Medsurg Test 7 (Unit 12 FAD: Ch. 45-46, ATI Medsurg Unit 10: Ch 59-60, ATI pharmacology Unit 8: Ch28-29, practice test)

A patient who had a total knee replacement is to receive Toradol 15 mg intramuscularly every 6 hours as needed for pain. The Toradol comes as 30 mg/mL. How many milliliters should the nurse give? Answer: ________ mL

0.5 mL

A patient in the ambulatory clinic is diagnosed with a muscle strain. What actions should the nurse instruct the patient to do to treat this injury? (Select all that apply.) A) Rest the limb. B) Elevate the limb. C) Apply heat for 1 hour. D) Apply ice to the area. E) Wrap with an elastic bandage.

A) Rest the limb. B) Elevate the limb. D) Apply ice to the area. E) Wrap with an elastic bandage.

A patient is diagnosed with fractured thoracic vertebrae from a motor vehicle crash. Which other structure should the nurse suspect may have been damaged during this accident? A) Ribs B) Liver C) Heart D) Lungs

A) Ribs

The nurse is gathering functional data on a patient with rheumatoid arthritis. Which of these areas should be included? A) Ability to dress B) Muscular build C) Nutritional status D) Height and weight

A) Ability to dress

A patient with a casted, fractured left leg asks why the leg has to be elevated. What should the nurse respond to this patient? A) "Decreases swelling." B) "Prevents cast cracking." C) "Increases your comfort." D) "Allows the cast to dry evenly."

A) "Decreases swelling."

A patient is completing instructions about complications that can occur from osteoporosis. Which complication should the patient state as evidence that teaching has been effective? A) "Hip fracture." B) "Overgrowth of bone." C) "Bone spur formation." D) "Increased bone density."

A) "Hip fracture."

The nurse is reinforcing teaching provided to a patient recovering from right total hip replacement. Which patient statement indicates a correct understanding of the teaching? A) "Keep legs apart." B) "Lie prone in bed." C) "Move right leg closer to the left leg." D) "Do not bear any weight on the left leg."

A) "Keep legs apart."

A patient scheduled for a magnetic resonance imaging (MRI) scan of the abdomen and pelvis asks how the machine takes a picture. What should the nurse respond to the patient? A) "Magnetic fields create an image." B) "Sound waves bounce off your organs to create the picture." C) "Heat energy from the molecules of your body is detected to create a picture." D) "X-rays from multiple angles are passed simultaneously to get a three-dimensional image."

A) "Magnetic fields create an image."

The nurse is reinforcing teaching for a patient who has severe arthritis and is having an x-ray. Which patient statement indicates teaching has been effective? A) "The table is hard and cold." B) "I may move during the x-ray." C) "A soft mattress covers the table." D) "I may lie in a position of comfort."

A) "The table is hard and cold."

The nurse is collecting data for a patient with osteoporosis. Which serum calcium result indicates the typical changes that occur in serum calcium levels with osteoporosis? A) 6.5 mg/dL B) 8.9 mg/dL C) 9.7 mg/dL D) 11.2 mg/dL

A) 6.5 mg/dL

A patient 48 hours after surgery for a fractured femoral shaft is experiencing mental confusion, tachycardia, tachypnea, and dyspnea. The patient's blood pressure is elevated and petechiae are present on the chest. After reporting the findings to the RN what should the nurse do while awaiting the physician's specific orders? (Select all that apply.) A) Administer oxygen. B) Prepare patient for arterial blood gas tests. C) Prepare patient for chest x-ray or lung scan. D) Maintain bedrest and keep movement to a minimum. E) Ask patient to move affected limb to see if pain is worse. F) Place patient in high Fowler's position or raise the head of the bed.

A) Administer oxygen. B) Prepare patient for arterial blood gas tests. C) Prepare patient for chest x-ray or lung scan. D) Maintain bedrest and keep movement to a minimum. F) Place patient in high Fowler's position or raise the head of the bed.

The nurse is caring for a patient in traction. Which actions are appropriate when caring for this patient? (Select all that apply.) A) Allow weights to hang freely in place. B) Use assistance to reposition the patient in bed. C) Hold weights up if the patient is shifting position in bed. D) Remove weights if the patient is being moved up in bed. E) Lighten weights for short periods if the patient reports pain.

