ATI musculoskeletal
A nurse is performing medication reconciliation for a newly admitted client who has rheumatoid arthritis. Which of the following medications should the nurse identify as the treatment for this condition?
celecoxib
A nurse is teaching a client who has a new prescription for alendronate for the treatment of osteoporosis. Which of the following statements by the client indicates an understanding of the teaching.
"I will sit upright after taking the medication"
A nurse is teaching a group of clients at a senior center about the risk factors for osteoporosis. Which of the following statements should the nurse include in the teaching.
"Extended periods of immobility increase your risk of osteoporosis"
A nurse in the emergency department is preparing to discharge a client following a grade II (moderate) ankle sprain. Which of the following instructions should the nurse plan to give
Apply cold compresses to the extremity intermittently
A nurse is reviewing the medical record of a client who has a prescription for probenecid to treat gout. The nurse should identify that which of the following medications can interact with probenecid?
Aspirin
A nurse is caring for a client who has osteoporosis and a new prescription for calcium supplements. Which of the following foods should the nurse recommend to promote calcium absorption?
Fortified milk
a nurse is caring for a client who is in skeletal traction following a femur fracture. On entering, the nurse finds that the client has slid toward the foot of the bed, and the traction weight is resting on the floor. Which of the following actions should the nurse take?
Have the client use a trapeze to pull himself up while ensuring the weight hangs freely.
A nurse is providing teaching for a client following a below-knee-amputation. Which of the following pieces of information should the nurse include in the teaching?
Instruct the client to lie prone while in bed.
A nurse is caring for a client immediately following application of a plaster cast. the nurse should monitor for and report which of the following findings as an indication of compartment syndrome?
Paresthesias of the extremity
A nurse is caring for a client who had a fiberglass cast placed on her left arm several hours ago and now reports itching under the cast which of the following actions should the nurse plan to take
Use a hair dryer on a cool setting to blow air into the cast.
A nurse is caring for a client who is 3 days postoperative following a below-the-knee amputation. Which of the following actions should the nurse take?
Rewrap the residual limb with a bandage 3 times per day.
A nurse is evaluating a client's use of crutches. The nurse should identify that which of the following actions by the client indicates safe usage of this equipment.
The client has slightly flexed elbows when ambulating with the crutches.
fat embolism syndrome
The nurse should identify the triad of neurological changes, petechial rash, and hypoxemia as findings of fat embolism syndrome. Risk factors include multiple fractures and a fracture of a long bone. Male clients are also at greater risk. The manifestations occur when fat globules occlude small blood vessels.
A nurse is caring for a client who had a below-the-knee amputation for gangrene of the right foot. The client reports sensations of burning and crushing pain in the toes of the right foot. Which of the following statements should the nurse make?
This type of pain usually decreases over time as the limb becomes less sensitive.
osteoarthritis
can impair a joint on a single side of the body
A nurse is caring for a client who is scheduled to undergo surgery to repair an open hip fracture. In which of the following positions should the nurse plan to place the client postoperatively?
With the leg on the affected side abducted.
A nurse in an acute care clinic is talking with a client who reports that the osteoarthritis pain in her knees is increasing each day. The client wants to discuss non-pharmacological approaches to help relieve her pain. which of the following interventions should the nurse suggest.
applying warm compresses to sore joints.
A nurse is providing discharge instructions for a client who is postoperative following inner maxillary fixation with wiring. Which of the following information should the nurse include
cut the wiring if emesis occurs.
A nurse in the emergency department is assessing a client who was in a motor vehicle crash 2 days ago and sustained fractures of his tibia, ulna, and several ribs. The client is now disoriented to time and place and has a Sa02 of 87%. The nurse notes generalized petechiae on the client's skin. Which of the following complications should the nurse suspect.
fat embolism syndrome
A nurse is reviewing the medical record of a female client. Which of the following findings should the nurse identify as a risk factor for osteoporosis
history of anorexia nervosa.
A nurse is caring for a client who has chronic phantom limb pain following an above-knee amputation. which of the following medication prescriptions should the nurse verify with the provider.
meperidine
