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Musculoskeletal/CTD Review

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

The left lower leg is pale & cool in a total knee arthroplasty patient. What action is best?

a)

Assess the neurovascular status of the leg.

b)

Document the findings in the client chart.

c)

Elevate the left leg on at least two pillows.

d)

Notify the provider of the findings immediately.

2.

A nurse is concerned when assessing a client with a fracture being treated by traction when:

a)

Blood pressure increases to 130/86 mmHg

b)

Traction weights are resting on the floor

c)

Oozing of clear fluid is noted at pin site

d)

Cap refill is less than 3 seconds

3.

An ER nurse cares for a patient with an injury to the right lower leg who is complaining of numbness & tingling. What action is best?

a)

Assess the pedal pulses

b)

Apply O2 by nasal cannula

c)

Increase the IV flow rate

d)

Loosen the traction

4.

A nurse delegates care of client in traction to the UAP. Which statement is best by the nurse?

a)

Remove the traction when re-positioning the client

b)

Inspect the client's skin when performing a bed bath

c)

Provide pin care by using alcohol wipes to clean site

d)

Ensure the weights remain freely hanging at all times

5.

Which client is the highest risk at developing a fat embolus?

a)

An 18-yr-old male athlete with a fractured clavicle

b)

A 74-year-old man who smokes with a fractured pelvis

c)

A 23-year-old trauma patient with fractured femur

d)

A 36-year-old female with type 2 diabetes and fractured ribs

6.

The discharge teaching plan for hip replacement surgery should include:

a)

Bend at the waist to pick up objects

b)

Squat when you have a bowel movement

c)

Limit fluid intake in the evenings

d)

Do not cross your legs

7.

A nurse is preparing a patient with SLE for discharge. Which of the following instructions are not true?

a)

Stay out of direct sunlight

b)

Monitor body temperature

c)

Taper the steroid dosage as prescribed when feeling better

d)

Apply cold packs to joints to relieve pain

8.

The most common joints affected in a patient with osteoarthritis are:

a)

Ankles and metatarsals

b)

Fingers and shoulders

c)

Hips and Knees

d)

Cervical spine and shoulders

9.

Which of the following medications would the RN expect to be prescribed for a client with SLE?

a)

Antibiotic

b)

Opioid Analgesic

c)

Corticosteroid

d)

Antidiarrheal

10.

Teaching that the nurse will plan for a client with SLE includes:

a)

Ways to avoid exposure to sunlight.

b)

Increasing dietary protein & carb intake

c)

Necessity for genetic counseling for family planning

d)

Avoidance of pharmacologic pain intervention