missed prepu exam 4

Ossification and calcification

A nurse is caring for a client with an undiagnosed bone disease. When instructing on the normal process to maintain bone tissue, which process transforms osteoblasts into mature bone cells?

after removal

A patient has a cast removed after bone healing takes place. The nurse should instruct the patient to Apply an emollient lotion to soften the skin. Control swelling with elastic bandages, as directed. Gradually resume activities and exercise.

Physical and environmental conditions

An 82-year-old client experiences urinary incontinence. Which factor should the nurse assess before beginning a bladder training program for this client?

Osteoblasts

An instructor is describing the process of bone development. Which of the following would the instructor describe as being responsible for the process of ossification?

calculi, cysts, or tumors

An older adult client is being evaluated for suspected pyelonephritis and is ordered kidney, ureter, and bladder (KUB) x-ray. The nurse understands the significance of this order is related to which rationale? Detects ?

Low purine

Examination of a client's bladder stones reveals that they are primarily composed of uric acid. The nurse would expect to provide the client with which type of diet?

crackles

Following a nephrectomy, which assessment finding is most important in determining nursing care for the client? SpO2 at 90% with fine ? in the lung bases

bladder wall

Sympathomimetics have which of the following effects on the body? Relaxation of

Serum creatinine

The laboratory results for a patient with renal failure, accompanied by decreased glomerular filtration, would be evaluated frequently. Which of the following is the most sensitive indicator of renal function?

affected side

Which of the following would lead a nurse to suspect that a client has a rotator cuff tear? Difficulty lying on

plastic

Which would be contraindicated as a component of self-care activities for the client with a cast? Cover the cast with ? to insulate it

Hypovolemic shock

The nurse is caring for a patient after kidney surgery. What major danger should the nurse closely monitor for? ? caused by hemorrhage

Medication usage

The nurse is conducting a history and assessment related to a client's incontinence. Which element should the nurse include in the assessment before beginning a bladder training program?

raloxifene (Evista)

The nurse is reviewing the medication administration record of the client. Which of the following medications would lead the nurse to suspect that the client is at risk for osteoporosis?

1,500 mL of fluid

The nurse weighs a patient daily and measures urinary output every hour. The nurse notices a weight gain of 1.5 kg in a 74-kg patient over 48 hours. The nurse is aware that this weight gain is equivalent to the retention of:

Administer medication

Two days after surgery to amputate the left lower leg, a client reports pain in the missing extremity. Which action by the nurse is most appropriate? ?, as ordered, for the reported discomfort.

Proteinuria

What is a hallmark of the diagnosis of nephrotic syndrome?

Chills

When an infection is bloodborne, the manifestations include which symptom?

Levofloxacin (Levaquin)

When caring for a patient with an uncomplicated, mild urinary tract infection (UTI), the nurse knows that recent studies have shown which of the following drugs to be a good choice for short-course (e.g., 3-day) therapy?

Blurred vision

Which assessment finding is most important in determining nursing care for a client with acute glomerulonephritis?

Calcitonin

Which hormone inhibits bone reabsorption and increases calcium deposit in the bone?

avoid internal rotation

Which intervention should the nurse implement with the client who has undergone a hip replacement? Instruct the client to ? of the leg.

flexed

Which is not a guideline for avoiding hip dislocation after replacement surgery. The hip may be ? to put on clothing such as pants, stockings, socks, or shoes.

Phenazopyridine

Which medication may be ordered to relieve discomfort associated with a urinary tract infection?

Risk for infection

Which of the following is an appropriate priority nursing diagnosis for the client following an arthrocentesis?

24 to 48 hours

A client is treated in the emergency department for acute muscle strain in the left leg caused by trying a new exercise. During discharge preparation, the nurse should provide which instruction? "Apply ice packs for the first ?, then apply heat packs."

Buck's traction

The client is admitted to the hospital with a diagnosis of left femoral neck fracture. Which treatment modality would the nurse expect the health care provider to order?

250

A client admitted with a gunshot wound to the abdomen is transferred to the intensive care unit after an exploratory laparotomy. IV fluid is being infused at 150 mL/hour. Which assessment finding suggests that the client is experiencing acute renal failure (ARF)? Urine output of ? ml/24 hours

High protein diet

A client diagnosed with chronic renal failure is receives continuous peritoneal dialysis (PD). The nurse instructs the client about which diet plan?

3 to 6 weeks

A client with diabetes punctured his foot with a broken acorn in the yard. Within a week, the client developed osteomyelitis of the foot. The client was admitted for IV antibiotic therapy. How long does the nurse anticipate the client will receive IV antibiotics?