A) Allow weights to hang freely in place. B) Use assistance to reposition the patient in bed.

The nurse is contributing to the plan of care for a patient who is scheduled for a below-the-knee amputation. What nursing diagnosis should be recommended for the preoperative plan of care? A) Anxiety B) Self-Care Deficit C) Fluid Volume Deficit D) Ineffective Airway Clearance

A) Anxiety

The nurse is caring for a patient with a minor rotator cuff shoulder injury. What should the nurse emphasize when reviewing care with this patient? (Select all that apply.) A) Apply ice B) Rest the shoulder C) Take NSAIDs as prescribed D) Begin out-patient physical therapy E) Use 2 lb hand weights for exercising

A) Apply ice B) Rest the shoulder C) Take NSAIDs as prescribed D) Begin out-patient physical therapy

The nurse is reinforcing teaching for a patient who has had a total hip replacement on correct sitting positions. Which position should the nurse teach the patient to avoid? A) Crossing legs B) Elevating legs C) Flexing ankles D) Extending knees

A) Crossing legs

The nurse is collecting data for a patient's health history as part of the musculoskeletal system assessment. What should the nurse include when collecting this data? (Select all that apply.) A) Diet history B) Occupation and activities C) Cardiovascular and respiratory problems D) Risk factors for musculoskeletal problems E) Family history of musculoskeletal problems

A) Diet history B) Occupation and activities D) Risk factors for musculoskeletal problems E) Family history of musculoskeletal problems

The nurse is reinforcing teaching provided to a patient with rheumatoid arthritis (RA). Which patient statement indicates understanding of the symptoms of RA? A) Fatigue B) Paralysis C) Crepitation D) Shortness of breath

A) Fatigue

A nurse is reinforcing teaching with a client who is taking raloxifene to prevent postmenopausal osteoporosis. Which of the following are possible adverse effects of this medication? (Select all that apply.) A) Hot flashes B) Lump in the breast C) Swelling or redness in calf D) Shortness of breath E) Difficulty swallowing

A) Hot flashes C) Swelling or redness in calf D) Shortness of breath

A patient is experiencing a tendon that is torn from a moveable bone. What should the nurse observe when collecting data on the patient's musculoskeletal system? A) Inability to move the joint B) Hyperflexion of the joint C) Hyperextension of the joint D) Crepitus and palpable nodules

A) Inability to move the joint

The nurse is admitting an 88-year-old woman to an extended care facility. Which findings should the nurse consider as normal age-related changes of the patient's musculoskeletal system? (Select all that apply.) A) Limb weakness B) S-shaped curve to back. C) Loss of 2 inches in height D) Walks with small, shuffling steps. E) Mild pain experiencing in the hands during the morning hours

A) Limb weakness C) Loss of 2 inches in height E) Mild pain experiencing in the hands during the morning hours

A patient asks the difference between osteoarthritis and rheumatoid arthritis. What manifestations should the nurse explain are characteristic of rheumatoid arthritis? (Select all that apply.) A) Low-grade fever B) Heberden's nodes C) Autoimmune disease D) Activity increases pain E) Early morning stiffness F) Involvement of other major organs

A) Low-grade fever C) Autoimmune disease E) Early morning stiffness F) Involvement of other major organs

A patient with diabetes mellitus is scheduled for an arthroscopy of the right knee at 0800. What should be included in nursing preoperative care for this patient? (Select all that apply.) A) Maintaining NPO (nothing by mouth) status B) Obtaining blood glucose C) Providing a liquid breakfast D) Explaining the anesthetic agents E) Reviewing the surgical procedure F) Witnessing signature on surgical consent

A) Maintaining NPO (nothing by mouth) status B) Obtaining blood glucose F) Witnessing signature on surgical consent

A patient who has a displaced mid-shaft fracture of the left femur and is in balanced suspension skeletal traction with 35 pounds of weights is experiencing calf pain with right foot dorsiflexion. Which action should the nurse take? A) Notify the RN. B) Check the traction setup. C) Reduce 5 pounds of weight. D) Encourage dorsiflexion more frequently.

A) Notify the RN.

