Musculoskeletal NCLEX Questions

Musculoskeletal NCLEX Questions 5.0 (3 reviews) Terms in this set (33) Science MedicineNursing Save A client in traction slides down in the bed so that the feet touch the foot of the bed. What should the nurse to do ensure that the pull of traction remains uninterrupted?

• Release weights, pull client up in

bed, and then reapply weights

• Ask physician for a change in the

amount of weight ordered

• Move client up in bed without

releasing pull of traction on the extremity

• Elevate clients feet on a pillow
• Move client up in bed without releasing pull of

traction on the extremity

A client with a recently applied plaster leg cast complains of unrelieved pain and parasthesia in the affected extremity. The assessment by the nurse reveals diminished pulse, pallor, and increased pain on passive motion.What must the nurse do first?

• Monitor the client for the next

hour

• Administer an analgesic for pain
• Administer an anxiolytic
• Notify physician immediately
• Notify physician immediately

Worried about compartment syndrome.Which of the following findings would alert the nurse to notify the physician of a serious complication for the client with a cast on his leg?

• Itching under the cast
• Poor capillary refill of the toes
• Ability of client to move toes

without difficulty

• Pain relieved by application of ice

bag to cast

• Poor capillary refill of the toes

Alendronate (Fosamax) is ordered for a client with osteoporosis. Which information should the nurse include in teaching the client about this drug?

• It is a selective estrogen receptor

modulator.

• It increases bone mass.
• It may be obtained as a nasal

spray.

• It prevents bone resorption and is

taken orally.

• It prevents bone resorption and is taken orally.

Doesn't actively build the bone up, it just prevents bone breakdown.The primary care provider determines that a 55 year old female client is experiencing menopause and is also at risk for osteoporosis.What foods other than milk can the nurse suggest to this client to increase her calcium intake?

• Seafood, wheat, corn, green

vegetables

• Chicken, green vegetables,

sardines, broccoli

• Green vegetables, sardines,

salmon with the bone, broccoli

• Eggs, cheese, sardines, fish
• Green vegetables, sardines, salmon with the

bone, broccoli Salmon with bone especially canned has more calcium.

An adults left leg is in Buck's traction.She complains of burning under the traction boot and the toes on that foot are cool. What is the nurse's first best action?

• Ask, "What do you mean by

'burning'?"

• Notify the physician at once
• Remove the boot, then reapply

and reassess

• Apply an ice pack to the boot for

15 minutes

• Notify the physician at once

Concerned about circulation.A 20 year old was brought to the ED after an auto accident. There is a strong scent of alcohol about her, and she states she had three beers over 3 hours. Her only injury is an open fracture of the left humerus.Which assessment by the emergency nurse is most critical in treating this patient?

• Status of clients tetanus

immunization.

• Current blood alcohol level.
• Support systems available at

home to assist with care.

• Last time client voided.
• Status of clients tetanus immunization.

It's an open fracture so she's at risk for osteomyelitis or infection.