Chapter 41--Management of Musculoskeletal disorders
risk factors for osteoporosis
-being a small-framed, thin White or Asian woman; -being postmenopausal -family history -inactivity -chronic low calcium intake -excessive caffeine or tobacco use. -long term corticosteroid use
What levels are frequently elevated with osteogenic sarcoma or bone metastasis?
Alkaline phosphatase
A nurse is caring for a client with eczema. Which medication would be prescribed when an allergy is a factor causing the skin disorder?
Antihistamines such as chlorpheniramine
What term refers to a flexion deformity caused by a slowly progressive contracture of the palmar fascia?
Dupuytren contracture
Treatment of osteomyelitis requires
IV antibiotics for 3 to 6 weeks
The nurse knows that the origin of sciatica pain is between which intervertebral disks?
L4, L5, and S1
The nurse knows that which procedure will show the greatest improvement in treatment for carpal tunnel syndrome?
Open nerve release
Which of the following is the most common and most fatal primary malignant bone tumor?
Osteogenic sarcoma (osteosarcoma)
A nurse is caring for a client following foot surgery. Which nursing intervention is most important for the nurse to include in the nursing care plan?
Perform neuromuscular assessment every hour.
Which term refers to a disease of a nerve root?
Radiculopathy
A patient is having low back pain. What position can the nurse suggest to relieve this discomfort?
Supine, with the knees slightly flexed and the head of the bed elevated 30 degrees
Morton neuroma is exhibited by which clinical manifestation?
Swelling of the third (lateral) branch of the median plantar nerve
which procedure may be carried out to visualize the extent of joint damage as well as to obtain a sample of synovial fluid?
arthroscopy
Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing bone mass density (BMD)?
calcitonin
Which of the following inhibits bone resorption and promotes bone formation?
calcitonin
Which common problem of the upper extremity results from entrapment of the median nerve at the wrist?
carpal tunnel syndrome
Manifestations of bloodborne infection
chills, high fever, rapid pulse, and generalized malaise.
What exacerbates signs and symptoms of a ganglion?
dorsiflexion
someone with paget's disease is at risk for what/
falls secondary to pathological fractures and impaired gait/mobility.
what may hammertoe result from?
from wearing poorly fitting shoes.
the most common benign soft-tissue mass in the hand
ganglion
Which of the following was formerly called a bunion?
hallux vagus
Which area of the spinal column is subject to the greatest mechanical stress and degenerative changes?
lower lumbar
In chronic osteomyelitis, antibiotics are adjunctive therapy in which situation?
surgical debridement
in chronic osteomyelitis when is surgical debridement used?
when the wound fails to respond to antibiotic therapy