The nurse checks a patient's casted right leg resting upon a pillow and finds that the cast appears too tight. What should the nurse do? A) Notify the RN. B) Administer pain medication. C) Apply an extra blanket to the leg. D) Remove the pillow under the cast.

A) Notify the RN.

The nurse is collecting data from a patient suspected of developing a fat embolus from a fracture of the right femur. Which manifestations should the nurse expect? (Select all that apply.) A) Petechiae B) A migraine C) Tachycardia D) Mental confusion E) Numbness in the right leg F) Muscle spasms in the right thigh

A) Petechiae C) Tachycardia D) Mental confusion

A patient was an unrestrained passenger in a motor vehicle accident and hit the windshield. The patient's leg was also fractured. Which areas should be included in a patient's neurovascular checks? (Select all that apply.) A) Pulses B) Sensation C) Movement D) Orientation E) Pupil reaction F) Level of consciousness

A) Pulses B) Sensation C) Movement

The nurse finds a 2-day postoperative patient who had a right total hip replacement lying supine with crossed legs. What data should the nurse collect on this patient? A) The right leg for shortening B) The right knee for crepitation C) The left leg for internal rotation D) The left leg for loss of function

A) The right leg for shortening

The nurse is reinforcing teaching provided to a patient who is postmenopausal, has lost 2 inches of height, and has osteoporosis. Which patient statement indicates correct understanding of the purpose of calcium supplements? A) To decrease bone loss B) To increase energy levels C) To decrease serum calcium D) To increase excretion of calcium

A) To decrease bone loss

The nurse is caring for a patient with gout. Which laboratory value should the nurse review which indicates that the treatment plan is effective? A) Uric acid: 7.9 mg/dL B) Creatinine: 0.8 mg/dL C) Blood urea nitrogen: 15 mg/dL D) Low-density lipoprotein (LDL): 115 mg/dL

A) Uric acid: 7.9 mg/dL

A patient is scheduled for an MRI of the pelvis. Which of the following actions would the nurse take if during data collection it was revealed that the patient had had a previous surgery for heart problems? A. Ask if there is any metal in the patient's body. B. Obtain an order for a chest x-ray C. Cancel the MRI. D. Inform the physician.

A. Ask if there is any metal in the patient's body.

The nurse is contributing to the plan of care for a patient recovering from total hip replacement. Which exercises should the nurse recommend to help prevent deep vein thrombosis (DVT) formation? (Select all that apply.) A. Foot circles B. Toe touches C. Heel pumping D. Deep knee bends E. Quadriceps setting F. Straight leg raises (SLRs)

A. Foot circles C. Heel pumping E. Quadriceps setting F. Straight leg raises (SLRs)

The nurse is contributing to the plan of care for a patient with Paget's disease. Which of these is a priority nursing diagnosis for this patient? A. Pain B. Deficient Knowledge C. Excess Fluid Volume D. Deficient Fluid Volume

A. Pain

The nurse is caring for a patient with an open fracture. Which of the following actions are essential for the nurse to perform to help prevent osteomyelitis? Select all that apply. A. Perform hand hygiene before dressing change. B. Wear a protective gown. C. Wear a mask. D. Wear goggles. E. Wear sterile gloves to apply new dressing.

A. Perform hand hygiene before dressing change. E. Wear sterile gloves to apply new dressing.

The nurse is explaining muscle function to a group of high school students during Health Class. In which order should the nurse discuss the neuromuscular junction? Place the steps 1 through 6 in order. A.___ Neuron releases acetylcholine. B.___ Myosin shortens the sarcomeres and pulls the muscle fiber. C.___ Calcium from the sarcoplasmic reticulum bonds to myosin heads. D.___ Action potential travels down motor neuron to the synaptic end bulb. E.___ Action potential travels into the transverse tubules to the sarcoplasmic reticulum. F.___ Acetylcholine crosses into the synaptic cleft and bonds with receptors on motor end plate.

ADFECB

A patient is scheduled for a right total hip replacement. The nurse should teach which of the following postoperative leg positions? A. Maintain legs in adduction. B. Maintain legs in abduction. C. Maintain internal leg rotation. D. Maintain more than 90-degree hip flexion.

