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
The nurse is demonstrating how to perform range-of-motion (ROM) exercises for a patient with tendinitis of the wrist. What intervention can the nurse encourage the client to use in order to decrease discomfort when performing the exercises?
Correct Answer: C
Rationale: Some clients find that hand exercises are less painful if performed with the hand under warm water. Hand weights should not be used when performing exercises unless prescribed by the physician and will not decrease discomfort. Pain medication such as an NSAID should be taken prior to exercising. The use of ice is not recommended after 48 hours postinjury and may make the exercises more uncomfortable.
Question 2 of 5
A client arrives at the orthopedic clinic and reports suspecting a stress fracture of the right foot. The physician orders an x-ray with negative results. What does the nurse understand that these negative results can mean?
Correct Answer: C
Rationale: A stress fracture may not be apparent radiographically for a few weeks. A bone scan usually can identify a nondisplaced or stress fracture earlier than an x-ray.
Question 3 of 5
An older adult client slipped on an area rug at home and fractured the left hip. The client is unable to have surgery immediately and is having severe pain. What interventions should the nurse employ to minimize energy loss in response to pain?
Correct Answer: A
Rationale: Pain associated with hip fracture is severe and must be carefully managed with around-the-clock dosing of pain medication to minimize energy loss in response to pain. The client may not request the medication even if they are in pain, and it should be offered at the prescribed time. Giving pain medication prior to providing any type of care involved in moving the client is appropriate to reduce discomfort.
Question 4 of 5
A client suffered a subtrochanteric hip fracture after falling out of the bed. What complication should the nurse monitor closely for related to this type of fracture?
Correct Answer: D
Rationale: Subtrochanteric hip fractures can lead to significant blood loss into the surrounding tissues, increasing the risk of hypovolemia. The nurse should monitor for signs of hypovolemia, such as tachycardia, hypotension, and decreased urine output.
Question 5 of 5
A client has had surgery to repair a fractured hip. What intervention is important for the nurse to perform when turning the client from side to side?
Correct Answer: A
Rationale: The nurse places abductor pillows between the client's legs when turning the client from side to side to avoid dislocating the hip. Regular pillows do not provide the support required to avoid a dislocation. The client should not bear weight on the operated side immediately after surgery.