Musculoskeletal Questions (1-5)


1. Which of the following nursing interventions is essential in caring for a client with compartment syndrome?

a. Keeping the affected extremity below the level of the heart
b. Wrapping the affected extremity with a compression dressing to help decrease the swelling
c. Removing all external sources of pressure, such as clothing and jewelry
d. Starting an I.V. line in the affected extremity in anticipation of venogram studies

2. A client is brought to the emergency department after injuring the right arm in a bicycle accident. The orthopedic surgeon tells the nurse that the client has a greenstick fracture of the arm. What does this mean?

a. The fracture line extends through the entire bone substance.
b. The fracture results from an underlying bone disorder.
c. Bone fragments are separated at the fracture line.
d. One side of the bone is broken and the other side is bent.

3. The nurse is managing the care of a client with osteoarthritis. Appropriate treatment strategies for osteoarthritis include:

a. administration of narcotics for pain control.
b. bed rest for painful exacerbations.
c. administration of nonsteroidal anti-inflammatory drugs (NSAIDs).
d. vigorous physical therapy for the joints.

4. After a car accident, a client is admitted to an acute care facility with multiple traumatic injuries, including a fractured pelvis. For 24 to 48 hours after the accident, the nurse must monitor the client closely for which potential complication of a fractured pelvis?

a. Compartment syndrome
b. Fat embolism
c. Infection
d. Volkmann's ischemic contracture

5. The nurse is developing a teaching plan for a client diagnosed with osteoarthritis. To minimize injury to the osteoarthritic client, the nurse should instruct the client to:

a. install safety devices in the home.
b. wear comfortable shoes.
c. get help when lifting objects.
d. wear protective devices when exercising.

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