B. Maintain legs in abduction.

An older adult visiting a wellness clinic reports joint stiffness in the morning. What should the nurse respond to this patient? A) "The stiffness is due to decreased moisture in joint bones." B) "As we age, the cartilage in joints gets rough, causing stiffness." C) "The fluid in your joints gets thinner as you age, so your joints get stiff." D) "The body makes extra synovial fluid as we age, and that makes joints stiff."

B) "As we age, the cartilage in joints gets rough, causing stiffness."

A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication? A) "Excretes proteins." B) "Blocks formation of uric acid." C) "Increases formation of purines." D) "Increases metabolism of purines."

B) "Blocks formation of uric acid."

The nurse is collecting data for a patient who is reporting pain in the hand joints. What question should the nurse ask to determine the quality of the pain? A) "Does the pain move?" B) "How does the pain feel?" C) "Did an event cause the pain?" D) "How would you rate the pain?"

B) "How does the pain feel?"

The nurse reinforces medication teaching provided to a patient with rheumatoid arthritis. Which medication should the patient identify as helpful to control the symptoms of the health problem? A) "Digoxin." B) "Ibuprofen." C) "Morphine." D) "Penicillin."

B) "Ibuprofen."

The nurse is collecting data for a patient who is reporting pain in the left wrist. What question should the nurse use to address the region of the pain? A) "Is the pain mild?" B) "Where is the pain?" C) "Does the pain move?" D) "How does the pain feel?"

B) "Where is the pain?"

The nurse is caring for a patient who has had a right hip replacement. For which position is the nurse attempting to achieve when a pillow is placed between the legs during turning? A) Flexion of the knees B) Abduction of the thighs C) Adduction of the hip joint D) Hyperextension of the knees

B) Abduction of the thighs

The nurse, who is inspecting the knee of a patient who fell and reports stiffness, hears a grating sound with knee movement. How should the nurse document this finding? A) Arthritis B) Crepitus C) Synovitis D) Inflammation

B) Crepitus

The nurse is assisting in the development of an educational seminar on prevention of osteoporosis for a group of community members. Which actions should the nurse suggest be included in this presentation? (Select all that apply.) A) Drink one cup of caffeinated coffee each day B) Ensure an adequate intake of calcium each day C) Participate in weight-bearing exercise every day D) Wear well-supporting nonskid shoes at all times E) Consider participating in resistance exercise training

B) Ensure an adequate intake of calcium each day C) Participate in weight-bearing exercise every day D) Wear well-supporting nonskid shoes at all times E) Consider participating in resistance exercise training

A patient in a motor vehicle crash has injuries to bones of the appendicular skeleton. Which bones should the nurse expect to support when caring for this patient? (Select all that apply.) A) Skull B) Femur C) Hyoid D) Rib cage E) Humerus

B) Femur E) Humerus

A patient recovering from a biopsy of the right femur had pain medication 1 hour ago. Which symptom should the nurse report and closely monitor in this patient? (Select all that apply.) A) Temperature 98.4°F B) Hematoma formation C) Capillary refill of 3 seconds D) Pain reported as 7 on a 0-to-10 scale E) Range of motion of the ankle and knee present

B) Hematoma formation D) Pain reported as 7 on a 0-to-10 scale

The nurse is contributing to the plan of care for a patient who has a right fractured femur. What intervention should the nurse include in the plan of care to prevent fat emboli? A) Decrease dietary consumption of fats. B) Maintain immobilization of the right leg. C) Encourage coughing and deep breathing hourly. D) Perform passive range of motion on the right leg.

B) Maintain immobilization of the right leg.

The nurse is caring for a patient who had a bone biopsy on the right leg. Which activity should the nurse implement? A) Ambulate twice daily. B) Monitor site of biopsy for bleeding. C) Perform hourly passive range of motion. D) Perform active range of motion every 2 hours.

B) Monitor site of biopsy for bleeding.

A patient has an open reduction of a radial fracture and is casted. Several hours after the operation, the patient reports a throbbing pain in the arm. What nursing action is essential for the nurse to take? A) Reposition arm. B) Perform neurovascular checks. C) Administer analgesics as ordered. D) Notify the physician immediately.

B) Perform neurovascular checks.

