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Musculoskeletal

QuestionAnswer
The nurse is asking a patient to move an extremity away from the body midline. What is being assessed? Abduction
A patient with gout asks a nurse, "Why is my blood being examined for uric acid?" What would be the most accurate response? "A uric acid test is done to see if your gout medication is effective."
With aging, bone mass and calcium absorption decrease. What risk is increased as a result? Fractures
Initial treatment for a sprain or fracture R=Rest I=Ice C=Compression E=Elevate
Immediate intervention for an injury to an extremity with obvious deformity is... splint in place
Complications of a casted extremity is... neurovascular compromise or compartment syndrome.
An important assessment question to ensure patient safety of a patient scheduled for an MRI is... "Do you have any metal objects in or on your body?"
How should a patient be instructed to ascend stairs when using crutches for a casted right lower extremity? Place left foot on step, then place crutches on steps.
The nurse is completing a surgical consent for a patient with a fractured right femur. The surgeon has written the following order: ORIF Rt. femur. How should the nurse complete the procedure portion of the consent form? Open Reduction Internal Fixation Right Femur
The patient being treated with Buck's traction for a fractured hip is at risk for (3)... 1)DVT 2)Pneumonia 3)Impaired skin integrity
Nursing assessment specifically for skeletal traction includes... 1)Assessment of the pin sites for signs of infection 2)Neurovascular status of the extremity
A nursing intervention to increase comfort of the patient with a hip dislocation is... Place a rolled towel/sheet or sandbag against the affected greater trochanter to provide support.
Name 2 oral anticoagulants that can be used to prevent DVT in a patient with a hip or knee arthroplasty. warfarin (Coumadin) rivaroxaban (Xarelto)
How can the patient with a new hip arthroplasty prevent dislocation of the prosthesis? Avoid bending to a 90-degree angle.
What types of activity should a patient with knee arthroplasty avoid? Strenuous, high-impact, jumping.
Name the 6 P's of compartment syndrome. 1)Pain 2)Pallor 3)Paraesthesias 4)Pulselessness 5)Paralysis 6)Pressure
A solution commonly used for pin site care is... 1/2 strength hydrogen peroxide.
A patient with carpal tunnel syndrome may display which 2 signs upon assessment? 1)Phalen's 2)Tinel's
A patient is recovering from a spinal fusion completed 2 hours ago. The nurse needs to assess the lumbar dressing. The nurse prevents a complication for the patient by implementing which intervention to assess the lumbar dressing? Logroll
A priority assessment of the patient recovering from a lumbar laminectomy is... Neurovascular assessment of the lower extremities.
A priority nursing assessment of the patient recovering from a cervical spinal fusion is... Neurovascular assessment of the upper extremities.
A patient has been taking hydrocodone (Lortab) 10 mg TID x1 year for chronic back pain. The nurse has an order to administer hydrocodone 5mg PO q6 hours PRN pain. The nurse expects the patient will not achieve adequate pain relief because the patient has developed a tolerance to opioid medication.
The nurse needs to administer hydromorphone (Dilaudid) 1mg IV push to a patient with a history of cirrhosis. The nurse understands the patient is at higher risk for adverse effects because the liver may metabolize Dilaudid slower.
Name 2 potential complications of the patient who received an above-the-knee amputation 4 hours ago. 1)hemorrhage 2)hip flexion contracture
Created by: kimberlyfrench1
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