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Chapter 54 Musculoskeletal Trauma

front 1

A patient with a cast is experiencing pain,pressure, and parenthesia of the distal extremity.which condition could cause these symptoms?

back 1

Neurovascular compromise

front 2

The nurse is discharging a patient with this appliance.which information should the nurse include with the teaching?

back 2

Use a hairdryer on cool setting if it gets wet.

front 3

A nurse is teaching a patient following the placement of a cast. Which statement by the patient would indicate understanding?

back 3

“I need to cover the cast with a plastic bag when showering.”

front 4

While caring for a patient with a sprain, the nurse refrains from wrapping the compression dressing tightly.which outcomes indicates the nursing intervention was effective?

back 4

Intact sensation

front 5

A patient with femur fracture reports difficulty breathing and chest pain.on assessment, the nurse finds tachycardia,abnormal breath sounds, and cyanosis. Which complication is the patient likely experiencing?

back 5

Pulmonary embolism

front 6

Which statement is true regarding traction? Select all that apply?

back 6

B. Traction can be used in conjunction with surgical/ non surgical management of fractures.

D. Skeletal traction involves the use of pins, tongs, screws, wires, and weights.

E. Tractions involves the use of weights and force s to reduce the fracture and relieve muscle spasms.

front 7

While caring for a patient who underwent surgical repair of a fracture, the nurse finds edema in the area where surgery occurred. Which assessment should the nurse complete next based on this finding?

back 7

Distal pulses

front 8

Following a traumatic amputation, with which type of solution would the nurse cleanse the severed limb prior to wrapping it in a clean towel and placing it in a container on ice?

back 8

Lactated Ringer’s (LR)

front 9

A patient presents with a bone fracture and is asking the nurse about the non surgical management of it. Which statement by the nurse is correct? Select all that apply

back 9

A.“Nonsurgical management of bone fractures can be achieved with the help of splints.”

C.”General anesthesia is used when managing nonsurgical fractures.”

E. “Closed reduction is a form of nonsurgical management of bone fractures.”

front 10

Fractures originating from which source would be an example of low-energy trauma ?

back 10

Fall

front 11

Which statement by a nurse regarding a first-degree strain indicates appropriate learning?

back 11

“The range of motion remains unaffected in a first-degree strain.”

front 12

Which finding can be observed in a patient with excessive bleeding following a traumatic amputation? Select all that apply .

back 12

C.Tachycardia

D. Low blood pressure

front 13

A patient is admitted to the hospital with a grade II open fracture. When assessing the patient, which manifestation should the nurse anticipate? Select all that apply.

back 13

B. Visible fragments of broken bone

C. Significant wound contamination

front 14

A patient is diagnosed with tendinitis to the left knee. About which treatment option would the nurse educate the patient ?

back 14

A. Anti-inflammatory medication

front 15

Which purpose does this type of traction serve?

back 15

A.Relieve muscle spasms

front 16

Which type of fracture would result in blunt to the face or skull ?

back 16

D. Depressed

front 17

Which laboratory value would the nurse monitor if the patient experienced a crush injury?

back 17

Myoglobin

front 18

The nurse is caring for four patients with different types of fractures.which patient requires deep breathing exercises with the nurse of incentive spirometry?

back 18

A. Patient 1

front 19

Which statement is true regarding a compression fracture?

back 19

D. It occurs as a result of excessive force along the axis of cancellous bone.

front 20

Arrange in order the actions a nurse should take for a patient who experienced traumatic amputation?

back 20

1.Assess the wound for active hemorrhaging

2. Place a pressure bandage or tourniquet

3. Notify the primary healthcare provider

4. Obtain a complete blood count (CBC) and type and crossmatch for immediate blood transfusion per the primary healthcare provider’s orders.
5. Prepare the patient for surgery.

front 21

Which action should a nurse take when caring for a patient with a traumatic amputation? Select all that apply

back 21

B. Administer analgesic as prescribed

D. Apply a rigid cast or splint

E. Encourage intake of protein- and carbohydrate-rich foods.

front 22

Which stage of bone healing would occur 72 hours to 14 days following a fracture and involve the transformation of the hematoma into granulation tissue?

back 22

B. Stage 2

front 23

Which type of fracture occurs when there is malalignment of bone fragments at the fracture site?

back 23

C. Displaced

front 24

Which type of the fracture creates an external wound that exposes the fracture site?

back 24

C. Compound

front 25

Which action should a nurse take when caring for a patient with a traumatic amputation? Select all that apply

back 25

A. Apply to the remaining portion of the limb

B. Prepare for surgery

C. Obtain a coagulation panel and complete blood count (CBC).

E. Monitor vital signs

front 26

The nurse is caring for a 72- year-old patient after a fall. Complete the senstencd bellow using the drop-down choices ?

back 26

-Circulation

-Perform an additional assessment

front 27

Based on a community assessment, which group is at risk for traumatic amputations?

back 27

Those with industrial jobs requiring the use of power tools.

front 28

Which type of fracture would typically result from acceleration and deceleration injury?

back 28

Spinal

front 29

A nurse is teaching a new nurse about second-degree ankle sprains.which statement by the new nurse indicates successful teaching ?

back 29

“They lead to increased swelling, ecchymosis, pain, and altered weight-bearing mobility.”

front 30

A patient presents with generalized petechiae caused by a complication from a recent femur fracture. Which additional clinical manifestation would the nurse expect? Select all that apply .

back 30

Respiratory distress

Acute confusion

Restlessness

front 31

A nurse is taking care of an athlete who has a first-degree sprain in the ankle. Which action by the nurse indicates successful teaching?

back 31

Applying a compression dressing

front 32

Which type of fracture occurs when there is malalignment of bone fragments at the fracture site?

back 32

Displaced

front 33

Which action should a nurse take when caring for a patient with a traumatic amputation? Select all that apply

back 33

Apply a tourniquet to the remaining portion of the limb.

prepare for surgery

Obtain a coagulation panel and complete blood count (CBC).

Monitor vitals signs

front 34

The nurse is teaching a community group about carpal tunnel syndrome (CTS). Which information should the nurse include?

back 34

Higher occurrence are seen in computer operators and construction workers.

front 35

A patient has difficulty ambulating due to joint instability caused by a third-degree sprain. Which treatment is the most beneficial for this patient?

back 35

Surgical repair of the affected area.

front 36

Which rationale supports the use of cryotherapy in the area of injury for a patient with a sprain ?

back 36

To decrease bleeding

front 37

Which test would assist in diagnosing carpal tunnel syndrome (CTS)?

back 37

Phalen’s