The nurse is caring for a patient 1 hour after a diagnostic arthroscopy of the right knee. Which activity should the nurse implement? A) Strict bedrest B) Straight-leg raises C) No weight-bearing on right leg for 3 days D) Partial weight-bearing on left leg for 1 week

B) Straight-leg raises

A nurse is caring for a client who has a new prescription for adalimumab for rheumatoid arthritis. Based on the route of administration of adalimumab, which of the following should the nurse plan to monitor? A) The vein for thrombophlebitis during IV administration B) The subcutaneous site for redness following injection C) The oral mucosa for ulceration after oral administration D) The skin for irritation following removal of transdermal patch

B) The subcutaneous site for redness following injection

The nurse is caring for a patient with an external fixation device. Which of the following actions should the nurse implement? Select all that apply. A. Avoid touching the pins. B. Follow agency protocol for pin care. C. Cleanse pins with hydrogen peroxide four times daily. D. Loosen screws holding the pins during cleaning. E. Monitor pin insertion sites daily.

B. Follow agency protocol for pin care.

A patient with osteoarthritis who had a right total knee replacement tells the nurse that the other knee is becoming painful. Which of the following is the most appropriate instruction to help the patient preserve function of the left knee? A. Reduce dietary purines. B. Maintain ideal body weight. C. Maintain normal uric acid levels. D. Begin a jogging program.

B. Maintain ideal body weight.

The nurse is caring for a patient who is undergoing an arthroscopy of the knee with ligament repair. Which of the following would be included in nursing preoperative care for the patient the morning of surgery? Select all that apply. A. A soft breakfast B. No food after midnight C. Explaining the surgical procedure D. Explaining the anesthetic agents E. Reinforcing how to perform coughing and deep- breathing exercises F. Teaching the patient to perform straight-leg raises

B. No food after midnight E. Reinforcing how to perform coughing and deep- breathing exercises

The nurse is caring for a patient who has undergone an arthroscopy. Two hours after the procedure, the patient's pedal pulses are diminished compared with the previous assessment. What action should the nurse take? A. Take vital signs. B. Notify the surgeon. C. Perform neurovascular assessment in 30 minutes. D. Change the dressing and rewrap the elastic wrap.

B. Notify the surgeon.

An 87-year-old female with a history of osteoarthritis reports an average generalized pain score of 4 on a 0-to-10 scale while using acetaminophen prn. Which response about this pain level should the nurse make to the patient? A) "Do you take a daily calcium supplement?" B) "I'm glad the acetaminophen is working for you." C) "Are you satisfied with this level of pain control?" D) "Research shows that acetaminophen is not really effective for osteoarthritis pain."

C) "Are you satisfied with this level of pain control?"

The nurse is collecting data for a patient who is reporting pain in the left knee. What question should the nurse ask to address radiation of the pain? A) "Is the pain intense?" B) "Is the pain burning?" C) "Does the pain move?" D) "How would you describe the pain?"

C) "Does the pain move?"

A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following client statements indicates understanding? A) "I will be sure to return to the clinic yearly to have my blood drawn while I'm taking methotrexate." B) "I will take this medication on an empty stomach." C) "I'll let the doctor know if I develop sore in my mouth while taking this medication." D) "I should stop taking oral contraceptives while I'm taking methotrexate."

C) "I'll let the doctor know if I develop sore in my mouth while taking this medication."

The nurse is reinforcing teaching on positioning for a patient after a right total knee replacement. Which patient statement indicates a correct understanding of the teaching? A) "Prone." B) "Side lying." C) "Supine with pillow under right knee." D) "Supine with three pillows between legs."

C) "Supine with pillow under right knee."

The nurse is caring for a patient scheduled for an arthrography. What should the nurse explain to the patient about pain expectations during the procedure? A) "There is no pain during the procedure." B) "There is pain while the x-ray is taken." C) "There is temporary pain during dye injection." D) "The procedure will be uncomfortable until it is completed."

C) "There is temporary pain during dye injection."

The nurse is reinforcing teaching provided to a patient for carpal tunnel syndrome treatment. Which patient statement indicates a correct understanding of the teaching? A) "Bedrest." B) "Arm sling." C) "Wrist splint." D) "Hand exercises."

C) "Wrist splint."

