MS2- MUSCULOSKELETAL - NCLEX-RN

MS2- MUSCULOSKELETAL - NCLEX-RN

BOOK QUESTIONS AND ANSWERS

WITH VERIFIED SOLUTIONS 100%

CORRECT RATED A+

The nurse is conducting a health screening for osteoporosis. Which client is at the greatest risk for developing this condition?

• A 25-year-old woman who runs
• A 36-year-old man who has asthma
• A 70-year-old man who consumes excess alcohol

D.✔✔ An older woman with a sedentary lifestyle and poor calcium intake

Rationale:

Risk factors for osteoporosis include being female, postmenopausal, advanced age, low calcium intake, excessive alcohol use, sedentary lifestyle, smoking, and long- term use of corticosteroids or certain medications like anticonvulsants and furosemide.

The nurse provides discharge instructions to a client after a knee arthroscopy.Which statement by the client indicates correct understanding of the instructions?

• "I can resume regular exercise tomorrow."
• "I can't eat food for the rest of the day."
• "I need to stay off the leg entirely for the rest of the day."

D.✔✔ "I need to report a fever or swelling to my health care provider."

Rationale:

After arthroscopy, the client usually can walk carefully on the leg once sensation has returned. The client is instructed to avoid strenuous exercise for at least a few days. The client may resume the usual diet. Signs and symptoms of infection should be reported to the health care provider.

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The nurse witnessed a vehicle hit a pedestrian. The victim is dazed and tries to get up. A leg appears fractured. Which intervention should the nurse take?

• Try to reduce the fracture manually.

• Assist the victim to get up and walk to the sidewalk.

• Leave the victim for a few moments to call an ambulance.

• Stay with the victim and encourage him or her to remain still. -

ANSWER✔✔ANS: D

Rationale:

With a suspected fracture, the victim is not moved unless it is dangerous to remain in that spot. The nurse should remain with the victim and have someone else call for emergency help. A fracture is not reduced at the scene. Before the victim is moved, the site of fracture is immobilized to prevent further injury.

Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? Select all that apply.

• Keep the cast clean and dry.

• Allow the cast 24 to 72 hours to dry.

• Keep the cast and extremity elevated.
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