NCLEX Secrets about Musculoskeletal Injuries (26-30)

NCLEX Secrets about Musculoskeletal Injuries

26. Which among these clients is at highest risk for developing low back pain?

a) the man working with a drill hammer
b) the man delivering mails in the building
c) the salesman selling truck tires
d) the man washing windows of a building

27. The client had been diagnosed to have fracture of the tibia after a motorcycle accident. Few hours after, he complains of pain distal to the injury, with numbness and tingling sensation. The nurse notes pallor and coolness of the extremity with absent distal pulse. What complication of fracture does the nurse identify in this client?

28. A man with cast will start to walk with crutches. What should the nurse check first?

a) lying and sitting blood pressure
b) pulse rate
c) temperature
d) respiratory rate

29. Which of the following is the primary reason for splinting the hands and wrists of client with rheumatoid arthritis?

a) to improve the strength of the hands and wrists
b) to prevent contractures
c) to relieve muscle spasm
d) to relieve pain

30. Which of the following factors should concern the nurse most in a client who had undergone total hip replacement?

a) the client has a small dog and a cat at home
b) the client goes for a walk in the park each morning
c) the client showers instead of having tub bath
d) the client uses raised toilet seat





NCLEX Secrets about Musculoskeletal Injuries:
ANSWERS AND RATIONALE

26) A
- dealing with drill hammer puts strain at the back more than the other jobs mentioned.

27) Compartment Syndrome
- compression and edema of the content of the compartment (blood vessels, nerves, and muscles) leads to five p's - pain, pallor, pulselessness, paresthesia, paralysis.

28) A
- BP should be checked first before starting to ambulate to assess for potential postural hypotension.

29) B
- splinting of hands and wrists of the client with rheumatoid arthritis is done primarily to prevent contractures.

30) A
- bending and stooping like taking care of a small dog and a cat, may cause dislodgement of the hip prosthesis.




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