NR 507 Week 6 Quiz: Possible Questions & Study Guide

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Institution	Chamberlain

Description

1. Terms related to fracture

The orthopedic nurse is caring for a client diagnosed with a fracture of the radius. When the nurse is considering all of the various types of bone fractures, which bone type is most anticipated?
Radiographic evaluation of a client's fracture reveals that a bone fragment has been driven into another bone fragment. The nurse identifies this as which type of fracture?
The nurse understands which of the following are
considered the key components of the musculoskeletal
system?
A patient has a fracture in a bone that does not have the ability to recover. The nurse will be caring for which type of fracture?

2. Types of fracture

A patient has sustained a long bone fracture. The nurse is preparing a care plan for this patient. Which intervention should the nurse include in the care plan to enhance fracture healing?
The nurse is writing a care plan for a patient admitted to the Emergency Department (ED) with an open fracture. The nurse will assign priority to what nursing diagnosis for a patient with an open fracture of the radius?
While caring for a patient with a hip fracture, the nurse will instruct the patient to do what to prevent the most common complication associated with a hip fracture?
Radiographs were ordered for a 10-year-old boy who had his right upper arm injured. The radiographs show that the humerus appears to be fractured on one side and slightly bent on the other. What type of fracture is this an example of?
A 76-year-old female was diagnosed with osteoporosis by radiologic exam. She is at high risk for:
A 65-year-old Hispanic female is admitted to the hospital with a pathologic, compound, transverse fracture of the femur. Which of the following statements best describes this type of fracture?
A 70-year-old female with osteoporosis fractures her leg at a location of preexisting abnormality. She reports that the fracture occurred following a minor fall. Which of the following best describes the
A 32-year-old obese male begins a jogging routine. A week after beginning, he fractures his leg. This is referred to as a what type of fracture?
What does prolonged bed rest put the older adult at risk for
A nurse is describing the pathophysiology of a torus fracture. Which information should the nurse include? A torus fracture is a type of:
A patient has a fracture that broke into several fragments. Which type of fracture did the patient sustain?
A torus fracture occurs when:
While teaching a group of student nurses about different types of fractures, the nursing instructor says, "This fracture is characterized by the crushing of cancellous bone." Which type of fracture is the nursing instructor describing?
A client sustained multiple fractures in a motor vehicle accident. The nurse determines that the client is at a high risk for osteomyelitis due to which type of fracture?
A patient has a fracture line at an angle to the long axis of the bone. Which type of fracture did the patient sustain?

Terms:

3. Transchondral fractures

transchondral fractures are most prevalent in
An adolescent patient has sustained a fracture that involves fragmentation of the articular cartilage. Which type of fracture did the adolescent sustain?

4. Dislocaction

A client has a history of dislocations of the joint. The nurse understands that this is most likely due to an insufficient deposit of collagen during the healing process leading to which of the following?
A client had a dislocated shoulder, and when healing, the clinet had insufficient deposits of collagen during the repair stage. What complication is the nurse aware can occur from this lack of collagen?
Which condition does the nurse anticipate if a patient experiences a severe injury to the ligament around the humerus bone?
The nurse reviews the results of a magnetic resonance image (MRI) study that was performed on a patient with a severe shoulder injury. Which MRI finding has the potential risk of dislocation?
The nurse is examining a 2-month-old infant and notices asymmetry of the infant's gluteal folds. The nurse should assess for other signs of what disorder?
A patient has a dislocated shoulder. When the patient asks how long the shoulder will be immobilized, how should the nurse reply?

5. Subluxation

Signs and symptoms of subluxation include
35-year-old female suffers a broken clavicle following a motor vehicle accident. X-ray reveals that the bone surfaces in the joint partially lost contact with each other. This condition is called
A patient has displacement of two bones in which the articular surfaces partially lose contact with each other. The nurse is providing care to a patient with a:
A female client has had a total hip replacement, which of the following would the nurse need to minimize the clients risk for subluxation?
A patient is found to have a partially dislocated shoulder. How should the nurse document this finding?

6. Distortion

A patient is arriving to the orthopedic floor from the emergency room. While giving report to the floor nurse, the emergency room nurse states that the patient has a fracture of the nose that has resulted in a skin tear and involvement of the mucous membranes of the nasal passages. The orthopedic nurse is aware that this description likely indicates which type of fracture?
A nurse is completing a treatment on a client who has a stage 1 pressure ulcer. Which of the following dressings should the nurse apply?
A nurse is planning care for an older adult client who is at high risk for developing pressure ulcers. Which of the following is an appropriate measure for the nurse to include?
A nurse is caring for a client who has a stage 3 pressure ulcer. The nurse recognizes that which of the following laboratory findings will impact wound healing?
A common pressure problem area for a long leg cast is the

7. Nonunion

The patient is 6 weeks post-ORIF of his ankle when he comes to the orthopedic clinic for a follow-up appointment. The physician informs the patient that the bones in his ankle have not grown back together. What type of complication is this considered?
Which type of fracture is most commonly complicated by delayed union because of poor perfusion?
The nurse is assisting the orthopedic surgeon in the management of nonunion of a fracture of a patient. The patient receives low-intensity pulsed ultrasound and allografts from cadavers, which are frozen or freeze dried and stored under sterile conditions in a skin bank. Which procedure is the patient receiving?
A patient had a fracture that developed fibrous and fibrocartilaginous tissue instead of new bone. Which of the following complications did the patient experience?

