Question 1

The greatest risk(s)from osteoporosis

Accepted Answer

Fractures are the greatest risk from osteoporosis, as individuals with this condition have a higher likelihood of experiencing fractures due to weakened bones. These fractures can cause long-term pain, disability, and even loss of independence. Additionally, fractures in older adults can increase the risk of mortality. Burns, immobility, and pneumonia are not typically associated with osteoporosis as primary risks.

Question 2

A resident fell in the shower and fractured his right hip.He is back at the nursing center after surgery to repair the hip.You know that he is at risk for which of the following post-operative complications?

Accepted Answer

After surgery to repair a hip fracture, the patient is at risk for pneumonia due to decreased mobility and potential aspiration, UTI due to use of urinary catheter and decreased mobility, and thrombi in leg veins due to immobility and trauma. MS, CAD, RA, hemothorax, depression, schizophrenia, aspiration, paralysis, and metastasis are not typically associated with hip fracture surgery.

Question 3

A resident is in traction.How should you position the person?

Accepted Answer

The position of a person in traction should be as directed by the healthcare provider to ensure proper alignment and effectiveness of the traction.

Question 4

A resident has a fractured wrist.The doctor has scheduled open reduction.This means that

Accepted Answer

Open reduction refers to a surgical procedure where the doctor surgically exposes the fracture and manually moves the bone ends back into alignment. This is done under general anesthesia and allows for precise reduction and fixation of the fracture. Therefore, option D is the correct answer.

Question 5

You are assisting the nurse with cast care.Which action is incorrect?

Accepted Answer

It is incorrect to wash and dry the cast when soiling occurs as moisture can get trapped inside the cast, leading to skin breakdown and infection. Instead, the nurse should spot clean the affected area with a damp cloth and allow it to air dry.

Question 6

After reduction,the fractured part is

Accepted Answer

After reduction, the fractured part is immobilized with a cast or traction to allow for proper healing and prevent further damage. Exercising the fractured part immediately after reduction can further damage the area, while abduction and external rotation are specific movements that may be necessary for some fractures but are not universal after reduction.

Question 7

Which are not risk factors for osteoporosis?

Accepted Answer

Exercise and activity are not risk factors for osteoporosis. In fact, regular weight-bearing exercise and physical activity can actually help to improve bone density and reduce the risk of osteoporosis. Choices A, B, and C are all risk factors for osteoporosis.

Question 8

Which statement about osteoporosis is incorrect?

Accepted Answer

Osteoporosis is not caused by high calcium in the diet. In fact, inadequate calcium intake is one of the risk factors for developing osteoporosis.

Question 9

A resident has a plaster of paris cast.The cast dries in _____ hours.

Accepted Answer

The answer of A resident has a plaster of paris...

Question 10

You are assisting the nurse with cast care.Which action is incorrect?

Accepted Answer

Covering the cast for warmth is incorrect because it can lead to overheating and moisture buildup, which can compromise the integrity of the cast and skin health.

Question 11

A resident has a cast on her right arm.You note that her fingers are pale and that she cannot move them.What should you do?

Accepted Answer

The pale fingers and inability to move them could indicate that there is decreased circulation or nerve damage, which is a medical emergency. Therefore, it is important to notify the nurse immediately. The nurse will assess the situation and determine the appropriate course of action, which may include removing the cast, elevating the arm, or performing range-of-motion exercises.

Question 12

Skeletal traction is applied to the

Accepted Answer

Skeletal traction is a type of traction therapy that uses pins or wires that are inserted directly into the bone. The purpose of this type of traction is to align and immobilize fractured bones or dislocated joints. Therefore, the correct answer is B.

Question 13

A resident has rheumatoid arthritis.The person has consented to joint replacement surgery.The affected joint will be replaced with a

Accepted Answer

Joint replacement surgery involves replacing the affected joint with a prosthesis, which is an artificial joint made from metal, plastic, or ceramic materials. This is the most common and effective treatment for rheumatoid arthritis, and allows for improved mobility and a reduction in pain and stiffness in the affected joint. Nails, pins, plates, and screws are typically used for fracture repairs, but are not suitable for joint replacement surgery.

Question 14

Traction is used to immobilize a fracture.This is done by

Accepted Answer

Traction immobilizes a fracture by applying a steady pull in two directions, which helps align and stabilize the broken bones for healing.

Question 15

All of the following are signs and symptoms of osteoporosis except

Accepted Answer

While joint pain and stiffness may be common with arthritis, back pain, gradual loss of height, and stooped posture are all signs and symptoms of osteoporosis.

Question 16

A resident is in traction.Which action is incorrect?

Accepted Answer

Removing weights without a doctor's order can cause harm and disrupt the treatment plan for the resident. The weights should only be adjusted or removed by the healthcare provider in charge of the resident's care. Options A, C, and D are correct actions to take when caring for a resident in traction.

Question 17

A person with a fracture will have all of the following except

Accepted Answer

Joint pain and stiffness are not typically associated with fractures. Fractures usually cause pain, tenderness, limited movement or loss of function, and deformity of the affected body part.

Question 18

A resident has a cast.All of the following signs and symptoms indicate a problem except

Accepted Answer

Joint pain and stiffness may be expected after a limb has been immobilized in a cast for an extended period. However, pain, numbness, swelling, and a tight cast may indicate a problem such as reduced blood flow, nerve damage, or infection. Odor and drainage from under the cast may also signal an underlying issue such as a skin infection.

Question 19

A resident has osteoporosis.The person's care plan includes the following.Which should you question?

Accepted Answer

promoting bedrest and turning/repositioning gently can exacerbate osteoporosis and increase the risk of bone fractures. The other options are appropriate for managing osteoporosis.

Question 20

A resident has rheumatoid arthritis.All of the following can relieve pain and inflammation except

Accepted Answer

A cast or traction would not necessarily relieve pain and inflammation in a person with rheumatoid arthritis. In fact, immobilization of joints can exacerbate symptoms. The other options (drugs, heat/cold applications, rest/exercise) can all be effective in managing pain and inflammation in rheumatoid arthritis.

Quiz 39: Nervous System and Musculo-Skeletal Disorders

The greatest risk(s) from osteoporosis

A resident fell in the shower and fractured his right hip.He is back at the nursing center after surgery to repair the hip.You know that he is at risk for which of the following post-operative complications?

A resident is in traction.How should you position the person?

A resident has a fractured wrist.The doctor has scheduled open reduction.This means that

You are assisting the nurse with cast care.Which action is incorrect?

After reduction,the fractured part is

Which are not risk factors for osteoporosis?

Which statement about osteoporosis is incorrect?

A resident has a plaster of paris cast.The cast dries in _____ hours.

You are assisting the nurse with cast care.Which action is incorrect?

A resident has a cast on her right arm.You note that her fingers are pale and that she cannot move them.What should you do?

Skeletal traction is applied to the

A resident has rheumatoid arthritis.The person has consented to joint replacement surgery.The affected joint will be replaced with a

Traction is used to immobilize a fracture.This is done by

All of the following are signs and symptoms of osteoporosis except

A resident is in traction.Which action is incorrect?

A person with a fracture will have all of the following except

A resident has a cast.All of the following signs and symptoms indicate a problem except

A resident has osteoporosis.The person's care plan includes the following.Which should you question?

A resident has rheumatoid arthritis.All of the following can relieve pain and inflammation except