Before turning the client postoperatively, which nursing instruction i

Med Surg Musculoskeletal NCLEX Questions

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Question 1 of 5.

Before turning the client postoperatively, which nursing instruction is especially important to prevent postoperative complications?

A. Hold your breath as you are turning.

B. Move your lower body first, then your chest.

C. As you hold onto the trapeze, lift your hips off the bed.

D. Let me roll you as if you were a log.

Explanation: Log-rolling maintains spinal alignment during turning post-laminectomy, preventing strain on the surgical site and reducing complications like nerve damage or incision dehiscence.

Question 2 of 5.

The client diagnosed with cervical disk degeneration has undergone a laminectomy. Which interventions should the nurse implement?

A. Position the client prone with the knees slightly elevated.

B. Assess the client for difficulty speaking or breathing.

C. Measure the drainage in the Jackson Pratt bulb every day.

D. Encourage the client to postpone the use of narcotic medications.

Explanation: Cervical laminectomy risks airway or neurological complications; assessing speech and breathing is critical. Prone positioning is inappropriate, JP drainage is routine, and delaying narcotics is unsafe.

Question 3 of 5.

The client is diagnosed with osteoarthritis. Which sign/symptom should the nurse expect the client to exhibit?

A. Severe bone deformity.

B. Joint stiffness.

C. Waddling gait.

D. Swan-neck fingers.

Explanation: Joint stiffness, especially in the morning, is a hallmark of OA due to cartilage loss. Severe deformity and swan-neck fingers are more typical of rheumatoid arthritis, and waddling gait is nonspecific.

Question 4 of 5.

The nurse is admitting the client with OA to the medical floor. Which statement by the client indicates an alternative form of treatment for OA?

A. I take medication every two (2) hours for my pain.'

B. I use a heating pad when I go to bed at night.'

C. I wear a copper bracelet to help with my OA.'

D. I always wear my ankle splints when I sleep.'

Explanation: Copper bracelets are an alternative therapy for OA, believed to reduce symptoms. Pain medication and heating pads are conventional, and splints are for support, not alternative.

Question 5 of 5.

Which intervention is an example of a secondary nursing intervention when discussing osteoporosis?

A. Obtain a bone density evaluation test.

B. Perform non-weight-bearing exercises regularly.

C. Increase the intake of dietary calcium.

D. Refer clients to a smoking cessation program.

Explanation: Bone density testing (e.g., DEXA) is secondary prevention, detecting osteoporosis early. Calcium intake and smoking cessation are primary, and non-weight-bearing exercises are less effective.