The mother of a 6-year-old child is concerned that the child is not going to be tall like other family members. What should the nurse explain as influencing the growth of bone? (Select all that apply.) A) Reduced levels of insulin B) Limited amounts of thyroxine C) Adequate intake of vitamin D D) Production of growth hormone E) Adequate intake of vitamins A and C

C) Adequate intake of vitamin D D) Production of growth hormone E) Adequate intake of vitamins A and C

The nurse is caring for a patient who has a newly casted, fractured wrist. Data collection reveals slightly puffy fingers with good capillary refill. What should the nurse do now to prevent complications? A) Notify the RN. B) Apply heat to the cast. C) Elevate the cast on pillows. D) Remove the pillow under the cast.

C) Elevate the cast on pillows.

The nurse observes a petechial rash and respiratory distress in a patient recovering from a fractured femur. What should these findings suggest to the nurse? A) Infection B) Pneumonia C) Fat embolism D) Pleural effusion

C) Fat embolism

A patient with a 36-hour-old fractured femur is in traction and is prescribed morphine 10 mg every 3 hours as needed. The patient received a dose 3 hours ago and is now reporting a pain level of 8. The patient is stable. Which action should the nurse take? A) Hold medication. B) Notify the registered nurse (RN). C) Give pain medication as ordered. D) Give pain medication in 30 minutes.

C) Give pain medication as ordered.

A patient with a neurological illness has lost the function of opposing muscle antagonists. What should the nurse expect to assess in this patient? A) Steady cursive handwriting B) Perfect diction when talking C) Inability to maintain balance D) Intact gag and corneal reflexes

C) Inability to maintain balance

The nurse is reviewing data collected during the health history for a patient with osteoporosis. What should the nurse identify as a risk factor for osteoporosis development? A) Daily use of antacid B) Walking 1 mile daily C) Increased caffeine intake D) Increased dairy food intake

C) Increased caffeine intake

The nurse is reinforcing teaching provided to a patient with gout. Which food should the patient state will be avoided that indicates teaching has been effective? A) Rice B) Beets C) Liver D) Bananas

C) Liver

A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. For which adverse effects should the client monitor? (Select all that apply.) A) Stomatitis B) Insomnia C) Nausea D) Rash E) Increased gout pain

C) Nausea D) Rash E) Increased gout pain

A patient recovering from a bone biopsy of the left leg has pain unrelieved by morphine 5 mg intramuscularly given 1.5 hours ago. The morphine is prescribed for every 3 hours. What should the nurse do? A) Elevate the extremity. B) Repeat morphine now. C) Notify the charge nurse. D) Administer morphine in 30 minutes.

C) Notify the charge nurse.

The nurse is contributing to the plan of care for a patient who has a fractured hip and is placed in Buck's (boot) traction while awaiting surgery. What is the desired outcome for placing the patient in Buck's traction? A) Restrain patient. B) Realign fracture. C) Relieve patient pain. D) Maintain fracture reduction.

C) Relieve patient pain.

A patient is experiencing sacroiliac joint pain after falling. Which structure within the vertebral column should the nurse suspect is injured in this patient? A) Axis B) Atlas C) Sacrum D) Coccyx

C) Sacrum

The nurse is contributing to the plan of care for a patient who has an upper extremity amputation. Why should the nurse keep in mind that this type of amputation can be more debilitating than a lower extremity amputation when planning care? A) The upper extremity is more visible. B) Prosthetic fitting is easier for the leg. C) The upper extremity is more specialized. D) There is greater blood supply to the upper extremity.

C) The upper extremity is more specialized.

The nurse is assigned to care for a patient who has been diagnosed with a musculoskeletal disease that causes decreased bone density. Which data collection questions are most appropriate by the nurse? Select all that apply. A. "Do you have any broken bones?" B. "Has your doctor informed you not to exercise so you will not break a bone?" C. "What forms of physical activity are you able to participate in?" D. "Do any of your spouse's relatives have problems with their bones?" E. "Do you exercise regularly?" F. "What is typically included in your daily diet?"

C. "What forms of physical activity are you able to participate in?" E. "Do you exercise regularly?" F. "What is typically included in your daily diet?"

