Essay about Chapter 63 Nursing Management Musculoskeletal Trauma And Or

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Chapter 63: Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
Test Bank
MULTIPLE CHOICE
1. When teaching seniors at a community recreation center, which information will the nurse

include about ways to prevent fractures?
a. Tack down scatter rugs in the home.
b. Most falls happen outside the home.
c. Buy shoes that provide good support and are comfortable to wear.
d. Range-of-motion exercises should be taught by a physical therapist.
ANS: C

Comfortable shoes with good support will help decrease the risk for falls. Scatter rugs should be eliminated, not just tacked down. Activities of daily living provide range of motion exercise; these do not need to be taught by a physical therapist. Falls inside the home are
responsible
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Which nursing intervention will be included in the plan of care after a patient with a right

femur fracture has a hip spica cast applied?
a. Avoid placing the patient in prone position.
b. Ask the patient about abdominal discomfort.
c. Discuss remaining on bed rest for several weeks.
d. Use the cast support bar to reposition the patient.
ANS: B

Assessment of bowel sounds, abdominal pain, and nausea and vomiting will detect the development of cast syndrome. To avoid breakage, the support bar should not be used for repositioning. After the cast dries, the patient can begin ambulating with the assistance of physical therapy personnel and may be turned to the prone position.
DIF: Cognitive Level: Apply (application)
REF:
1516
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
9. A patient has a long-arm plaster cast applied for immobilization of a fractured left radius.

Until the cast has completely dried, the nurse should
a. keep the left arm in dependent position.
b. avoid handling the cast using fingertips.
c. place gauze around the cast edge to pad any roughness.
d. cover the cast with a small blanket to absorb the dampness.
ANS: B

Until a plaster cast has dried, using the palms rather than the fingertips to handle the cast helps prevent creating protrusions inside the cast that could place pressure on the skin. The left arm should be elevated to prevent swelling. The edges of the cast

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