ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 60 : Introduction to the Musculoskeletal System Questions
Question 1 of 5
A client is receiving treatment for a head injury. What action would the nurse take related to positioning to reduce the risk of further injury?
Correct Answer: D
Rationale: In cases of head injury, the nurse should elevate the client's head slightly while keeping the neck neutral to reduce the risk of further injury because of increased intracranial pressure. Maintaining the client in a sitting position or elevating the rest of the client's body slightly above the neck and head may cause discomfort to the client. On the other hand, if the neck and the head are positioned in line with the rest of the client's body, the risk of further injury to the client will not be reduced.
Question 2 of 5
The nurse is caring for a client who underwent an invasive joint examination of the knee. The nurse would closely monitor the client for what complication?
Correct Answer: B
Rationale: When the client undergoes an invasive knee joint examination, the nurse should inspect the knee area for swelling, bleeding, and serious drainage. An invasive joint examination does not cause lack of sleep or appetite, depression, or shock. The client may be in shock due to the injury itself.
Question 3 of 5
The nurse is caring for a client who is recovering from a fractured hip. The nurse would suggest that the client increase intake of what to facilitate calcium absorption from food and supplement?
Correct Answer: C
Rationale: The nurse must advise a client recovering from a fractured hip to increase the intake of vitamin D because it protects against bone loss and decreases the risk of recurring fracture by facilitating calcium absorption from food and supplements. Amino acids and vitamin B6, although important, do not facilitate the absorption of calcium. Dairy products also do not facilitate the absorption of calcium; however, the exception to this is vitamin D-fortified milk.
Question 4 of 5
The physician orders an opioid analgesic for a client with a traumatic musculoskeletal injury. What is the most important complication the nurse should watch for in this client?
Correct Answer: C
Rationale: The nurse should observe for signs of respiratory depression in a client susceptible to shock after a traumatic injury because opioids may cause respiratory depression and lead to sedation. Although hypotension or allergic reactions can occur, the priority here is to monitor for respiratory depression. Joint inflammation may be due to the injury itself, it is not likely to be a result of administering narcotic analgesics.
Question 5 of 5
An instructor is describing the process of bone development. What would the instructor describe as being responsible for the process of ossification?
Correct Answer: A
Rationale: Osteoblasts secrete bone matrix (mostly collagen), in which inorganic minerals, such as calcium salts, are deposited. This process of ossification and calcification transforms the blast cells into mature bone cells, called osteocytes, which are involved in maintaining bone tissue. Cortical bone is dense hard bone found in the long shafts; cancellous bone is spongy bone found in the irregular rounded edges of bone.