Tiêu đề Care of Clients with Problems in Musculoskeletal and Coordination.pdf ✅

NURSES LICENSURE EXAMINATION (NLE) Controlled Copy 2023 Rev. 00 CLASSIFIED EXAMINATION FOR CRITICAL TEST ANALYSIS Care of Clients with Problems with the Musculoskeletal System and Coordination Philippine Nurses Licensure Examination Warning: This material is protected by Copyright Laws. Unauthorized use shall be prosecuted in the full extent of the Philippine Laws. For exclusive use of CBRC reviewees only. 1. What should be INCLUDED in the treatment plan of a client with a stump? A. Expose the stump to air for 30 minutes B. Put Vaseline lotion to the stump C. Administer skin care by rubbing with alcohol D. Scrub the stump daily to prevent infection 2. You are assisting a client to walk with a crutch for the first time after an amputation. Which of the following indicates the nurse correctly understands the principles of crutch walking after an amputation? A. Instruct the client to remove the compression dressing before crutch walking B. Encourage the client to place the weight of the body on the axilla C. Administer an analgesic 30 minutes prior to crutch walking D. Assist the client to crutch walk for no more than 5 minutes 3. Because a client has bursitis, plans for nursing interventions should INCLUDE: A. Aggressive antibiotic therapy B. Rest C. Range-of-motion activities D. A high-protein diet 4. The nurse is admitting a client with rheumatoid arthritis. Which of the following laboratory test results would the nurse evaluate as being elevated and used to monitor disease activity? A. Serum uric acid B. Erythrocyte sedimentation rate C. Bence-Jones Protein D. Red Blood Cell count 5. The nurse assists a client with osteoporosis to make which of the following menu selections? A. Scrambled eggs and a banana B. Bagel with cream cheese and half a grapefruit C. 3 oz grilled chicken and a baked potato D. Sardines and cooked broccoli 6. What clinical manifestations is characteristic in a client with osteoarthritis? A. Loss of function from Bouchard’s and Heberden’s nodes B. Joint pain that is relieved by rest C. Joint stiffness that is worse with activity D. Pain and stiffness that improve with humidity and low barometric pressure 7. You are formulating a teaching plan for a client who has osteoporosis. Among the following statements, which is INCORRECT? A. "It's common in females after menopause." B. "It's a degenerative disease characterized by a decrease in bone density." C. "It's a congenital disease caused by poor dietary intake of milk products." D. "Weight bearing exercise promotes bone growth." 8. The nurse is caring for a client with an open fracture. Which of the following would be the PRIORITY to include in this client’s treatment plan? A. A high-protein diet B. Insertion of a Foley catheter C. Tetanus toxoid D. Passive range-of-motion exercises 9. Which of the following is the primary reason for the nurse to give a client that best describes the purpose of the ORIF? A. “It is used when the client is in too much pain to do a closed reduction.” B. “It is completed whenever a client cannot maintain long-term immobility.” C. “It is necessary when no other realignment method can be completed.” D. “It is necessary when a cast would be too large to provide adequate mobility." 10. A client with a fractured pelvis has a nursing diagnosis of impaired mobility related to bed rest, weakness, and traction. The nurse should inform the client that the rationale for maintaining good body alignment in the bed is to: A. Decrease protein catabolism. B. Minimize the workload on the heart. C. Increase body strength and muscle mass. D. Reduce musculoskeletal strain and enhance lung expansion. 11. Which of the following nursing diagnoses would the nurse choose as the PRIORITY nursing diagnosis for a patient with open fracture of the femur? A. Risk for constipation related to immobilization B. Activity intolerance related to prolonged immobility C. Risk for impaired skin integrity related to immobility D. Impaired neurovascular status related to compression of nerves 12. The nurse has given discharge instructions to a client with an above-the-knee amputation who will be fitted with a prosthesis when healing is complete. Which of the following statements by the client would indicate that the client has understood the instructions? A. “I should lie on my abdomen for 30 minutes three or four times a day.” B. “I should change the limb sock when it becomes soiled or stretched out.” C. “I should use lotion on the stump to prevent drying and cracking of the skin.” D. "I should elevate the residual limb on a pillow several times a day to decrease edema.”