mobility EAQ

which client statement supports the nurses conclusion that teaching about osteoporosis was effective?

"i know that certain illnesses can affect my body's calcium level"

a client with a right above the knee amputation after trauma sustained in a work related accident. upon awakening from surgery, the client states, "what happened to me? i dont remember a thing." which is the nurses best response?

"you were in a work related accident this morning"

a female client asks the nurse whether she should be tested for osteoporosis. which statement reflect current advice regarding the prevention of osteoporosis? SATA

- "a bone mineral density test is the only way to diagnose osteoporosis" - "postmenopausal women and all adults over the age of 65 should be tested for osteoporosis"

which factors contribute to development of osteoporosis in female clients? SATA

- cigarette smoking - familial predisposition - inadequate intake of dietary calcium

the nurse is completing the health history of a client admitted to the hospital with osteoarthritis. which joint would the nurse expect the client to report as having been involved first? SATA

- hips - knees

which assessment findings are systemic manifestation of acute osteomyelitis? SATA

- malaise - restlessness - night sweats

a client sustains a fractured right femur after an automobile accident and is admitted to the hospitals emergency department. which assessment would the nurse make? SATA

- take the clients pedal pulse in the affected extremity - instruct the client to wiggle the toes of the right foot - ask the client if numbness or tingling is present in the right foot

which clinical manifestations would lead the nurse to contact the health care provider regarding the potential development of acute osteomyelitis? SATA

- temperature of 102 - erythema of the affected area - tenderness of the affected area

which area in the figure is the site of a subtrochanteric fracture?

A

which client is most at risk for osteoporosis?

a 66 year old white women, body mass index 18, who is a paralegal

the nurse is caring for a client with a fractured hip. which is the nurse trying to prevent by placing pillows around the injured area?

abduction

after a below the knee amputation, a client is refusing to eat, talk or perform any rehab activities. which approach would the nurse take when interacting with this client?

acknowledge that the clients withdrawal is an expected and necessary part of initial grieving

a client with a fractured femur is being prepared for surgery. the client develops a sudden onset of cyanosis, tachycardia, dyspnea, and restlessness. which action would the nurse take first?

administer oxygen by mask

the primary health care provider prescribed medications to four clients with osteoporosis. which client would the nurse instruct to remain upright for 30 minutes after receiving the medication?

alendronate

in the post-anesthesia care unit after a below the knee amputation, a client reaches for the lower leg and begins crying. which intervention would the nurse choose?

allow the client to ventilate feelings of loss

a postmenopausal woman has been administered raloxifene for osteoporosis. which parameter would the nurse assess to ensure the efficacy of the medication and continuation of use?

bone density

which response would the nurse give when an adolescent who has had a leg amputated because of bone cancer begins to experience phantom limb sensations?

by acknowledging that the pain is real and administering medication to relieve it

which medication is derived from a natural source and may be prescribed for the treatment of osteoporosis?

calcitonin

a client who has severe back pain is found to have a vertebral compression fracture. which cause of fracture would the nurse consider when planning interventions?

collapse of the vertebral bodies

which client with complications of fracture would the nurse expect may be treated with a fasciotomy?

compartment syndrome

a client with osteoarthritis reports experiencing painful back muscle spasms. which medication would the nurse administer?

cyclobenzaprine hydrochloride

which nursing intervention would the nurse include in the plan of care for an older adult client with decreased bone density?

demonstrating weight bearing exercises to the client

which clinical manifestation would the nurse expect when a client experiences fat embolism syndrome?

dyspnea

the client asks the nurse the advantage of having an immediate prosthesis after a below the knee amputation. which advantage would the nurse explain?

encourages a normal walking pattern

which finding would the nurse expect to identify in a client who has osteoarthritis that would not be present in clients with rheumatoid arthritis?

heberden nodes

which phrase describes a greenstick fracture?

incomplete with one side bent

which definition would the nurse use to explain osteoporosis?

it involves a decrease in bone substance

a high protein diet is recommended for a client recovering from a fracture. which is the rationale for a high protein diet for this client?

it promotes cell growth and bone union

the nurse is completing an assessment on an older adult who fell and fractured the left hip. which clinical indicator would the nurse identify as typical with a fractured hip?

left leg is noticeably shorter than right

the plan of care for a client with osteoporosis includes active and passive exercises, calcium supplements, and daily vitamins. which finding would indicate that the therapy is helping?

mobility increases

which position would the nurse use for placement of the affected extremity of a client who is recovering from an open reduction and internal fixation (ORIF) of a fractured hip?

moderate abduction

the health care provider prescribed raloxifene for a client with osteoporosis. which manifestation would the nurse monitor in this client?

monitor liver function tests

after above the knee amputation of the right leg, a client reports pain in the right foot. which reason would the nurse explain to the client for the phantom limb pain?

nerve endings in the limb are still intact and react to stimuli

which reason for a decrease in height is common in older females?

older adults may have osteoporosis related height changes

which condition is characterized by infection of a clients bone or bone marrow?

osteomyelitis

when teaching a client about their disease process, which term would the nurse use to describe bone loss greater than normal but less than that caused by osteoporosis?

osteopenia

which action by a client who required an above the knee amputation for peripheral arterial disease best indicated emotional readiness for the surgery?

participates in learning perioperative care

which action would the nurse take in caring for a client after surgical placement of an external fixator on the clients leg?

perform a neurovascular assessment of the lower extremities

which key factor assists the nurse in assessing how a client will cope with the body image change after an above the knee amputation?

personal perception of the charge

which factor in the clients history increases the risk for osteoporosis?

prolonged immobility

a client with a fractured hip is placed in traction until surgery can be performed. which goal would the nurse explain as the purpose of the traction?

relieving muscle spasm and pain

the nurse is caring for a client who had an above the knee amputation 1 week ago. which action would the nurse take to control edema of the residual limb?

rewrap the elastic bandage as necessary

which action by a 70 year old female client would best limit further progression of osteoporosis?

taking supplemental calcium and vitamin D

which characteristic of a comminuted fracture would the nurse consider when planning care for a client with a fractured arm?

the bone has broken into fragments, and the skin is intact

which response would the nurse provide a client when asked the purpose for using buck traction before surgery?

to immobilize the fracture

a client with an above the knee amputation asks why the residual limb needs to be wrapped with an elastic bandage. which rationale for the treatment would the nurse provide?

to support the soft tissue and minimize swelling

which priority nursing intervention would the nurse include in the plan of care for an older adult who sustained a right hip fracture?

venous thromboembolism (VTE) prevention

which part of the clients body would the nurse assess to identify osteoporotic changes?

vertebral column

a thin 24 year old woman who runs 10 miles each week asks the nurse for advice about preventing osteoporosis. which vitamin would the nurse recommend?

vitamin D

a client with osteoporosis is encouraged to drink milk. the client refuses the milk, explaining that it causes gas and bloating. which calcium rich food would the nurse suggest for clients who do not tolerate milk?

yogurt