Exam 3 Test Bank: Mgmt. of pts. w/ musculoskeletal disorders

A client diagnosed with osteoporosis is being discharged home. Which priority education should the nurse provide? A) remove all small rugs from the home B) participate in weight-bearing exercises C) increase calcium and vitamin D in the diet D) classify medications

A

Most cases of bone infection and osteomyelitis are caused by which microorganism? A) staphylococcus aureus B) pseudomonas coli C) e. coli D) proteus species

A

Which group is at the greatest risk for osteoporosis? A) Caucasian women B) African American women C) Men D) Asian women

A

A nurse is teaching a client diagnosed w/ osteomalacia. Which statement by the nurse is appropriate? A) you will need to avoid foods high in phosphorous and vitamin D B) you may need to be evaluated for an underlying cause, such as renal failure C) you will need to decrease the amount of dairy products you consume D) you will need to engage in vigorous exercise 3 times a week for 30 minutes

B

Dupuytren contracture causes flexion of which area(s)? A) ring finger B) fourth and fifth fingers C) thumb D) index and middle fingers

B

The nurse is educating a client on home care following removal of a ganglion cyst from the right wrist. Which statement by the client demonstrates that the nurse teaching has been effective? A) if my hand becomes numb and cool, I will elevate it above my heart B) I will leave the dressing on until I follow up with my doctor as scheduled C) if my pain is not relieved I will use a heat pack and take some more medication D) I will notify my doctor if I develop redness and purulent drainage for 2 days

B

When an infection is bloodborne, the manifestations include which symptom? A) bradycardia B) chills C) hypothermia D) hyperactivity

B

Which aspect should a nurse include in the teaching plan for a client with osteomalacia? A) avoid green leafy vegetables B) include calcium, phosphorous, and vitamin D supplements C) avoid any activity or exercise D) avoid dairy products

B

Which term refers to a disease of a verve root? A) involucrum B) sequestrum C) contracture D) radiculopathy

D

Which is a strategy for lowering risk for osteoporosis? A) smoking cessation B) diet low in calcium and vitamin D C) increased age D) low initial bone mass

A

Which should be included in the teaching plan for a client diagnosed w/ plantar fasciitis? A) mgmt. of plantar fasciitis includes stretching exercises B) the pain of plantar fasciitis diminishes w/ warm water soaks C) plantar fasciitis presents as acute-onset pain localized to the ball of the foot that occurs when pressure is placed on it and diminishes when pressure is released D) complications of plantar fasciitis includes neuromuscular damage and decreased ankle ROM

A

A client has been prescribed alendronate for the prevention of osteoporosis. Which is the highest priority nursing intervention associated w/ the administration of this medication? A) assess for the use of corticosteroids B) have the client sit upright for at least 30 minutes following administration C) encourage the client to get yearly dental exams D) ensure adequate intake of vitamin D in the diet

B

Which common problem of the upper extremity results from entrapment of the median nerve at the wrist? A) Dupuytren's contracture B) Carpal tunnel syndrome C) Impingement syndrome D) Ganglion

B

Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing BMD? A) Teriparatide (Forteo) B) Calcitonin (Miacalcin) C) Raloxifene (Evista) D) Vitamin D

B

Which term refers to a flexion deformity caused by a slowly progressive contracture of the palmar fascia? A) callus B) dupuytren contracture C) hammertoe D) hallux valgus

B

A client with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. The wound appearance has not improved. What action would the nurse anticipate to promote healing? A) wound irrigation B) vitamin supplements C) surgical debridement D) wound packing

C

In chronic osteomyelitis, antibiotics are adjunctive therapy for which situation? A) wound packing B) vitamin supplements C) surgical debridement D) wound irrigation

C

Lifestyle risk factors for osteoporosis include? A) a low-protein high-fat diet B) lack of aerobic exercise C) lack of exposure to sunshine D) an estrogen deficiency or menopause

C

Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which of the following bone disorders? a) Osteoporosis b) Osteomalacia c) Osteitis deformans/Paget disease d) Osteomyelitis

C

Which condition is a metabolic bone disease characterized by inadequate mineralization of bone? A) osteoporosis B) osteoarthritis C) osteomalacia D) osteomyelitis

C

A client with a musculoskeletal injury is instructed to alter the diet. The objective of altering the diet is to facilitate the absorption of calcium from foods and supplements. Considering the food intake objective, which food item should the nurse encourage the client to include in the diet? A) bananas B) green vegetables C) red meat D) vitamin D fortified milk

D

A physician prescribes raloxifene to a hospitalized client. The client's history includes a right hip fracture, hysterectomy, DVT, and HTN. Which action by the nurse demonstrates safe nursing care? A) administering the raloxifene in the evening B) administering the raloxifene with food/milk C) having the pt. sit upright for 30-60 minutes following administration D) holding the raloxifene and notifying the physician

D

Morton neuroma is exhibited by which clinical manifestation? A) high arm and a fixed equinus deformity B) inflammation of the foot-supporting fascia C) swelling of the 3rd (lateral) branch of the median plantar nerve D) longitudinal arch of the foot is diminished

C

The nurse is caring for a client with a hip fracture. The physician orders the client to start taking a biphosphonate. Which medication would the nurse document as given? A) Raloxifene B) Teriparatide C) Alendronate D) Denosumab

C

The nurse notes that the client's left big toe deviates laterally. This finding would be recognized as which condition? A) flatfoot B) hammertoe C) hallux valgus D) pes cavus

C

Instructions for the client with low back pain include that, when lifting, the client should? A) place the load away from the body B) use a narrow base of support C) bend the knees and loosen the abdominal muscles D) avoid overreaching or place the load close to the body

D

The nurse is educating a group of women on the prevention of osteoporosis. The nurse recognizes the education as being effective when the group members make which statement? A) we need to consume a low-calcium, high-phosphorous diet B) estrogen deficiency increases bone density C) we need to increase aerobic exercise D) we need an adequate amt. of exposure to sunshine

D

The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action? A) reduce stress B) decrease the intake of vitamin A and D C) increase fiber in the diet D) walk or perform weight-bearing exercises outdoors

D