AMSN Musculoskeletal and Orthopedic Conditions

Question 1

A patient returns from surgery for an open reduction and internal fixation (ORIF) of the femur. The nurse assesses the 5 Ps of neurovascular status. Which finding requires immediate intervention?

Accepted Answer

Pulselessness and pallor of the affected extremity

Answer

Mild swelling at the operative site

Answer

Pain rated 6/10 managed with opioids

Answer

Bruising around the incision site

Question 2

A patient with a hip replacement is being repositioned by the nurse. Which action should be AVOIDED to prevent hip dislocation?

Accepted Answer

Adducting the leg across the midline

Answer

Keeping the operative leg abducted

Answer

Keeping the head of the bed below 90 degrees

Answer

Using a wedge pillow between the legs

Question 3

A patient in a long leg cast complains of intense pain when the nurse passively extends the toes. This finding is most consistent with:

Accepted Answer

Compartment syndrome

Answer

Expected post-operative pain

Answer

Deep vein thrombosis

Answer

Wound infection

Question 4

Which laboratory value is most important to monitor following a total joint replacement due to intraoperative blood loss?

Accepted Answer

Hemoglobin and hematocrit

Answer

Serum potassium

Answer

Serum creatinine

Answer

White blood cell count

Question 5

A patient with rheumatoid arthritis (RA) is prescribed methotrexate. The nurse should teach the patient to avoid:

Accepted Answer

Alcohol and NSAIDs

Answer

Calcium-rich foods

Answer

Weight-bearing exercise

Answer

Vitamin D supplements

Question 6

A patient with osteoporosis is starting alendronate (Fosamax). The nurse should instruct the patient to:

Accepted Answer

Take it with a full glass of water and remain upright for 30 minutes

Answer

Take it with a full meal to prevent nausea

Answer

Crush the tablet for easier swallowing

Answer

Take it at bedtime for best absorption