Chapter 60 Musculoskeletal Trauma: Nursing Management

Chapter 60  Musculoskeletal Trauma: Nursing Management

Complete Chapter Questions And Answers
 

Sample Questions

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?
1.
Retail store clerk
2.
Lifeguard
3.
Computer keyboard operator
4.
Bus driver

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:
1.
a rotator cuff tear.
2.
lateral epicondylitis.
3.
dislocation of the shoulder.
4.
patellar tendinopathy.

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?
1.
“Bleeding is not a problem with this medication.”
2.
“Take on an empty stomach to maximize its effect.”
3.
“Take with food to minimize gastrointestinal irritation.”
4.
“Wear sunscreen if outside to prevent a burn.”

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?
1.
“It reduces the need for a cast.”
2.
“It reduces bleeding, swelling and pain.”
3.
“It prevents the need for surgery.”
4.
“It immobilizes the muscles and joints.”

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