Chapter 60--Musculoskeletal Trauma: Nursing Management

Chapter 60–Musculoskeletal Trauma: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A client tells the nurse that he has pain, swelling, fatigue, and numbness of his hands. The nurse should assess the client for which of the following occupations?

ANS:  3

Some occupations, sports, and tasks can create repetitive motion injuries or cumulative trauma. A computer keyboard operator is an occupation with a high incidence of overuse syndrome.

PTS:   1                    DIF:    Apply

REF:   Box 60-2 Occupations and Sports with High Incidence of Overuse Syndrome

2. A client who plays baseball on the weekends is experiencing an arm injury. The nurse realizes this client needs to be evaluated for:

ANS:  1

A rotator cuff tear can be caused by extensive overhead movements found in sports and activities such baseball, softball, tennis, swimming, and volleyball. A dislocation of the shoulder is most commonly caused by a fall on an outstretched hand and arm. Lateral epicondylitis, or tennis elbow, is an overuse injury that involves the extensor/supinator muscles that attach to the distal humerus. Patellar tendinopathy, also known as jumper’s knee, is seen in athletes who participate in activities that require a lot of jumping such as basketball.

PTS:   1                    DIF:    Analyze         REF:   Rotator Cuff Tears: Etiology

3. A client, diagnosed with an ankle sprain, is prescribed ibuprofen to control pain and inflammation. What instruction should the client receive concerning this medication?

ANS:  3

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID). NSAIDs should be taken with food to minimize gastrointestinal irritation. Ibuprofen does not increase photosensitivity; however, bleeding can be a problem when taking ibuprofen.

PTS:   1                    DIF:    Apply            REF:   Ankle Sprain: Pharmacology

4. A client, experiencing a fractured arm, asks the nurse why the splint is being applied. Which of the following should the nurse respond to this client?

ANS:  2

Splinting of a fractured extremity minimizes bleeding, edema, and pain. Splinting does not reduce the need for a cast nor prevent the need for surgery. A cast immobilizes the muscles and joints.

PTS:   1                    DIF:    Apply            REF:   Fractures: Planning and Implementation

5. A client has had a cast applied to immobilize a right ulnar fracture. Which of the following nursing interventions is most important?

ANS:  2

Checking the capillary refill time determines that circulation is not compromised. The other options can be completed after ensuring that circulation to the site is still adequate.

PTS:   1                    DIF:    Apply            REF:   Fractures: Planning and Implementation