During a health history the nurse becomes concerned that a patient is at risk for developing osteoporosis. Which modifiable risk factors did the nurse use to come to this conclusion? (Select all that apply.) A. Small boned B. Postmenopausal C. Cigarette smoking D. Sedentary lifestyle E. Low calcium intake

C. Cigarette smoking D. Sedentary lifestyle E. Low calcium intake

The nurse is caring for a patient who is postmenopausal, has osteoporosis, lost 2 inches of height, is thin, and has never exercised regularly. Which of these interventions should be included in the plan of care to prevent further bone loss? A. Decrease participation in activities of daily living. B. Avoid weight-bearing activities. C. Encourage regular exercise. D. Encourage weight gain.

C. Encourage regular exercise.

The nurse is caring for a patient immediately after a below-the-knee amputation. Which of these assessments should the nurse consider a PRIORITY? A. Sacral edema B. Mobility C. Stump dressings D. Blood sugar level

C. Stump dressings

The nurse is caring for a male patient with gout. Which of the following lab values would the nurse expect in this patient? A. White blood cell count 6.2 cells/mL B. Potassium 5 mEq/L C. Uric acid 10.2 mg/dL D. Ammonia 34 mol/L

C. Uric acid 10.2 mg/dL

The nurse is caring for a patient who is to have a needle biopsy of a tumor in the right calf. Which patient statement indicates correct understanding of the teaching? A) "I will need a few stitches." B) "I will need a spinal anesthetic." C) "The biopsy is usually taken with fluoroscopy." D) "The biopsy will be used to determine if this is a cancerous tumor."

D) "The biopsy will be used to determine if this is a cancerous tumor."

The nurse reinforces teaching on prevention of osteomyelitis with a patient who has an open fracture of the right leg. Which patient statement indicates that teaching has been effective? A) "Apply ice to right leg." B) "Keep leg immobilized." C) "Increase calcium intake in diet." D) "Wash hands prior to touching fracture area."

D) "Wash hands prior to touching fracture area."

The nurse is collecting data for a patient who is reporting pain in the right hip. Which question should the nurse ask to determine the severity of the pain? A) "Is the pain burning?" B) "Is the pain throbbing?" C) "Does the pain radiate or move around?" D) "What number rating would you give your pain on a scale from 0 to 10?"

D) "What number rating would you give your pain on a scale from 0 to 10?"

A patient with a fractured pelvis and a left acetabular fracture is prescribed bedrest. When the patient asks to toilet, which measure would be appropriate? A) Help patient up on a commode very carefully. B) Turn patient onto right side, place the bedpan behind, and turn back. C) Have patient sit up as high as possible and lift self up with hands pushing on the bed, then slide the bedpan underneath. D) Ask patient to lift straight up using a trapeze mounted above the bed and slide a bedpan underneath from the right side.

D) Ask patient to lift straight up using a trapeze mounted above the bed and slide a bedpan underneath from the right side.

The nurse is contributing to the plan of care for a patient who has a bone fracture that is splintered and has shattered into numerous fragments. Which term should the nurse use to document this type of fracture? A) Impacted B) Avulsion C) Greenstick D) Comminuted

D) Comminuted

A nurse is caring for a client who has a new diagnosis of fibromyalgia. Which of the following medications should the nurse anticipate being prescribed for this client? A) Colchicine B) Hydroxychloroquine C) Auranofin D) Duloxetine

D) Duloxetine

The nurse is caring for a patient with a suspected bone tumor. Which serum laboratory result indicates to the nurse that this health problem is present? A) Decreased calcium B) Increased magnesium C) Increased creatine kinase D) Elevated alkaline phosphatase

D) Elevated alkaline phosphatase

The nurse is monitoring a patient with a casted left tibial fracture and a contusion of the thigh. The patient reports increasing pain in the left foot that has not been relieved by morphine injections. What should the nurse do? A) Reposition the casted leg. B) Repeat the morphine injection now. C) Give a higher ordered dose of morphine. D) Ensure physician is immediately notified.

D) Ensure physician is immediately notified.

