Chapter 54 Musculoskeletal Trauma
A patient with a cast is experiencing pain,pressure, and parenthesia of the distal extremity.which condition could cause these symptoms?
Neurovascular compromise
The nurse is discharging a patient with this appliance.which information should the nurse include with the teaching?
Use a hairdryer on cool setting if it gets wet.
A nurse is teaching a patient following the placement of a cast. Which statement by the patient would indicate understanding?
“I need to cover the cast with a plastic bag when showering.”
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?
Intact sensation
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?
Pulmonary embolism
Which statement is true regarding traction? Select all that apply?
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.
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?
Distal pulses
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?
Lactated Ringer’s (LR)
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
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.”
Fractures originating from which source would be an example of low-energy trauma ?
Fall
Which statement by a nurse regarding a first-degree strain indicates appropriate learning?
“The range of motion remains unaffected in a first-degree strain.”
Which finding can be observed in a patient with excessive bleeding following a traumatic amputation? Select all that apply .
C.Tachycardia
D. Low blood pressure
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.
B. Visible fragments of broken bone
C. Significant wound contamination
A patient is diagnosed with tendinitis to the left knee. About which treatment option would the nurse educate the patient ?
A. Anti-inflammatory medication
Which purpose does this type of traction serve?
A.Relieve muscle spasms
Which type of fracture would result in blunt to the face or skull ?
D. Depressed
Which laboratory value would the nurse monitor if the patient experienced a crush injury?
Myoglobin
The nurse is caring for four patients with different types of fractures.which patient requires deep breathing exercises with the nurse of incentive spirometry?
A. Patient 1
Which statement is true regarding a compression fracture?
D. It occurs as a result of excessive force along the axis of cancellous bone.
Arrange in order the actions a nurse should take for a patient who experienced traumatic amputation?
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.
Which action should a nurse take when caring for a patient with a traumatic amputation? Select all that apply
B. Administer analgesic as prescribed
D. Apply a rigid cast or splint
E. Encourage intake of protein- and carbohydrate-rich foods.
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?
B. Stage 2
Which type of fracture occurs when there is malalignment of bone fragments at the fracture site?
C. Displaced
Which type of the fracture creates an external wound that exposes the fracture site?
C. Compound
Which action should a nurse take when caring for a patient with a traumatic amputation? Select all that apply
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
The nurse is caring for a 72- year-old patient after a fall. Complete the senstencd bellow using the drop-down choices ?
-Circulation
-Perform an additional assessment
Based on a community assessment, which group is at risk for traumatic amputations?
Those with industrial jobs requiring the use of power tools.
Which type of fracture would typically result from acceleration and deceleration injury?
Spinal
A nurse is teaching a new nurse about second-degree ankle sprains.which statement by the new nurse indicates successful teaching ?
“They lead to increased swelling, ecchymosis, pain, and altered weight-bearing mobility.”
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 .
Respiratory distress
Acute confusion
Restlessness
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?
Applying a compression dressing
Which type of fracture occurs when there is malalignment of bone fragments at the fracture site?
Displaced
Which action should a nurse take when caring for a patient with a traumatic amputation? Select all that apply
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
The nurse is teaching a community group about carpal tunnel syndrome (CTS). Which information should the nurse include?
Higher occurrence are seen in computer operators and construction workers.
A patient has difficulty ambulating due to joint instability caused by a third-degree sprain. Which treatment is the most beneficial for this patient?
Surgical repair of the affected area.
Which rationale supports the use of cryotherapy in the area of injury for a patient with a sprain ?
To decrease bleeding
Which test would assist in diagnosing carpal tunnel syndrome (CTS)?
Phalen’s
The nurse is caring for four patients with different types of fractures. Which patient requires deep breathing exercises with the use of incentive spirometry?
1.Patient 1
2.Patient 2
3.Patient 3
4.Patient 4
1.Patient 1
A patient presents with a bone fracture and is asking the nurse about the nonsurgical management of it. Which statement by the nurse is correct? Select all that apply.
1.“Nonsurgical management of bone fractures can be achieved with the help of splints.”
2.“External fixation is a form of nonsurgical management of bone fractures.”
3.“General anesthesia is used when managing nonsurgical fractures.”
