ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 62 : Caring for Clients With Traumatic Musculoskeletal Injuries Questions
Question 1 of 5
A client with metastatic bone cancer sustained a left hip fracture without injury. What type of fracture does the nurse understand occurs without trauma or fall?
Correct Answer: D
Rationale: A pathologic fracture is a fracture that occurs through an area of diseased bone and can occur without trauma or a fall. An impacted fracture is a fracture in which a bone fragment is driven into another bone fragment. A transverse fracture is a fracture straight across the bone. A compound fracture is a fracture in which damage also involves the skin or mucous membranes.
Question 2 of 5
A client has sustained a left femur fracture in a skiing accident. When is the nurse aware that the complication of a fat emboli typically occurs and should be monitored for closely?
Correct Answer: D
Rationale: The client should be monitored for symptoms of a fat embolism, which typically occurs within 48 to 72 hours.
Question 3 of 5
A client has delayed bone healing in a fractured right humerus. What should the nurse prepare the client for that promotes bone growth?
Correct Answer: A
Rationale: Delayed union may require surgical interventions to promote bone growth and correct the incorrect union. If necessary, prepare the client for use of electrical stimulation measures that promote bone growth, or for a bone graft. Administration of low-dose heparin would be used to prevent pulmonary embolism. Joint fusion may be used in the case of avascular necrosis. Administration of antibiotics would be used for the potential of infection or to treat an actual infection.
Question 4 of 5
The nurse is assisting with an examination of a client suspected of having carpal tunnel syndrome. The physician has the client flex the wrist for 30 seconds and percusses the median nerve. The client complains of pain and numbness when this is done. What does the nurse know this positive sign is documented as?
Correct Answer: B
Rationale: Phalen sign involves having the client flex the wrist for 30 seconds to determine if pain or numbness occurs (a positive sign for carpal tunnel syndrome). The examiner percusses the median nerve, located on the inner aspect of the wrist, to elicit this response. Tinel sign is also a test that elicits pain and numbness in clients with carpal tunnel syndrome and occurs by lightly tapping the median nerve. Crepitus is a grating sound that is elicited when two bones rub together. Spasm is not indicative of carpal tunnel syndrome.
Question 5 of 5
A client has been prescribed nonsteroidal anti-inflammatory medications for treatment of carpal tunnel syndrome. What should the nurse be sure to include when educating the client about taking this medication?
Correct Answer: B
Rationale: If the client is taking NSAIDs, the nurse stresses to take these medications with food. The most common adverse effects of NSAIDs are related to the gastrointestinal tract. The medication should not be taken on an empty stomach and taking it that way does not cause more rapid absorption. The medication does not generally cause drowsiness, and the dosage should never be exceeded.