8. Periostitis

9. Muscle Strain

The nurse is assessing a patient's right knee. The assessment shows edema, tenderness, muscle spasms, and ecchymosis. The patient states that 2 days ago he ran 10 miles and now it hurts to stand up. Based upon these symptoms, the nurse bases her teaching upon the fact that she anticipates the patient has experienced what?
The nurse is preparing the patient for discharge from the emergency room to home after incurring a sprain to the left ankle. While providing discharge teaching, the nurse is correct when they instruct the patient to what?
The nurse provides education to an athlete about how to avoid sprains and strains. Which suggestion is appropriate for the nurse to include?
A patient state, "I twisted my ankle while walking." Which assessment finding make the nurse suspect that the injury is a third-degree sprain?

10. Bursitis

Which is a common site of bursitis?
A coal miner with a history of rheumatoid arthritis reports pain, swelling, and a limited range of motion in the knee joints. What diagnosis does the nurse suspect?
Which primary manifestation is associated with bursitis?
A patient with left knee pain is diagnosed with bursitis. The nurse will explain that bursitis is an inflammation of
A 50-year-old patient is reporting a sore shoulder after raking the yard. The nurse should suspect which problem?

11. Epicondylopathy

A 36-year-old male complains of pain and weakness in the elbow. He reports that he is a warehouse worker and lifts boxes daily. MRI reveals inflammation of the tendon where it attaches to bone. This condition is called:

12. Rhabdomyolysis (definition and diagnosing)

A person has rhabdomyolysis. Which typical clinical manifestation will the nurse find upon assessment?
A patient has sustained severe muscle trauma from crush injuries. Which complication should the nurse monitor for in this patient?
With a patient who has myoglobinuria (rhabdomyolysis), which organ is the priority assessment?
An important and useful clinical measure in the diagnosis of rhabdomyolysis is measurement of which laboratory value?

13. Osteoporosis (risk factors and diagnosis)

When assessing a female patient, the nurse learns that the patient has several risk factors for osteoporosis. Which risk factor will be the priority for patient teaching?
The nurse is assessing the skeletal system of an African-American patient. What must the nurse know to assess the patient correctly?
A 36-year-old diabetic woman is attending a class on the prevention of associated diseases. When the nurse talks about osteoporosis, the woman asks the nurse what steps she may take to prevent osteoporosis. What should the nurse advise her to do?
A 72-year-old woman is admitted to the orthopedic unit with a possible diagnosis of osteoporosis. Routine x-rays have been ordered. As the nurse caring for the patient, you know that osteoporosis may be undetectable on routine x-rays until there has been demineralization to what extent?
When discussing diseases of the bone with his nursing students the nursing instructor gives the students a list of risk factors for osteoporosis. What risk factors should be included in that list?
An elderly female with osteoporosis has been hospitalized. Prior to discharge, when teaching the patient, the nurse should include information about which major complication of osteoporosis?
A 70-year-old female presents with a hip fracture. She is diagnosed with osteoporosis. One factor that most likely contributed to her condition is
A nurse is describing the pathophysiology of osteoporosis. Which information will the nurse include?

14. Osteomalacia and risk factors in its development

What does the nurse teach a patient with osteomalacia to include in the daily diet?
The nurse is assessing the lab reports of a patient suspected of having osteomalacia. Which abnormal levels indicate the presence of osteomalacia
The nursing instructor is discussing osteomalacia with her nursing students. The instructor gives the student the assignment of planning a day's menu for a patient with osteomalacia. What would be the best choice for breakfast for a patient with osteomalacia?
A patient has been admitted to the orthopedic unit with a suspected diagnosis of osteomalacia. The nurse expects to find which of the following laboratory study results to be present?
The Nursing Instructor is talking with her clinical group about osteomalacia. What would the instructor teach her students about a patient with osteomalacia who is being treated with vitamin D supplements and their risk for what?
The health care team is caring for a patient with osteomalacia. It has been determined that the osteomalacia is caused by malabsorption. What is the usual treatment for osteomalacia cause by malabsorption?
An 80-year-old male presents with skeletal pain and tenderness, especially in the hips. He is diagnosed with osteomalacia caused by:
A patient has osteomalacia. Which intervention is priority?