Question 1

The patient has a fracture of the right tibia and fibula. The orthopedic surgeon decides to surgically correct the fractures with the type of device pictured in the figure. What type of device is being used?

Accepted Answer

The answer of The patient has a fracture of the...

Question 2

Which assessment data would the nurse interpret as indicating a patient could be experiencing a fat embolus? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of Which assessment data would the nurse interpret...

Question 3

A patient is diagnosed with a sprained right ankle. The nurse instructs the patient on which common treatment of sprains?

Accepted Answer

Rest, ice, compression, and elevation (RICE) is the most common treatment for sprains. This involves resting the affected area, applying ice to reduce swelling and pain, using compression with an elastic bandage to support the area and reduce swelling, and elevating the affected area above the level of the heart to reduce swelling. Application of a long leg cast is not a common treatment for a sprained ankle, and opioid pain medication may be used in addition to RICE, but it is not the primary treatment. Heat should not be applied initially to a sprain as it can increase swelling and inflammation.

Question 4

The nurse is aware that which occupations could put a patient at risk for carpal tunnel syndrome? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is aware that which occupations...

Question 5

A patient is diagnosed with a compound fracture and is scheduled for immediate surgery. Which nursing diagnosis would have the highest priority in the immediate postoperative period?

Accepted Answer

The highest priority nursing diagnosis in the immediate postoperative period for a patient with a compound fracture is Risk for Infection. This is because the site of the fracture is open and exposed, increasing the risk of infection. Infection can further delay healing, cause systemic complications, and require prolonged hospitalization. Impaired Transfer Ability, Risk for Post-Trauma Syndrome, and Risk for Falls are all important nursing diagnoses, but do not have the same priority as preventing the risk of infection.

Question 6

The nurse is observing a patient learning to use crutches. Which observation would prompt the nurse to reinforce teaching about crutch walking?

Accepted Answer

The answer of The nurse is observing a patient learning...

Question 7

A patient recovering from a fractured hip is at risk for developing deep vein thrombosis DVT). The nurse monitors for which findings that would indicate DVT is occurring?

Accepted Answer

Positive Homans' sign is a classic sign of DVT in which pain is felt in the calf upon dorsiflexion of the foot. While the other options are symptoms that may be seen with DVT, they are not specific to DVT and could be indicative of other issues.

Question 8

The nurse would be most alert for assessment findings of osteomyelitis in which patients? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Osteomyelitis is a bone infection that can develop after an open fracture, surgery, or the presence of a foreign body such as an external fixator device. Therefore, the nurse would be most alert for assessment findings of osteomyelitis in patients with a compound fracture, a fractured ankle requiring open reduction, or a fractured radius repaired with an external fixator device. A spiral fracture or a torn anterior cruciate ligament would not necessarily increase the risk for osteomyelitis.

Question 9

A patient has a minor orthopedic injury to the arm. The nurse would suspect the development of complex regional pain syndrome CRPS) based on which assessment findings?

Accepted Answer

The development of complex regional pain syndrome (CRPS) is indicated by the patient's complaint of widespread pain and limited joint mobility, which are characteristic clinical manifestations of the condition. Fever, rash, abdominal pain with diarrhea, and cyanosis of the fingers are not typical signs of CRPS.

Question 10

The nurse is teaching older adults about the risks for musculoskeletal trauma. Which strategies should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A) Avoiding falls is crucial in preventing musculoskeletal trauma, and using throw rugs increases the risk of falls.
B) Maintaining good nutrition helps to keep bones healthy and strong, reducing the risk of fractures.
C) Osteoporosis screening is important as it can identify individuals who are at higher risk of fractures and allow for early intervention to prevent them.
D) Avoiding crowds does not directly relate to preventing musculoskeletal trauma.
E) Using assistive devices, such as canes or walkers, can provide stability and support, reducing the risk of falls and subsequent trauma.

Question 11

The nurse has identified the diagnosis Acute Pain for a patient recovering from an above-the-knee amputation. Which nursing interventions would be beneficial for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse has identified the diagnosis Acute...

Question 12

The nurse should assess a patient with a long leg cast for which signs that would indicate compromised circulation? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Swelling of the toes and a tight cast are both signs that could indicate compromised circulation in a patient with a long leg cast. Drainage on the cast, elevated temperature, and foul odor are not necessarily indicative of circulation issues.

Question 13

Which home care instructions would the nurse provide a patient whose ulnar fracture was treated with an external fixator device?

Accepted Answer

It is important to monitor the pin sites for signs of infection or pain, as this can indicate a complication with the external fixator. Options B, C, and D are incorrect because adjusting the tension on the pins without the proper training can be dangerous and should only be done by a healthcare provider. Tub bathing should be avoided until the pins are removed to prevent infection. Avoiding using the affected arm completely may lead to muscle atrophy and should only be done if recommended by the healthcare provider.

Question 14

The patient is diagnosed with an oblique fracture of the left femur. The nurse understands that the process of bone healing occurs in phases. Place in order the phases of the bone healing process. Standard Text: Click and drag the options below to move them up or down.
Choice

Accepted Answer

The bone healing process occurs in four phases: initial injury (fracture), inflammatory phase, reparative phase, and remodeling phase.

Question 15

The nurse is changing a patient's stump dressing. How would the nurse document this dressing technique?

Accepted Answer

The figure-of-eight bandage is the appropriate method used to secure a stump dressing in place, therefore it is the best choice for documentation. Binder wrapping, splinting, and bivalving are not applicable techniques for securing a stump dressing.

Quiz 50: Caring for the Patient With Musculoskeletal Trauma and Surgical Procedures

Which assessment data would the nurse interpret as indicating a patient could be experiencing a fat embolus? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

A patient is diagnosed with a sprained right ankle. The nurse instructs the patient on which common treatment of sprains?

The nurse is aware that which occupations could put a patient at risk for carpal tunnel syndrome? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

A patient is diagnosed with a compound fracture and is scheduled for immediate surgery. Which nursing diagnosis would have the highest priority in the immediate postoperative period?

The nurse is observing a patient learning to use crutches. Which observation would prompt the nurse to reinforce teaching about crutch walking?

A patient recovering from a fractured hip is at risk for developing deep vein thrombosis DVT) . The nurse monitors for which findings that would indicate DVT is occurring?

The nurse would be most alert for assessment findings of osteomyelitis in which patients? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

A patient has a minor orthopedic injury to the arm. The nurse would suspect the development of complex regional pain syndrome CRPS) based on which assessment findings?

The nurse is teaching older adults about the risks for musculoskeletal trauma. Which strategies should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The nurse should assess a patient with a long leg cast for which signs that would indicate compromised circulation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Which home care instructions would the nurse provide a patient whose ulnar fracture was treated with an external fixator device?

The patient is diagnosed with an oblique fracture of the left femur. The nurse understands that the process of bone healing occurs in phases. Place in order the phases of the bone healing process. Standard Text: Click and drag the options below to move them up or down. Choice

The nurse is changing a patient's stump dressing. How would the nurse document this dressing technique?