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NCLEX - Musculoskelatal Day1 (Part 2)

Total questions: 3

Worksheet time: 3mins

Name
Class
Date
1.
The nurse plans teaching for an adolescent client being discharged home with a Boston brace for treatment of scoliosis. Which instruction will the nurse include in the discharge teaching plan?
a)
Apply body lotion or powder under the brace to prevent skin irritation (6%)
b)
Avoid any exercises that require the use of spinal muscles (14%)
c)
Keep the brace on for all activities, including showering (12%)
d)
Wear a cotton t-shirt under the brace at all times (66%)
e)
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2.
The nurse is caring for a woman with obesity who is 3 days postoperative total hip joint replacement. Which laboratory value is of greatest concern and should be reported to the health care provider (HCP) immediately?
a)
Blood urea nitrogen (BUN) 22 mg/dL (7.9 mmol/L) (10%)
b)
Glucose 158 mg/dL (8.7 mmol/L) (7%)
c)
Hematocrit 33% (0.33) and hemoglobin 11 g/dL (110 g/L) (10%)
d)
White blood cell count (WBC) 16,000/mm3 (16.0 x10 /L) (71%)
e)
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3.
The nurse is caring for a client who sustained a fracture of the femur 24 hours ago. Which of the following actions would be a priority for the nurse to take to reduce the client's risk for fat emboli?
a)
Minimize movement of the affected extremity. (38%)
b)
Apply a sequential compression device bilaterally. (31%)
c)
Encourage frequent use of an incentive spirometer. (20%)
d)
Administer IV morphine at regularly scheduled intervals. (9%)
e)
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