ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 27 : Musculoskeletal Care Questions
Question 1 of 5
A patient is admitted with an elevated temperature and complaining of pain under his arm cast. A bad odor is noted coming from the elbow area of the cast. The patient tells you that his arm has been itching a great deal under the cast. What concern do you have?
Correct Answer: A
Rationale: Fever, pain, odor, and itching suggest a possible infection under the cast, likely from skin damage. Gangrene is less likely without systemic symptoms, and bone healing issues don't cause odor.
Question 2 of 5
What patient teaching will you do for the patient described in Question 29?
Correct Answer: B
Rationale: Using a blow dryer on cool air safely relieves itching under a cast. Scratching with objects risks skin damage, hot air could cause burns, and explaining cell buildup is not actionable teaching.
Question 3 of 5
A patient has a quarter-size amount of drainage on her cast. The next day the amount of drainage has increased to 2 inches (5 cm) in diameter. The nurse would be most concerned about
Correct Answer: C
Rationale: Increasing drainage on a cast suggests possible infection, requiring immediate attention. Swelling or neurovascular issues are less directly tied to drainage.
Question 4 of 5
The purpose of a trapeze bar is to
Correct Answer: C
Rationale: A trapeze bar allows patients to grip and reposition in bed, promoting independence and mobility.
Question 5 of 5
Which would you consider to be significant findings when caring for a patient with skeletal traction?
Correct Answer: A,C
Rationale: Redness, swelling, and purulent drainage at pin sites indicate potential infection, which is significant. Mild discomfort and serosanguineous drainage are expected.