need to wear the brace for which length of time?

Accepted Answer

The typical recovery time for repairing a ruptured Achilles tendon and application of a brace is 6-8 weeks.

Question 2

A client who has sustained a fracture reports a increase in pain and decreased function of the affected extremity. The nurse would suspect which of the following?

Accepted Answer

Increased pain and decreased function following a fracture may indicate avascular necrosis, which is a condition where the blood supply to the affected bone is compromised, leading to bone tissue death. Infection, pulmonary embolism, and hypovolemic shock may also result in increased pain and decreased function, but these conditions have other characteristic symptoms that the client would likely be presenting with as well.

Question 3

A client is being discharged from the Emergency Department after being diagnosed with a sprained ankle. Which client statement indicates the client understands the discharge teaching?

Accepted Answer

Keeping the ankle elevated helps reduce swelling, which is important for a sprained ankle. Applying ice (not heat) and staying off the ankle for a period of time are also important for proper healing, but these options are not indicated in any of the answer choices except for option A. Choosing option A would indicate a misunderstanding of proper treatment. Getting a prescription filled for a narcotic pain reliever may be necessary for some clients, but it is not an indicator that the client understands the discharge teaching.

Question 4

Which of the following may occur if a client experiences compartment syndrome in an upper extremity?

Accepted Answer

Compartment syndrome in an upper extremity can lead to Volkmann's contracture, a condition where there is permanent contracture of the fingers flexors due to ischemia and nerve damage. Whiplash injury is not related to compartment syndrome in an upper extremity. Callus and subluxation are also not directly related to this condition.

Question 5

Which of the following would lead a nurse to suspect that a client has a rotator cuff tear?

Accepted Answer

Difficulty lying on the affected side is a common symptom of a rotator cuff tear. Pain worsens at night, and there may be weakness and limited range of motion in the shoulder. Stretching the arm over the head may also be painful or difficult with a rotator cuff tear. Minimal pain with movement is not a typical symptom of a rotator cuff tear.

Quiz 62: Caring for Clients With Traumatic Musculos Keletal Injuries

A client is to undergo surgery to repair a ruptured Achilles tendon and application of a brace. The client demonstrates understanding of his activity limitations when he states that he will need to wear the brace for which length of time?

A client who has sustained a fracture reports a increase in pain and decreased function of the affected extremity. The nurse would suspect which of the following?

A client is being discharged from the Emergency Department after being diagnosed with a sprained ankle. Which client statement indicates the client understands the discharge teaching?

Which of the following may occur if a client experiences compartment syndrome in an upper extremity?

Which of the following would lead a nurse to suspect that a client has a rotator cuff tear?