A nurse is caring for a client who has a prescription for cyclosporine to treat rheumatoid arthritis. Which of the following medications increases the risk of toxicity when taken concurrently with cyclosporine? A) Phenytoin B) Rifampin C) Carbamazepine D) Erythromycin

D) Erythromycin

The nurse sees a neighbor fall and fracture a leg. What should the nurse do first for the neighbor? A) Assess pain. B) Transport to an emergency department. C) Cover site of open fracture with clean dressing. D) Immobilize the affected limb using minimal movement.

D) Immobilize the affected limb using minimal movement.

A patient is diagnosed with osteomyelitis of the right lower leg. What should the nurse expect to be prescribed for this patient's care? A) Anticoagulant therapy B) Casting of the extremity C) Fasciotomy of the wound D) Long-term antibiotic therapy

D) Long-term antibiotic therapy

The nurse is caring for a patient who had a closed reduction of the ulna with a cast applied. Later the patient reports left arm pain. What should the nurse do first? A) Pad the edges of the cast. B) Notify the physician immediately. C) Administer an analgesic as ordered. D) Perform neurovascular check on fingers.

D) Perform neurovascular check on fingers.

The nurse is evaluating teaching provided to a patient with gout. Which patient menu selection indicates that additional teaching is required? A) Pike B) Bass C) Perch D) Sardines

D) Sardines

A patient is suspected as having a fractured skull. When explaining this pathology to the patient, how should the nurse describe the joints between the cranial bones? A) Pivot B) Saddle C) Gliding D) Sutures

D) Sutures

The nurse is assessing capillary refill time for a patient with a fractured tibia and fibula. Which refill time should the nurse report to the physician? A. 2 seconds B. 3 seconds C. 5 seconds D. 7 seconds

D. 7 seconds

The nurse is reinforcing teaching provided to a patient scheduled for an arthrocentesis. Which patient statement indicates understanding of the planned procedure? A. They will use a small camera to look inside the joint. B. They will inject dye that shows up on a special camera. C. Ill be in a closed tube while they take pictures of my arm. D. A needle will be used to draw off some fluid from my elbow.

D. A needle will be used to draw off some fluid from my elbow.

The nurse is collecting and reviewing data on a patient with a left tibia fracture. Which of the following findings would indicate a complication of this fracture? A. Increased red blood cell count. B. Decreased body temperature. C. Decreased lymphocyte count. D. Absent left pedal pulse.

D. Absent left pedal pulse.

The nurse is collecting data on a patient with a crushing injury to the lower extremities. Which serum creatine kinase (CK) result should the nurse review and report to the physician? A. CK-MB B. CK-MM C. CK-BB D. CK1

D. CK1

A patient is diagnosed with osteomyelitis of the right lower leg. What should the nurse expect to be prescribed for this patients care? A. Anticoagulant therapy B. Casting of the extremity C. Fasciotomy of the wound D. Long-term antibiotic therapy

D. Long-term antibiotic therapy

A patient who has a 36-hour-old fractured femur had morphine 5 mg intramuscularly 1 hour ago and is now reporting severe unrelieved pain. Which nursing action is most appropriate? A. Administer an analgesic. B. Apply Buck's traction. C. Reposition with head of bed up. D. Notify the health care provider.

D. Notify the health care provider.

The nurse is contributing to the plan of care for a patient with Paget's disease. Which outcome should the nurse identify as being appropriate for this patient? A. Gain 5 lb weekly. B. Intake equals output. C. Identify coping skills. D. Pain is relieved at a satisfactory level.

D. Pain is relieved at a satisfactory level.

The nurse is caring for a patient with a fractured left leg. Which of the following findings during a neurovascular assessment of the lower extremities would the nurse recognize as a priority to report to the health care provider? A. Strong bilateral left leg post tibial pulse B. Right foot capillary refill less than 2 seconds C. Bilateral dorsal flexion D. Pallor of the left leg

D. Pallor of the left leg

The nurse is caring for a patient being transferred into bed who has just had a plaster long-leg cast applied and reports pain of 6 on a scale of 0 to 10. Place the nursing interventions in order of priority. A. Expose cast to air dry. B. Administer ordered analgesic. C. Check circulation, sensory, and mobility status. D. Palm cast while position on pillow. E. Obtain vital signs.

D. Palm cast while position on pillow. A. Expose cast to air dry. C. Check circulation, sensory, and mobility status. E. Obtain vital signs. B. Administer ordered analgesic.