Deck 62: Caring for Clients With Traumatic Musculos Keletal Injuries

Question 1

A daughter brings her 77-year-old mother to the Emergency Department after falling in her home. The daughter states, "I hope she hasn't broken her hip." Which of the following would the nurse assess if the client did sustain a hip fracture?

A) Internal rotation of the affected extremity
B) Lengthening of the affected extremity
C) Bruising in the abdominal area
D) Severe pain radiating to the knee

Answer 1

Severe pain radiating to the knee

Question 2

When describing the sequence of events that occur after a bone breaks, the instructor would identify which of the following as occurring initially?

A) Muscle flaccidity
B) Swelling
C) Formation of fibrin network
D) Muscle spasticity

Answer 2

Muscle flaccidity

Question 3

A male client, an ace professional tennis player, sprains his right ankle during a tennis match. The client is immediately rushed to the nurse who provides him with first-aid care. Which of the following would the nurse immediately provide?

A) Heat, compression, analgesics, and exercise
B) Rest, heat, compression, and elevation
C) Rest, ice, compression, elevation, and stabilization
D) Exercise, ice, compression, and elevation

Answer 3

Rest, ice, compression, elevation, and stabilization

Question 4

Radiographic evaluation of a client's fracture reveals that a bone fragment has been driven into another bone fragment. The nurse identifies this as which type of fracture?

A) Comminuted
B) Compression
C) Impacted
D) Greenstick

Question 5

The physician tells a client with a traumatic musculoskeletal injury to take nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief. Which of the following pointers should the nurse emphasize with the client?

A) Take medications with food.
B) Stay on complete bed rest.
C) Avoid the intake of dairy products.
D) Avoid exposure to direct sunlight.

Question 6

The nurse is required to design a teaching plan for a client with a ruptured Achilles tendon. Which of the following would the nurse emphasize?

A) Dietary restrictions
B) Activity restrictions
C) Use of nonprescription medications
D) Effective pin care

Question 7

A client sustains an injury to the ligaments surrounding a joint. The nurse identifies this as which of the following?

A) Strain
B) Contusion
C) Sprain
D) Fracture

Question 8

A client arriving at the Emergency Department is diagnosed with a dislocation. Assessment would most likely reveal which of the following? Select all that apply.

A) Complaint of a popping sound
B) Protrusion in the area of the dislocation
C) Swelling
D) Pain
E) Area warm to touch

Question 9

A client has a history of dislocations of the same joint. The nurse understands that this is most likely due to an insufficient deposit of collagen during the healing process leading to which of the following?

A) Loss of function
B) Allergic reaction
C) Lack of mobility
D) Reduced tensile strength

Question 10

A client comes to the Emergency Department complaining of localized pain and swelling of his lower leg. Ecchymotic areas are noted. History reveals that the client got hit in the leg with a baseball bat. Which of the following would the nurse suspect as most likely?

A) Fracture
B) Contusion
C) Sprain
D) Strain

Question 11

A client with a fracture develops compartment syndrome that requires surgical intervention. The nurse would most likely prepare the client for which of the following?

A) Bone graft
B) Joint replacement
C) Fasciotomy
D) Amputation

Question 12

A 16-year-old female is brought to the clinic by her mother who is concerned about her daughter's complaints of pain in her arm. Theclient is a member of her high school crew team and practices for 2 ½ hours every day after school. Which of the following would the nurse suspect?

A) Tendonitis
B) Ganglion
C) Carpal tunnel syndrome
D) Epicondylitis

Question 13

A client is receiving subcutaneous heparin after surgery to repair a fractured hip. The nurse understands that the rationale for this therapy is to reduce the risk for which the following?

A) Compartment syndrome
B) Pulmonary embolism
C) Shock
D) Avascular necrosis

Question 14

A nurse is caring for a client who has sustained ligament and a meniscal injury to the knee. Which action would be most appropriate to allow the client to progress without causing further injury?

A) Administer nonsteroidal anti-inflammatory drugs (NSAIDs) regularly.
B) Apply heat to the affected area every night.
C) Apply a cold pack to the affected area every night.
D) Assist with a gradual introduction of activity.

Question 15

A client is diagnosed with carpal tunnel syndrome. Which of the following assessment findings would the nurse expect?

A) Pain radiating down the dorsal surface of the forearm
B) Tenderness in the affected wrist
C) Inability to flex index and middle fingers
D) A decrease in grasp strength

Question 16

A nurse is inspecting the area of contusion and notes numerous areas of bruising. The nurse would document this finding as which of the following?

A) Whiplash injury
B) Callus
C) Ecchymosis
D) Palsy

Question 17

When reviewing the history of a female client with a ganglion cyst, which factor would the nurse identify as most likely contributing to the client's current condition?

A) Participation as a softball pitcher
B) Age below 50 years
C) Employment as a cashier
D) Recurrent dislocations

Question 18

When caring for a client with a fracture, assessment of which of the following would be the priority?

A) Neurovascular compromise
B) Hormonal imbalances
C) Cardiac problems
D) Altered kidney function

Question 19

The nurse is preparing to assess Phalen's sign. Which of the following would the nurse identify as indicative of a positive indicator for this sign?

A) Percussion of the median nerve causes tingling and numbness.
B) Wrist flexion for 30 seconds causes pain and numbness.
C) Electrical stimulation shows a delay in motor responses.
D) Shaking hands causes a reduction in the pain.

Question 20

A client with a fracture asks the nurse when he can expect the limb to regain its former strength. The nurse bases the response on the understanding that approximately how much time needs to pass?

A) 6 weeks
B) 3 months
C) 9 months
D) 1 year

Question 21

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) 2 to 4 weeks
B) 6 to 8 weeks
C) 10 to 12 weeks
D) 14 to 16 weeks

Question 22

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) Infection
B) Pulmonary embolism
C) Avascular necrosis
D) Hypovolemic shock

Question 23

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?

A) "I'll start with ice for the first couple of hours and then apply heat."
B) "I need to stay off my ankle for at least the next 3 to 4 weeks."
C) "I'll get the prescription filled for the narcotic pain reliever."
D) "I'll make sure to keep my ankle elevated as much as possible."

Question 24

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

A) Whiplash injury
B) Volkmann's contracture
C) Callus
D) Subluxation

Question 25

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

A) Ability to stretch arm over the head
B) Difficulty lying on affected side
C) Pain worse in the morning
D) Minimal pain with movement