Hoffman- Chapter 54: Coordinating Care for Patients With Musculoskeletal Trauma Flashcards
A patient is recovering from surgery to repair a third-degree strain. What needs to be emphasized to the patient about postoperative care?
1) Elevate the extremity
2) Rest the extremity for up to 72 hours
3) Apply ice to the area three to five times a day
4) Immobilize the extremity for four to six weeks
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A patient is treated for a second-degree sprain. Which patient statement indicates that teaching about care has been ineffective?
1) “I should apply ice.”
2) “I should elevate my leg.”
3) “I should expect the leg to feel numb.”
4) “I should take pain medication as directed.”
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A 70-year-old patient is diagnosed with a low energy fracture. What most likely caused this injury to occur?
1) A fall
2) Contact sport
3) Bicycle accident
4) Motor vehicle collision
1
A patient has an injury where one side of the bone is bent and the other is fractured. How should the nurse document this fracture?
1) Spiral
2) Oblique
3) Greenstick
4) Comminuted
3
A patient with Paget’s disease is demonstrating manifestations of a fracture. What diagnostic test should be ordered to confirm if a fracture has occurred?
1) X-ray
2) Bone scan
3) Myelogram
4) Angiogram
2
While playing tennis a patient fell and fractured the right elbow. For which treatment should the nurse prepare this patient?
1) Cast
2) Splint
3) External fixator
4) Pressure dressing
1
A patient recovering from surgery to repair a fractured femur is experiencing extreme pain and pulselessness. What should the nurse expect to be prescribed for this patient?
1) Fasciotomy
2) Limb CT scan
3) Intravenous fluids
4) Anticoagulant therapy
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A patient recovering from surgery to repair a fractured hip is placed on skin traction. Which finding indicates that the traction is being effective?
1) Strong peripheral pulses
2) Reduction in muscle spasms
3) Improved mobility of the foot
4) Reduction of lower extremity edema
2
A patient with peripheral vascular disease has a non-healing leg wound. Which observation indicates that the patient is at risk for an elective amputation?
1) Mutilation of soft tissue
2) Development of gangrene
3) Crushed lower extremity bone
4) Severed blood vessels and nerves
2
A patient recovering from a traumatic amputation is experiencing phantom limb pain. What should the nurse expect to be included in the treatment plan for this patient?
1) Gabapentin
2) Rigid splint
3) Ice compresses
4) Elevate stump on a pillow
1
During a home visit the nurse suspects that a patient recovering from an amputation is not complying with prescribed postoperative care. What observation caused the nurse to make this clinical determination?
1) Suture line pink and slightly edematous
2) Evidence of a developing hip contracture
3) Stump wrapped with a compression bandage
4) Taking opioid medication every 8 to 10 hours
2
A patient seeks medical treatment for a meniscus injury. What assessment finding would suggest a reason this injury occurred?
1) History of chronic joint disease
2) Participation in cycling or golf
3) Intake of sufficient water and protein
4) Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
1
A patient sustained a meniscus injury several months ago and did not seek medical attention. What is this patient at risk of developing?
1) Tendonitis
2) Fractured patella
3) Dependent edema
4) Permanent joint damage
4
The nurse suspects that while playing basketball a patient sustained a meniscus tear. What information did the nurse use to make this decision?
1) Knee pops when bent
2) Weak peripheral pulses
3) Reduced muscle tone of the thigh
4) Calf cramping with the knees bent
1
The nurse notes that a patient recovering from surgery to repair a torn meniscus has a blood pressure of 158/90 mm Hg. This finding would suggest that the nurse also assess the patient for which condition?
1) Pain
2) Edema
3) Infection
4) Hemorrhage
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