ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 60 : Introduction to the Musculoskeletal System Questions
Question 1 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 2 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.
Question 3 of 5
A nurse is preparing a presentation for a health class about ways to ensure bone health, including the need for an adequate calcium intake. The participants are high school-aged girls. The nurse would encourage them to consume adequate calcium to maximize peak bone mass by which age?
Correct Answer: B
Rationale: Peak bone mass is attained sometime around 30 years of age. An adequate calcium intake before that time helps to maximize peak bone mass. This would result in denser bones that would be less susceptible to fracture. Bone mass begins to decrease after age 30.
Question 4 of 5
The orthopedic nurse is caring for a client diagnosed with a fracture of the radius. In which type of bone tissue does the nurse anticipate the fracture being?
Correct Answer: C
Rationale: Cancellous bone or spongy bone is light and contains many spaces making it a less solid bone than the cortical or compact bone. Collagen and cartilage are not types of bone tissue.
Question 5 of 5
The emergency department nurse is reporting the location of a fracture to the client's primary care physician. When stating the location of the fracture on the long shaft of the femur, the nurse would be most correct to state which terminology locating the fractured site?
Correct Answer: A
Rationale: A fracture that is on the diaphysis is understood to be chiefly found in the long shafts of the arms and legs. The epiphysis are rounded, irregular ends of the bones. Saying a fracture is ventially located does not assist in providing adequate details of the location of the fracture. A tuberosity is a projection from the bone or a protuberance.