NCLEX Secrets about Musculoskeletal Injuries (14-20)

NCLEX Secrets about Musculoskeletal Injuries

14. The nurse should include which of the following client teachings for prevention of rapid progression of osteoporosis?

a) avoid taking skim milk
b) avoid taking protein-rich foods
c) avoid calcium supplement
d) avoid alcohol

15. A client is brought to the emergency room with compound femur fracture. What is the first action the emergency room nurse should do?

a) cover the open wound
b) check the clients blood pressure
c) assess the client's neurologic status
d) prepare the client for X-ray

16. A 3-year old in Bryant's traction is with foot foam. You found the child pulling out the foot foam. What is your most appropriate nursing action?

a) remove the foot foam and assess the area
b) reapply the foot foam at once
c) call another nurse to maintain traction as you reapply the foot foam
d) tell the child to stop removing the foot foam

17. How do you position a client with left hip fracture in Buck's traction?

a) head of bed raised at 45 degree angle
b) left calf on pillow from knee to ankle
c) position the left on affected side with pillows between legs
d) position the left in the center of the bed with the leg extended

18. A patient had hip surgery. On the second post-op day, the patient is agitated, is tremulous and confused. What should the nurse primarily assess?

a) the surgical wound
b) alcohol use before surgery
c) peripheral circulation
d) breathing pattern

19. A nurse is conducting a health screening among females at the mall to assess those who are at risk for developing osteoporosis. Which of the following questions is most appropriate to be asked by the nurse in relation to development of osteoporosis?

a) at what age did you have your menstruation?
b) did you have any fracture?
c) are you taking corticosteroids?
d) are you on the diet high in vitamin D?

20. Which of the following will contribute to the development of primary gout?

a) beer and wine
b) eggs and milk
c) vegetables and meat
d) butter and fruits




NCLEX Secrets about Musculoskeletal Injuries:
ANSWERS AND RATIONALE

14) D
- avoiding alcohol and cigarette smoking will prevent rapid progression of osteoporosis. Skim milk is indicated among elderly because it is low in fats. Protein foods are necessary for calcium absorption. Calcium supplements help maintain integrity of the bones.

15) B
- compound fracture of the femur may cause severe internal bleeding. Internal bleeding is characterized by hypotension.

16) C
- maintain the traction as the foot foam is reapplied.

17) B
- elevate the leg with pillow to relieve pressure from the heel of the foot and to improve the effectiveness of the countertraction.

18) B
- the client's sign and symptoms indicate alcohol withdrawal.

19) C
- corticosteroids promote calcium loss. This increases the risk for osteoporosis.

20) A
- beer and wine are purine-rich beverages. Gout is a metabolic disorder of purine. Other foods rich in purine are: organ meats, legumes, salted anchovies, shellfish, mushroom, sweetbreads, consomme, hearing fish.




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