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Muscuoloskeletal Disorders NCLEX ***
Terms in this set (25)
The nurse is one of several people who witness a vehicle hit a pedestrian at a fairly low speed on a small street. The individual is dazed and tries to get up, and leg appears fractured, The nurse would plan to perform which action?
Stay with the person and encourage the person to remain still
The nurse witnesses a client sustain a fall and suspect that the clients leg may be fractured. Which action is the priority?
Immobilized the leg before moving the client.
A client with hip fracture asks the nurse why Buck's extension traction is being applied before surgery. The nurse response is based on the understanding that Buck's extension traction primarily function?
Provides comfort by reducing muscle spasms and provides fracture immobilization
A nurse is evaluating the pin site of a client in skeletal traction. The nurse would be least concerned with which finding
A nurse is caring for the client who has had skeletal traction applied to the left leg. The client is complaining of severe left leg pain. Which action should the nurse take first.
Check the client alignment in bed
A nurse has provided instruction regarding specific leg exercises for the client immobilized in right skeletal lower leg traction. The nurse determines that the client needs further instruction if the nurse observes the client doing which activity?
Performing active range of motion (ROM) to the right ankle and knee.
A nurse is checking the casted extremity of a client. The nurse would check for which of the following signs and symptoms indicative of infection?
Presence of a "Hot spot" on the cast
A client has sustained a closed fracture and has just had a cast applied to the affected arm. The client is complaining of intense pain. The nurse has elevated the limb, applied an ice bag, and administered an analgesic, which was ineffective in relieving the pain. The nurse interprets that this pain may be caused by which condition?
Impaired Tissue Perfusion
A nurse is assigned to care for a client with multiple traumas who is admitted to the hospital. The client has a leg fracture, and has a plaster cast has been applied. In positioning the casted leg, the nurse should perform which intervention?
Elevate the leg on pillow continuously for 24 to 48 hours
A client is complaining of skin irritations from the edges of a cast applied the previous day. The nurse should plan for which intervention?
Petaling the cast edges with adhesive tape
The nurse is preparing a list of cast care instructions for a client who just had a plaster cast applied to his right forearm. Which instructions should the nurse include on the list? Select all that apply (3)
1. Keep the cast and extremity elevated
2. The cast needs to be kept clean and dry
3. Allow the wet cast 24 to 72 hours to dry
A nurse is planning to reinforce instructions to the client about how to stand on crutches. In the instructions, the nurse plans to tell the client to place the crutches in which position?
8 inches to the front and side of the client's toes
A nurse is evaluating the clients use of a cane for left-sided weakness. The nurse would intervene and correct the client if the nurse observed that the client: performed which action?
Moves the cane when the right leg is moved
A nurse is caring for a client with a fresh application of plaster leg cast. The nurse should plan to prevent the development of compartment syndrome by which action?
Elevating the limb and applying ice to the affected leg
A client is being discharged after application of a plaster leg cast. The nurse determines that the client understands proper care of the cast if the client makes which statement?
"I need to avoid getting the cast wet"
The client has been on treatment for rheumatoid arthritis for 3 weeks. During the administration of etanercept, it is most important for the nurse to collect which data?
The white blood cell counts and platelet counts
Alendronate (Fosamax) is prescribed for a client with osteoporosis and the nurse is providing instructions on administration of the medication. Which instruction should the nurse reinforce?
Take the medication with a full glass of water after rising in the morning.
The nurse is monitoring a client receiving baclofen for side effects related to the medication. Which should indicate that the client is experiencing a side effect?
In monitoring a client's response to disease-modifying antirheumatic drugs (DMARDs), which findings should the nurse interpret as acceptable responses? Select all that apply. (4)
A. Symptom control during periods of emotional stress
B. Normal white blood cell, platelet, and neutrophil counts
C. Radiological findings that show nonprogression of joint degeneration
D. An increased range of motion in the affected joints 3 months into therapy
A client with acute muscle spasms has been taking baclofen. The client calls the clinic nurse because of continuous feelings of weakness and fatigue and asks the nurse about discontinuing the medication. The nurse should make which appropriate response to the client?
"Weakness and fatigue commonly occur and will diminish with continued medication use."
The nurse is reviewing the laboratory studies on a client receiving dantrolene sodium (Dantrium). Which laboratory test(s) would identify an adverse effect associated with the administration of this medication?
Liver function tests
The nurse is reviewing the record of a client who has been prescribed baclofen. Which disorder should alert the nurse to contact the primary health care provider?
a seizure disorder
Cyclobenzaprine (Flexeril) is prescribed for a client to treat muscle spasms, and the nurse is reviewing the client's record. Which disorder would indicate a need to contact the primary health care provider regarding the administration of this medication?
Dantrolene sodium (Dantrium) is prescribed for a client experiencing flexor spasms, and the client asks the nurse about the action of the medication. The nurse responds knowing that which is the therapeutic action of this medication?
Acts directly on the skeletal muscle to relieve spasticity
The nurse is reinforcing discharge instructions to a client receiving baclofen. Which should the nurse include in the instructions?
Avoid the use of alcohol.
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