NCLEX ?'s Musculoskeletal

Which nursing intervention is appropriate for a client with musculoskeletal trauma?

• Encourage the client to rest and avoid movement

• Administer pain medication as needed

• Apply heat to the affected area

• Encourage the client to bear weight on the affected limb

A client has just arrived to the ED with a fracture femur. Which of the following nursing care tasks should be prioritized? Select all that apply

• Performing range of motion exercises

• Preparing the patient for surgery

• Providing emotional support

• Assessing neurovascular status

• Administering pain medication

  
  

A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?

• Remain on bedrest for the first 24 hr.

• Keep the leg in a dependent position.

• Apply ice to the affected area.

• Apply ice to the affected area.

A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?

• To prevent fluid from accumulating in the wound

• To limit the amount of bleeding from the surgical site

• To provide a means for medication administration

• To eliminate the need for wound irrigations

A nurse is caring for a client who sustained a femur fracture in an automobile accident and is placed into skeletal traction. The nurse may remove the weights from the traction device if which of the following occurs?

• The client complains of pain.

• The client develops a life-threatening situation

• The client needs to have an x-ray of the femur performed

• The client has to be repositioned in the bed.

A nurse is caring for a client who is postoperative following an open reduction and internal fixation of a fractured femur. Which of the following actions is the most important for the nurse to complete in the postoperative period

• Medicate the client for pain.

• Instruct the client on use of crutches.

• Perform neurovascular checks of the extremities.

• Direct the client to perform exercises of the ankle and toes.

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A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?

• Measure the circumference of the thigh

• Palpate the femoral pulse.

• Monitor the client's calf for edema.

• Instruct the client to wiggle his toes.

A nurse is caring for a client who is postoperative and in skeletal traction. When assessing the client, the nurse should expect which of the following findings? (Select all that apply.)

• Movement of the pin at the insertion site

• Slight pain at the insertion site

• Elastic bandages secure around the traction ropes

• Serous drainage on the dressing

• Minimal edema around the pin

A nurse in an urgent care center is caring for a client who experienced an ankle injury. Prior to examination by the provider, which of the following nursing actions should the nurse perform? (Select all that apply.)

• Apply ice to the affected area.

• Elevate the foot.

• Encourage range of motion of the foot.

• Provide the client with a light snack.

• Apply a compression bandage.

A nurse is caring for a client who is 2 days postoperative following an above-the knee-amputation. Which of the following is an appropriate nursing intervention for this client at this time?

• Elevate the foot of the bed.

• Encourage the client to sit up as much as possible.

• Elevate the client's residual limb on a pillow.

• Have the client lie prone every 3 hr for 20 min at a time.