Muscular 3

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| By Justin82

Justin82

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Quizzes Created: 11 | Total Attempts: 98,384

Questions: 40 | Attempts: 871 | Updated: Mar 20, 2023

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Current Version
Mar 20, 2023

Quiz Edited by
ProProfs Editorial Team
Mar 13, 2012

Quiz Created by
Justin82

Muscular 3

1. The nurse is caring for a patient who has had a plaster leg cast applied. Immediately post-application, the nurse should inform the patient that:

2. An 18-year-old male patient broke his arm in a skateboarding accident. The arm was put in an arm cast. The patient states that he is unable to straighten his fingers. The nurse notes that the patient is experiencing Volkmann's contracture, which is due to what?

3. A patient is admitted to the unit in traction for a fractured proximal femur. What is the most appropriate type of traction to apply to a fractured proximal femur?

4. The nurse is caring for a patient who is in skeletal traction. To prevent the complication of skin breakdown in a patient with skeletal traction, what preventive measures would the nurse implement?

5. You are caring for a patient who has had a right hip replacement. What should the nurse follow when caring for a patient who has just had hip replacement surgery?

6. While assessing a patient who has had knee replacement surgery, the nurse notes that the patient has developed a hematoma at the knee replacement surgical site. The affected leg has a decreased pedal pulse. What would be the most appropriate nursing diagnosis for this patient?

7. A patient was brought to the emergency department after a fall. The patient is taken to the operating room to receive a right hip prosthesis. In the immediate postoperative period, what should the nurse do?

8. A patient with a fractured femur is in balanced suspension traction. The patient needs to be repositioned toward the head of the bed. During repositioning, what should the nurse do?

9. A male patient with a total hip replacement is progressing well and expects to be discharged tomorrow. On returning to bed after ambulating, he complains of severe pain in the surgical wound. Which action should the nurse take?

10. The nursing instructor is talking with her class about cast care when one of the students asks what the nurse should do if a patient sticks something inside a cast to scratch whatever itched. What action would the instructor tell the students it would be appropriate for the nurse to take?

11. A patient who underwent a total hip replacement is being routinely turned. What should the nurse and other caregivers do to prevent dislocation of the new prosthesis?

12. A patient is complaining of pain in her casted leg. The nurse has administered analgesics and elevated the limb. Thirty minutes after administering the analgesics, the patient states the pain is unrelieved. What may this be a sign of?

13. The nursing instructor in the skills lab at the nursing school is showing a group of nursing students how to apply traction. What is an appropriate example of proper traction use?

14. What statement about skeletal traction is most accurate?

15. The nurse assesses the patient in traction frequently. What signs or symptoms would the nurse assess for when assessing for a DVT in a traction patient?

16. The nurse is preparing instructions for a patient who is going home with a cast on his leg. What teaching point is most critical to emphasize in the teaching session?

17. A patient with a right tibial fracture is being discharged home after having a cast applied. The nurse gives instructions to the patient and his family. What instruction should the nurse provide in relationship to the patient's cast care?

18. A nurse is admitting an 83-year-old female patient who arrives at the emergency department by ambulance after falling on the ice outside her senior citizens' housing facility. The admitting diagnosis is right hip fracture. What would be most important for the nurse to assess?

19. A patient you are caring for undergoes a total hip replacement. You are getting ready to review the patient teaching that you presented over the past few days. What statement made by the patient would indicate to the nurse that the patient requires further teaching?

20. The nurse is admitting a patient to the unit who presented with a lower extremity fracture. What signs and symptoms best represent peroneal nerve injury?

21. A patient has suffered a muscle strain and is complaining of severe pain. The nurse knows that most pain can be relieved by what?

22. A nurse is caring for a patient who just had skeletal traction removed and a brace applied to their leg. What is a brace used for? (Mark all that apply.)

23. You are caring for a patient who is in skeletal traction. What is most important to do frequently when caring for a patient in skeletal traction to maintain effective traction?

24. The physician writes an order to discontinue skeletal traction on your patient. Once the traction is discontinued what occurs to immobilze and support the healing bone?

25. As skeletal traction overcomes the shortening spasms of affected muscles what happens to the skeletal traction?

26. A patient comes to the clinic complaining of pain at the site of their hip replacement. The patient tells the nurse they had their hip replacement surgery 3 years ago. On assessment the nurse notes the area around the surgical scar is erythematous and edematous. What would the nurse suspect?

27. Patients who do not have mechanical prophylaxis and pharmacologic prophylaxis have a higher incidence of DVT than patients who do. What is mechanical prophylaxis for a DVT?

28. When using cementless components in a joint replacement surgery what must the patient have for the surgery to be successful?

29. A patient is scheduled for a total knee replacement. The surgeon explains the technique of creating a “bloodless” field for the surgery to the patient. What does this entail?

30. You are working with a student nurse to set up traction on a patient with Buck's traction. How often do you need to assess circulation to the affected leg?

31. What does plantar flexion demonstrate?

32. You are caring for a patient in skeletal traction. What do you caution the patient about to prevent bony fragments from moving against one another?

33. A student nurse is helping with the initial assessment of an 85-year-old patient. What can the student do to ensure that shearing forces are avoided? (Mark all that apply.)

34. Orthopedic surgery can be used to correct a variety of orthopedic conditions. What conditions can be corrected by orthopedic surgery? (Mark all that apply.)

36. As an orthopedic nurse you know that there are several immobility-related complications that a patient can acquire when they are placed in traction. What complications might a patient in traction acquire?

37. A patient has been in skeletal traction for 3 weeks. The nurse caring for the patient knows to assess what every 4 to 8 hours?

39. You are caring for a patient admitted to the orthopedic unit in skeletal traction. You know that this patient is at increased risk for a DVT. What would you do to decrease the risk of DVT in this patient?

40. When caring for a patient who underwent orthopedic surgery, the goals would include what?