Ortho 1
Ortho 1
Ortho 1
When counseling an older patient about ways to prevent fractures, which information will
the nurse include?
A. Tacking down scatter rugs in the home is recommended.
B. Occasional weight-bearing exercise will improve muscle and bone strength.
C. Most falls happen outside the home.
D. Buying shoes that provide good support and are comfortable to wear is
recommended.
Rationale: Comfortable shoes with good support will help to decrease the risk for falls. Scatter
rugs should be eliminated, not just tacked down. Regular weight-bearing exercise will improve
strength, but occasional exercise is not helpful in improving strength. Falls inside the home are
responsible for many injuries.
2. A patient is seen at the urgent care center after falling on the right arm and shoulder. It will
be most important for the nurse to determine
A. Whether there is bruising at the shoulder area.
B. Whether the right arm is shorter than the left.
C. The amount of pain the patient is experiencing.
D. How much range of motion (ROM) is present.
Rationale: A shorter limb after a fall indicates a possible dislocation, which is an orthopedic
emergency. The nurse will expect bruising and pain at the area, even without an injury that
requires surgery. The shoulder should be immobilized until it is evaluated by the health care
provider.
3. A checkout clerk in a grocery store has muscle and tendon tears that have become
inflamed, causing pain and weakness in the left hand and elbow. The nurse identifies these
symptoms as related to
A. Muscle spasms.
B. Meniscus injury.
C. Repetitive strain injury.
D. Carpal tunnel syndrome.
Rationale: The patient's occupation and the inflammation, pain, and weakness in the elbow and
hand suggest a repetitive strain injury. Muscle spasms would be characterized by a palpable,
firm muscle mass during the spasm. Meniscus injury would affect the knee. Carpal tunnel
syndrome is characterized by weakness and numbness of the hand.
4. When working with a patient whose job involves many hours of word processing, the nurse
will teach the patient about the need to
A. Do stretching and warm-up exercises before starting work.
B. Wrap the wrists with a compression bandage every morning.
C. Use acetaminophen (Tylenol) instead of NSAIDs for wrist pain.
D. Obtain a keyboard pad to support the wrist while word processing.