NCLEX Questions for Musculoskeletal Disorders
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Question 1 of 5.
The nurse assesses the client 4 hours following a left TKR. The client has a knee immobilizer in place with medial and lateral packs that are warm. An autotransfusion wound drainage system has 350 mL collected. The client has not voided since before surgery but does not express a need. Which interventions should the nurse plan to implement at this time? Select all that apply.
A. Reinfuse the salvaged blood from the wound drainage system.
B. Remove the immobilizer to place the knee in 90-degree flexion.
C. Stand the client at the bedside to facilitate bladder emptying.
D. Place the left leg in a continuous passive motion device (CPM).
E. Replace the warm packs in the knee immobilizer with ice packs.
Explanation: A. An autotransfusion drainage system is used in the immediate postoperative period if extensive bleeding is anticipated. Collected drainage can be reinfused up to 6 hours postoperative. E. Ice packs, used to reduce swelling and control bleeding, are replaced every 2 hours. If they have warmed, they need to be replaced.
Question 2 of 5.
The occupational health nurse is preparing an in-service for a group of workers in a warehouse. Which information should be included to help prevent on-the-job injuries?
A. Increase sodium and potassium in the diet during the winter months.
B. Use the large thigh muscles when lifting and hold the weight near the body.
C. Use soft-cushioned chairs when performing desk duties.
D. Have the employee arrange for assistance with household chores.
Explanation: Using thigh muscles and keeping weight close to the body promotes proper lifting mechanics, reducing back strain. Diet, chair cushioning, and household chores are unrelated to workplace injury prevention.
Question 3 of 5.
The nurse writes the problem of 'pain' for a client diagnosed with lumbar strain. Which nursing interventions should be included in the plan of care? Select all that apply.
A. Assess pain on a 1-to-10 scale.
B. Administer pain medication prn.
C. Provide a regular bedpan for elimination.
D. Assess surgical dressing every four (4) hours.
E. Perform a position change by the log roll method every two (2) hours.
Explanation: Pain assessment, PRN medication, and log rolling address pain and prevent exacerbation in lumbar strain. Bedpans are unnecessary, and surgical dressings are irrelevant without surgery.
Question 4 of 5.
To which member of the health-care team should the nurse refer the client diagnosed with OA who is complaining of not being able to get in and out of the bathtub?
A. Physiatrist.
B. Social worker.
C. Physical therapist.
D. Counselor.
Explanation: A physical therapist can teach adaptive techniques and exercises to improve bathtub mobility for OA. Physiatrists focus on rehabilitation plans, social workers address resources, and counselors focus on mental health.
Question 5 of 5.
Which signs/symptoms indicate to the nurse the client has developed osteoporosis?
A. The client has lost one (1) inch in height.
B. The client has lost 12 pounds in the last year.
C. The client's hands are painful to the touch.
D. The client's serum uric acid level is elevated.
Explanation: Height loss indicates vertebral compression fractures, a common osteoporosis sign. Weight loss, hand pain, and uric acid elevation are unrelated.
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