Chapter 63 Nursing Management Musculoskeletal Trauma And Or
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 for many injuries.
DIF: Cognitive Level: Apply (application)
REF:
1506
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
2. A factory line worker has repetitive strain syndrome in the left elbow. The nurse will plan to
teach the patient about
a. surgical options.
b. elbow injections.
c. wearing a left wrist splint.
d. modifying arm movements.
ANS: D
Treatment for repetitive strain syndrome includes changing the ergonomics of the activity.
Elbow injections and surgery are not initial options for this type of injury. A wrist splint might be used for hand or wrist pain.
DIF: Cognitive Level: Apply (application)
REF:
1509
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
3. The occupational health nurse will teach the patient whose job involves many hours of typing
about the need to
a. obtain a keyboard pad to support the wrist.
b. do stretching exercises before starting work.
c. wrap the wrists with compression bandages every morning.
d. avoid using nonsteroidal antiinflammatory drugs (NSAIDs) for pain.
ANS: A
Repetitive strain injuries caused by prolonged times working at a keyboard can be prevented by the use of a pad that will keep the wrists in a straight position.
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 for many injuries.
DIF: Cognitive Level: Apply (application)
REF:
1506
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
2. A factory line worker has repetitive strain syndrome in the left elbow. The nurse will plan to
teach the patient about
a. surgical options.
b. elbow injections.
c. wearing a left wrist splint.
d. modifying arm movements.
ANS: D
Treatment for repetitive strain syndrome includes changing the ergonomics of the activity.
Elbow injections and surgery are not initial options for this type of injury. A wrist splint might be used for hand or wrist pain.
DIF: Cognitive Level: Apply (application)
REF:
1509
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
3. The occupational health nurse will teach the patient whose job involves many hours of typing
about the need to
a. obtain a keyboard pad to support the wrist.
b. do stretching exercises before starting work.
c. wrap the wrists with compression bandages every morning.
d. avoid using nonsteroidal antiinflammatory drugs (NSAIDs) for pain.
ANS: A
Repetitive strain injuries caused by prolonged times working at a keyboard can be prevented by the use of a pad that will keep the wrists in a straight position.