1. When caring for a client with a fracture, assessment of which of… 1.When car

1. When caring for a client with a fracture, assessment of which of… 1.When caring for a client with a fracture, assessment of which of the following would be the priority? A)Neurovascular compromise B)Hormonal imbalances C)Cardiac problems D)Altered kidney function  2.A client comes to the emergency department complaining of localized pain and swelling of his lower leg. Ecchymotic areas are noted. History reveals that the client got hit in the leg with a baseball bat. Which of the following would the nurse suspect as most likely? A)Fracture B)Contusion C)Sprain D)Strain  3.A client with a fracture develops compartment syndrome that requires surgical intervention. The nurse would most likely prepare the client for which of the following? A)Bone graft B)Joint replacement C)Fasciotomy D)Amputation  4.A client is diagnosed with carpal tunnel syndrome. Which of the following assessment findings would the nurse expect? A)Pain radiating down the dorsal surface of the forearm B)Tenderness in the affected wrist C)Inability to flex index and middle fingers D)A decrease in grasp strength  5.A client arriving at the emergency department is diagnosed with a dislocation. Assessment would most likely reveal which of the following? Select all that apply. A)Complaint of a popping sound B)Protrusion in the area of the dislocation C)Swelling D)Pain E)Area warm to touch  6.A client was playing softball and was hit in the right ankle by the ball sustaining a contusion. What is the first action taken to help alleviate pain and swelling? A)Apply heat to the ankle. B)Apply a cold pack to the ankle. C)Administer ibuprofen (Advil). D)Ask the client to walk to stretch the ligaments.  7.A client sustains an injury to the left ankle when he fell down three steps. There was immediate swelling and pain from the injury, and the client was taken to the local emergency department. What initial test does the nurse anticipate the physician will order to rule out a fracture? A)Arthrography B)Arthroscopy C)X-ray D)Computerized tomography (CT scan)  8.A client comes to the clinic 2 days after sustaining a sprain to the left ankle. What intervention can the nurse encourage the client to perform that will help improve circulation? A)Active range-of-motion exercises B)Take nonsteroidal anti-inflammatory drugs C)Applying cold compresses D)Applying heat  9.The emergency room nurse is reporting the location of a fracture to the client’s primary care physician. When stating the location of the fracture on the long shaft of the femur, the nurse would be most correct to state which terminology locating the fractured site? A)The fracture is on the diaphysis. B)The fracture is ventrally located. C)The fracture is on the epiphyses. D)The fracture is on the tuberosity.  10.A nurse is preparing a presentation for a health class about ways to ensure bone health, including the need for an adequate calcium intake. The participants are high school-aged girls. The nurse would encourage them to consume adequate calcium to maximize peak bone mass by which age? A)20 to 25 years B)30 to 35 years C)40 to 45 years D)50 to 55 years  11.The nurse is caring for a newly admitted client to an orthopedic unit. Which of the following nursing actions is helpful in reducing client anxiety? Select all that apply. A)Provide detailed information. B)Be confident in action and instructions. C)Speak quietly and in simple terms. D)Relieve discomfort as able. E)Be attentive to client needs.  12.A client suffered a fractured femur during a football game. The client asks how long until the bone is back to its former structural strength. What should the client be informed? A)3 months B)6 months C)9 months D)12 months  13.An older adult client slipped on an area rug at home and fractured the left hip. The client is unable to have surgery immediately and is having severe pain. What interventions should the nurse provide for the patient to minimize energy loss in response to pain? A)Administer prescribed analgesics around-the-clock. B)Avoid administering too much medication because the client is older. C)Administer prescribed pain medication only when the client requests it. D)Give pain medication to the client after providing care.  14.Which of the following factors would the nurse need to keep in mind about the focus of the initial history when assessing a new client with a musculoskeletal problem? A)Client’s age B)Client’s lifestyle C)Any chronic disorder or recent injury D)Duration and location of discomfort or pain  15.The physician orders an opioid analgesic for a client with a traumatic injury. The nurse would monitor the client closely for which of the following as the priority? A)Allergic reactions B)Hypotension C)Respiratory depression D)Joint inflammation  16.A client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. The nurse understands that this injury involves which of the following? A)Ligament B)Tendon C)Cartilage D)Joint  17.A client is scheduled to undergo an electromyography. The nurse understands that this test is performed to evaluate which of the following? A)Muscle weakness B)Muscle composition C)Bone density D)Metastatic bone lesions  18.The physician’s office nurse is tracking pediatric growth data. As the nurse evaluates trends in assessment findings, which is expected? A)The central canal narrows, causing limited bone reabsorption. B)Height increases are noted on gender specific growth charts. C)Serum blood calcium levels increases through puberty. D)The client states more strength in the extremities.  19.The nurse is caring for clients with spinal deformities. Which type of deformity would the nurse prioritize as having the most significant consequences on the respiratory system? A)Kyphosis B)Spinal fusion C)Scoliosis D)Lordosis  20.The nurse is working in the emergency department interacting with clients of various disease processes and injuries. When completing a head-to-toe assessment, which standard assessment technique is most important? A)Complete the assessment in a structured format. B)Instruct the client on what you will be doing. C)Maintain standard precautions throughout the exam. D)Ask permission to complete an assessment. Health Science Science Nursing NURSING NUR151 Share QuestionEmailCopy link Comments (0)

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