Local malignancy

Emergency medical technicians Which factor inhibits fracture healing?

Impacted

Radiographic evaluation of a client's fracture reveals that a bone fragment has been driven into another bone fragment. The nurse identifies this as which type of fracture?

L4, L5, and S1

A client visits an orthopedic specialist because of pain beginning in the low back and radiating behind the right thigh and down below the right knee. The doctor suspects a diagnosis of sciatica. The nurse knows that the origin of the pain is between which intervertebral disks?

normal

A client with a fractured ankle is having a fiberglass cast applied. The client starts yelling, "My leg is burning, take it off." What action by the nurse is most appropriate? Explain that the sensation being felt is ? and will not burn the client.

Elevating

A client with arterial insufficiency undergoes below-knee amputation of the right leg. Which action should the nurse include in the postoperative care plan? ? the stump for the first 24 hours

Pathologic fracture

A client with metastatic bone cancer sustained a left hip fracture without injury. What type of fracture does the nurse understand occurs without trauma or fall?

15 to 30 minutes

A client presents at an ambulatory clinic and reports pain and aching in the lower left leg. After examining the client, a health care provider determines the client has experienced a strain related to the client's exercise regimen. The treatment plan includes analgesics, rest, and cold and heat therapies. Which guideline should be included in the care plan? After 24 hours, apply heat for periods of ?

Risk for falls

A client has Paget's disease. An appropriate nursing diagnosis for this client is:

6 to 8 weeks

A client is to undergo surgery to repair a ruptured Achilles tendon and application of a brace. The client demonstrates understanding of activity limitations when stating that a brace must be worn for which length of time?

calcium

A nurse is teaching a client about preventing osteoporosis. Which teaching point is correct? The recommended daily allowance of ? may be found in a wide variety of foods.

Abduction

A patient had a total hip replacement. What recommended leg position should the nurse ensure is maintained to prevent prosthesis dislocation?

24 and 48

A patient has stepped in a hole in the yard, causing an ankle injury. The ankle is edematous and painful to palpation. How long should the nurse inform the patient that the acute inflammatory stage will last? Between ? hours

low back pain

A patient is having ?. 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

Teriparatide

A provider prescribes a subcutaneous anabolic agent for an older adult client to prevent fractures associated with osteoporosis. What is the most likely prescribed drug?

microwave

After teaching a group of students about how to perform peritoneal dialysis, which statement would indicate to the instructor that the students need additional teaching? "It is appropriate to warm the dialysate in a ?."

Risk for infection

Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis?

congenital

On a visit to the family health care provider, a client is diagnosed with a bunion on the lateral side of the great toe at the metatarsophalangeal joint. Which statement should the nurse include in the teaching session? "Some bunions are ?; others are caused by wearing shoes that are too short or narrow."

Osteomyelitis

The client presents to the emergency department with fever, chills, restlessness, and limited movement of a fractured jaw. The nurse interprets these findings as indicating which of the following complications?

Lordosis

The client presents with an exaggeration of the lumbar spine curve. How does the nurse interpret this finding?

renal replacement therapy

The client with polycystic kidney disease asks the nurse, "Will my kidneys ever function normally again?" The best response by the nurse is: "As the disease progresses, you will most likely require

compression bandages

The health care provider is preparing to bivalve the client's cast. Which supplies should the nurse assemble? Elastic

stone formation

The nurse is educating a patient with urolithiasis about preventive measures to avoid another occurrence. What should the patient be encouraged to do? Increase fluid intake so that the patient can excrete 2,500 to 4,000 mL every day, which will help prevent additional

Arthroscopy

The nurse is preparing a client for a surgical procedure that will allow visualization of the extent of joint damage of the knee for a client with rheumatoid arthritis and also obtain a sample of synovial fluid. What procedure will the nurse prepare the client for?

yellowish crust

The nurse is preparing a client to have his cast cut off after having it for 6 weeks to treat a fractured tibia. What should the nurse inform the client prior to the cast being removed? The skin may be covered with a ? that will shed in a few days.

Kayexalate

The nurse is reviewing the potassium level of a patient with kidney disease. The results of the test are 6.5 mEq/L, and the nurse observes peaked T waves on the ECG. What priority intervention does the nurse anticipate the physician will order to reduce the potassium level? Administration of sodium polystyrene sulfonate ?

Immobility

Which risk factors predispose a client to the development of kidney stones?

stretching exercises

Which should be included in the teaching plan for a client diagnosed with plantar fasciitis? Management of plantar fasciitis includes