MEDSURG2 MED SURG II MUSCULOSKELETAL CONNECTIVE TISSUE
CONTENT FOR EXAM 2 CH 45, 46
What is the function of synovial fluid in joints?
Rationale: Synovial fluid prevents friction in joints as they move.
A patient has been diagnosed with a musculoskeletal disease that causes decreased bone density. Which assessment questions are most appropriate by the nurse?
What forms of physical activity are you able to participate in?
Do you exercise regularly?
What is typically included in your daily diet?
Rationale: Exercise and diet are important to maintain bone health. Collecting data about them is the first step in planning interventions for the disease.
What assessment is included in neurovascular checks for the lower extremities?
A patient is scheduled for an MRI of the pelvis. Which of the following would the nurse do if during data collection the nurse found out that the patient had had a previous surgery for heart problems?
Ask if there is any metal in the patient's body
Ask if there is any metal or a pacemaker in the patient's body to allow the physician to determine if it is safe to do an MRI.
A patient has undergone an arthroscopy. Two hours after the procedure, the patient's pedal pulses are diminished from the previous assessment. What should the nurse do?
Notify the physician
Circulation in the extremity may be compromised and require immediate treatment.
The nurse is caring for a patient who just had a plaster cast applied. Which action should the nurse take to facilitate cast drying?
Turn the patient every 2 hours
Turn every 2 hrs to expose all sides of cast to air for drying
Which nursing interventions would be appropriate to properly care for external fixation pins inserted into a patient's leg?
Follow agency protocol for pin care
Which actions can the nurse take to help prevent osteomyelitis for a patient with an open fracture?
Wash hands prior to dressing changes
Wear sterile gloves to apply new dressing
A postmenopausal patient has osteoporosis, lost 2in of height, is thin, and has never exercised regularly. Which intervention should be included in POC to prevent further bone loss?
Encourage regular exercise
What is a priority nursing diagnosis for the patient with Paget's disease?
Pain is a classic symptom of Paget's disease.
(Remember, P = P)
What lab value would the nurse expect to be elevated in the patient with gout?
A butterfly rash is a classic symptom of which disorder?
A patient with osteoarthritis who had a RIGHT total knee replacement tells the nurse that the other knee is becoming painful. What is the most appropriate instruction to help the patient preserve function of the LEFT knee?
Maintain ideal body weight
The nurse should include which postoperative leg position in the preoperative teaching for a patient scheduled for a right total hip replacement?
Maintain legs in abduction
Following amputation, which assessment should the nurse consider a priority to monitor for potential postoperative amputation complications?
What finding would indicate a complication of a left fibula fracture?
Absent left pedal pulse
A patient who has a 36-hr old fractured femur had morphine 5mg IM 1hr ago and is now reporting severe unrelieved pain. What nursing action is most appropriate?
Notify the physician
Notify the physician because the patient may be developing compartment syndrome, and emergency condition.
A patient who had total knee replacement is to receive Toradol 15mg IM q 6h PRN for pain. The Toradol comes 30mg/mL. How many mL should the nurse give?