4.“Open reduction with internal fixation is a form of nonsurgical management of bone fractures.”
5.“Closed reduction is a form of nonsurgical management of bone fractures.”
1.“Nonsurgical management of bone fractures can be achieved with the help of splints.”
3.“General anesthesia is used when managing nonsurgical fractures.”
5.“Closed reduction is a form of nonsurgical management of bone fractures.”
Which action should a nurse take when caring for a patient with a traumatic amputation? Select all that apply.
1.Apply a tourniquet to the remaining portion of the limb.
2.Prepare for surgery.
3.Obtain a coagulation panel and complete blood count (CBC).
4.Perform the Phalen test.
5.Monitor vital signs.
1.Apply a tourniquet to the remaining portion of the limb.
2.Prepare for surgery.
3.Obtain a coagulation panel and complete blood count (CBC).
5.Monitor vital signs.
A patient with a 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?
1.Pulmonary embolism
2.Fat embolism syndrome
3.Compartment syndrome
4.Neurovascular compromise
1.Pulmonary embolism
The nurse is discharging a patient with this appliance. Which information should the nurse include with the teaching?
1.Use a plastic hanger to reach under this device if your skin itches.
2.Use a hairdryer on cool settings if it gets wet.
3.Trim or break off any rough edges that are irritating your skin.
4.Rest the heel of your foot on a pillow or bed.
2.Use a hairdryer on cool settings if it gets wet.
Which type of fracture would typically result from an acceleration and deceleration injury?
1.Clavicle
2.Spinal
3.Skull
4.Humerus
2.Spinal
Which statement is true regarding traction? Select all that apply.
1.Cervical traction is an example of skin traction.
2.Traction can be used in conjunction with surgical/nonsurgical management of fractures.
3.Buck’s traction is an example of skeletal traction.
4.Skeletal traction involves the use of pins, tongs, screws, wires, and weights.
5.Traction involves the use of weights and forces to reduce the fracture and relieve muscle spasms.
2.Traction can be used in conjunction with surgical/nonsurgical management of fractures.
4.Skeletal traction involves the use of pins, tongs, screws, wires, and weights.
5.Traction involves the use of weights and forces to reduce the fracture and relieve muscle spasms.
Which action should a nurse take for a patient who has undergone a leg amputation? Select all that apply.
1.Place a pillow under the remaining portion of the leg.
2.Administer analgesics as prescribed.
3.Apply ice to the surgical site for an hour.
4.Apply a rigid cast or splint.
5.Encourage intake of protein- and carbohydrate-rich foods.
2.Administer analgesics as prescribed.
4.Apply a rigid cast or splint.
5.Encourage intake of protein- and carbohydrate-rich foods.
A nurse is teaching a new nurse about second-degree ankle sprains. Which statement by the new nurse indicates successful teaching?
1.“They can also be considered a severe sprain.”
2.“They prevent a patient from ambulating due to joint instability.”
3.“They lead to increased swelling, ecchymosis, pain, and altered weight-bearing mobility.”
4.“It results from a complete tearing of the ligament fibers.”
3.“They lead to increased swelling, ecchymosis, pain, and altered weight-bearing mobility.”
Which type of fracture would result in blunt trauma to the face or skull?
1.Impacted
2.Compression
3.Nondisplaced
4.Depressed
4.Depressed
A patient is diagnosed with tendinitis to the left knee. About which treatment option would the nurse educate the patient?
1.Anti-inflammatory medication
2.Exercise on a regular basis
3.Steroid injections
4.Wear a brace at night
1.Anti-inflammatory medication
Which rationale supports the use of cryotherapy in the area of injury for a patient with a sprain?
1.To reduce pain
2.To promote healing
3.To promote mobility
4.To decrease bleeding
4.To decrease bleeding
A patient has difficulty ambulating due to joint instability caused by a third-degree sprain. Which treatment is most beneficial for this patient?
1.Surgical repair of the affected area
2.Rest the injured area for 4 days
3.Compression with the help of an
4.Ace wrapIce to the affected area for 30 minutes
1.Surgical repair of the affected area
Fractures originating from which source would be an example of low-energy trauma?
1.Fall
2.Motor vehicle collision
3.Contact sport
4.Bicycle accident
1.Fall