mobility practice questions prep

The nurse is reviewing the health histories of four clients. Select the client most at risk for developing secondary osteoporosis.

A 60-year-old female taking prednisone for asthma

A client who has developed rheumatoid arthritis can experience joint inflammation that involves of immunologic mediation triggered by which physiologic response?

A T-cell-mediated response to an immunologic trigger, such as a microbial agent

A client presents to the orthopedic clinic for evaluation since the primary care provider thinks the client may have rheumatoid arthritis (RA). Which statement by the client correlates with the diagnosis of RA? Select all that apply.

A. "I'm having a hard time opening doors since it hurts so bad."B. "Look, I didn't button all my shirt buttons...it just hurts too much and look at the swelling in my hands."C. "Look how my hand is deformed. My doctor calls it 'hyperextension.'"

The family of a multiple sclerosis client asks, "What psychological manifestations may we expect to see in our mother?" The health care provider informs them to expect which of the following? Select all that apply

Depressiond. Inattentivenesse. Forgetfulness

The nurse performing a musculoskeletal assessment of a client with osteoarthritis would evaluate the presence of which finding as being a normal expectation?

Crepitus and grinding

What questions should the nurse ask a 55-year-old woman to ascertain her risk for osteoporosis? Select all that apply.

Do you have a family history of osteoporosis?""What medications do you take on a regular basis?""Do you smoke?""Do you sit most of the day?"

When teaching a community education class on osteoarthritis (OA), the nurse should include which demographic in discussing which individuals are at risk for this problem? Select all that apply.

Elderly individuals Older women Obese people

A client has been diagnosed with rheumatoid arthritis (RA). What will the nurse tell the client about this disorder's etiology?

Genetic predisposition is very likely."

When teaching a client with rheumatoid arthritis (RA), which factor does the nurse explain is an underlying cause of this disease?

Immunocompromised host

A nurse is assessing a client with rheumatoid arthritis (RA). What does the nurse expect to find when evaluating the client's joints? Select all that apply.

Joint pain lasting for 30 minutes to several hoursDecreased joint motionNodules on joints

Due to her progressing osteoarthritis (OA), an 80-year-old woman is no longer able to perform her activities of daily living without assistance. Which phenomenon most likely underlies the woman's situation?

Loss of articular cartilage and synovitis has resulted from inflammation caused when joint cartilage attempted to repair itself.

Restoration of the integrity of myelin sheaths would likely result in a slowing or stopping of the progression of:

MS

The nurse is caring for a client diagnosed with osteoarthritis (OA). What does the nurse teach the client about the disease?

OA is a disease of the weight-bearing joints."

The client with a suspected diagnosis of osteoarthritis asks the health care provider, "How will this diagnosis be confirmed?" Which response is most appropriate?

Physical examination and x-ray studies

A nurse caring for a client with multiple sclerosis notes that the client has mood swings. Which cause can best explain this?

Psychological manifestation due to involvement of white matter of cerebral cortex

During physiology class, the instructor asks students to explain the pathology behind development of multiple sclerosis. Which student gave the most accurate description?

The demyelination and subsequent degeneration of nerve fibers and decreased oligodendrocytes, which interfere with nerve conduction

The nurse is teaching a client with rheumatoid arthritis about pannus, which develops in the affected joint area. What does the nurse include to describe pannus?

Vascular granulation tissue that destroys cartilage and bone

The nurse is providing education to a client recently diagnosed with multiple sclerosis. The nurse instructs the client regarding which symptoms commonly occurring with multiple sclerosis? Select all that apply.

Visual loss or blurringc. Difficulty swallowinge. Paresthesias of extremities

A 60-year-old woman has been recently diagnosed with multiple sclerosis, a disease in which the oligodendrocytes of the client's central nervous system (CNS) are progressively destroyed. Which physiologic process within the neurologic system is most likely to be affected by this disease process?

nerve conduction

An adult client has osteoarthritis in his left ankle that has been attributed to an old sports injury. When he plays on the weekends now, residual changes in the joint cause him significant pain. Which cause is most likely?

osteophytes