Musculoskeletal Nursing

Question 1

A pt is S/P ORIF of a fractured femur. Which is most important for the nurse to complete in the postoperative period?

Accepted Answer

Perform neurovascular checks of the extremities.

Question 2

What is plantar fasciitis?

Accepted Answer

Straining or tearing of a ligament in the foot.

Question 3

bone fractured horizontally

Accepted Answer

transverse

Question 4

In the immediate post-op period following a closed amputation, the stump should be:

Accepted Answer

elevated by raising the foot of the bed

Question 5

A patient with a rotator cuff injury may need what treatment?

Accepted Answer

Steroid

Question 6

All of the following are major concerns for patients with pelvic fractures, except:

Accepted Answer

Pain upon movement

Question 7

43 yr old male with post-op ORIF right femur presents with shortness of breath and petechia

Accepted Answer

Pulmonary embolism

Question 8

Skin traction is:

Accepted Answer

a system using pull on tapes, bandages, or traction strips attached to skin

Question 9

Before moving a pt with a suspected fx, the affected part must be:

Accepted Answer

immobilized or splinted

Question 10

Ms. R has a long leg cast. if the nurse notes any drainage in the cast are, he/she should:

Accepted Answer

circle the area and continue to monitor

Question 11

An x-ray is usually taken after cast application to:

Accepted Answer

check the bone alignment

Question 12

All of the following are potential treatments for plantar fasciitis, except:

Accepted Answer

Transcutaneous electric nerve stimulation

Question 13

Pt has a R Knee Repl. 4 days ago and is c/o general malaise, nausea and chills. Pt has a fever, and drainage at the knee

Accepted Answer

osteomyelitis

Question 14

The nurse recognizes that which is the least likely contributor to lower extremity amputations in black male patients?

Accepted Answer

High risk occupations

Question 15

Pt has a long arm plaster cast. Cast care instructions should include all except:

Accepted Answer

the may cast get wet, Just dry it carefully with a blow dryer

Question 16

How is osteomyelitis diagnosed?

Accepted Answer

WBC, Sed rate, and x-ray

Question 17

You can treat Plantar Fasciitis with stretching Program

Accepted Answer

True

Question 18

Immobility effects cardiovascular system by:

Accepted Answer

Increased workload on heart, thrombus, orthostatic hypotension

Question 19

Which are the treatments for a cuff injury?

Accepted Answer

Physical therapy, Surgery, Anti-inflammatory medications, Cortisone injections

Question 20

What can cause plantar fasciitis? Select all that apply...

Accepted Answer

Obesity, Running (Phsical Activity), Improper Footwear

Question 21

The nurse will identify which of the following as abnormal in the post-op OREF patient:

Accepted Answer

Minimal tissue damage.

Question 22

Cpm machines are important in the post-op period for a patient with TKR because:

Accepted Answer

for ROM maintenance and scar tissue prevention

Question 23

When a patient is in a spica cast, what is the purpose of the bar separating the legs?

Accepted Answer

maintain hips in abducted position

Question 24

Metabolic effects of immobility

Accepted Answer

Decrease in peristalsis leading to constipation, Calcium shifts from bone to circulation, Decrease in muscle tone

Question 25

Which of the following is not a sign of plantar fascitis?

Accepted Answer

Metatarsal bursa becomes inflamed and eventually thickens

Question 26

After a bunionectomy the nurse needs to educate the patient about?

Accepted Answer

May need a walking shoe for 6 to 12 weeks

Question 27

An example of a job where people are at risk of carpal tunnel is __________.

Accepted Answer

Assembly line worker

Question 28

Skeletal traction:

Accepted Answer

uses wires or pins inserted in the bone with pull applied

Question 29

What is used to treat osteomyelitis?

Accepted Answer

4-6 weeks of antibiotics

Question 30

Psychosocial changes from immobility

Accepted Answer

Depression, delirium, role change,sensory deprivation

Question 31

The first step in the healing process of a bone is:

Accepted Answer

Hematoma formation occurs at bone ends and fibrin mesh develops

Question 32

Who does not have mobility issues?

Accepted Answer

Working adult

Question 33

When assessing the patient with osteosarcoma, the nurse recognizes which of the following are not true.

Accepted Answer

Osteosarcomas is the most malignant type of bone cancer

Question 34

Corticosteroids cause fluid loss

Accepted Answer

False

Question 35

When making a bed for a pat who is in traction for a fx femur, the nurse should:

Accepted Answer

change the fitted sheet starting from the head or foot of the bed

Question 36

Specific measure to prevent DVT after a TJR include

Accepted Answer

early mobilization, teds/pneumatics, administer blood thinner

Question 37

A pt has had a hip replacement. To prevent dislocation, the nurse should make sure the:

Accepted Answer

abduction pillow stays secure between legs while in bed

Question 38

What are Respiratory effects of immobility

Accepted Answer

Atelectasis, Decreased lung expansion, Pneumonia

Question 39

Immobility of the GI system can cause

Accepted Answer

constipation

Question 40

What are some symptoms of carpal tunnel?

Accepted Answer

Tingling of hand, numbness and weakness

Question 41

What are the key signs of osteomyelitis?

Accepted Answer

fever, fatigue, nausea, limited ROM, reddness, swelling, and pain

Question 42

Pathophysiology of Osteomyelitis

Accepted Answer

infection of the bone caused by an invading pathogen leading to infection

Question 43

The most important nursing assessment for musculoskeletal problems in general is:

Accepted Answer

performing frequent neurovascular checks

Question 44

Risk factors for Hallux valgus

Accepted Answer

Wearing restrictive shoes

Question 45

a patient who has lower extremity traction should have:

Accepted Answer

weights hanging freely

Question 46

How is a rotator cuff injury diagnosed?

Accepted Answer

With a MRI, With an ultrasound imaging, With a physical exam

Question 47

The nurse will include which of the following in patient education about osteochondroma.

Accepted Answer

Tibia is most often involved, Most common in childhood, It is a benign bone tumor

Question 48

All of the following statements are true about RA except:

Accepted Answer

PT and OT should be avoided because they are too painful for the pt

Question 49

The medical name for a bunion

Accepted Answer

hallux valgus

Question 50

What does CMS stand for?

Accepted Answer

color, movement, sensation

Musculoskeletal Nursing

Questions 50

Musculoskeletal Nursing

Questions 50