Chapter 17: Musculoskeletal Disorders

Chapter 17: Musculoskeletal Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse understands that a difference in the child’s skeletal system as compared to an adult’s is:

a.	The thick periosteum assists in repair of fractures
b.	Growth is not affected by fractures
c.	Bone overgrowth in healing fractures is uncommon
d.	The child’s bones are less porous than an adult’s bones

 

 

ANS:   A

Thick, rich periosteum assists in rapid repair of a fracture in a child. Children’s fractures can result in overgrowth. The child’s bones are more porous and less dense than an adult’s bones.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 318              OBJ:    2

TOP:    Periosteum      KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance: Growth and Development

 

2. The nurse writes out a schedule for the casting procedures to correct a clubfoot, which would be:

a.	At 5-day intervals for the first 4 weeks
b.	At 1-week intervals for the first 6 weeks
c.	At 10-day intervals for the first 8 weeks
d.	At 2-week intervals for the first 10 weeks

 

 

ANS:   B

The casting is repeated every week for the first 6 weeks and then at 1- to 2-week intervals until a more anatomic position has been achieved.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 319              OBJ:    N/A

TOP:    Casting for Clubfoot                          KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

 

3. The nurse clarifies that the brace applied to help correct a clubfoot should be worn:

a.	Only at night
b.	6 hours at a time
c.	8 hours on, and then 2 hours off
d.	23 hours per day

 

 

ANS:   D

The brace that is applied in an attempt to correct a clubfoot is worn 23 hours per day for an extended amount of time.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 319              OBJ:    N/A

TOP:    Brace for Clubfoot                             KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

 

4. The goal of clubfoot repair is to have a corrected foot by the time the child is:

a.	6 months of age
b.	9 months of age
c.	12 months of age
d.	18 months of age

 

 

ANS:   C

The goal of clubfoot repair is to be completed by the time the child is 12 months of age so the child can use normal shoes when learning to walk.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 319              OBJ:    N/A

TOP:    Clubfoot Correction                           KEY:   Nursing Process Step: N/A

MSC:   NCLEX: N/A

 

5. When the 8-month-old child who has had a plaster cast applied becomes fussy and irritable, the mother asks how long it will take the cast to dry. The nurse’s response will be based on the knowledge that plaster casts dry in about:

a.	2 hours
b.	10 hours
c.	18 hours
d.	24 hours

 

 

ANS:   D

Plaster casts take 24 to 72 hours to dry.

 

DIF:    Cognitive Level: Knowledge             REF:    p. 319              OBJ:    N/A

TOP:    Plaster             KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort