neuro 2

which structure protects a clients internal organs, supports blood cell production, and stores minerals

bones

which hormone is responsible for altered serum calcium concentrations? select all that apply

calcitonin parathyroid hormone

which client statement assessment data would correspond to a muscle strength rating of 3

can complete ROM against gravity

a client who has been receiving treatment for osteomyelitis reports hives, mouth sores, and blood diarrhea. which medication would the nurse expect to see in the clients medication administration record

cefazolin

which food would the nurse recommend for a client who is at risk for developing osteoporosis? select all that apply

chicken breast broiled beef steak

back pain from vertebral compression fracture.

collapse of the vertebral bodies

buck extension

cutaneous traction

OA muscle spasm

cyclobenzaprine hydrochloride

long leg cast removed

elevate the extremity when sitting

osteomyelitis

elevated WBC presence of avascular scar tissue elevated ESRD

prothetic fits porper

evenly darkened skin of residual limb

first post op day after total hip replacement

flex the knee on the unoperated leg and pull on the trapeze to lift your pelvis

which hormone aids in regulating intestinal calcium and phosphorous absorption

glucocorticoids

newly applied long leg plaster cast

handling the cast with fingertips

which hormones are involved in building and maintaining healthy bone tissue? select all that apply

insulin growth hormone glucocorticoids

a client is admitted with a fracture of the neck of the femur

internal rotation with extension of the knee and hip

in which location would the nurse place a pillow or sandbag to prevent external rotation of a clients lower extremity

lateral to the clients affected hip

which assessment finding is consistent with felty syndrome? select all that apply

leukopenia splenomegaly

prepare client who has above the knee amputation for crutch walking

lifting weights

which condition would the nurse suspect in the male client whose laboratory report shows creatine kinase levels higher than the normal range? select all that apply

muscle trauma progressive muscular dystrophy

cast applied to lower extremity presence of complication

numbness prolonged capillary refill

which medication to treat osteoporosis would be contraindicated for a client who has a history of renal calculi

os-cal

middle aged fatigue

perform push ups in the morning

snugly bandaging residual limb after an amputation

promoting tissue shrinkage

which synovial joint movement is involved in turning a clients palm downward

pronation

which population level action would the nurse use to support tertiary prevention for clients with osteoporosis

support development of low impact physical activity options for those diagnosed with osteoporosis

compromised circulation for a client with a long leg cast

swelling of the toes prolonged capillary refill

prophylactic palliative tx for RA

synovectomy

benefit of continuous regional analgesia versus conventional methods

systemic side effects are minimal

which nursing intervention would help reduce the severity of an older adult clients kyphotic posture and widened gait condition? select all that apply

teach the client proper body mechanics instruct the client to sit in supportive chairs with arms

osteomyelitis

temp of 102 erythema of affected area tenderness of affected area

at which joint would the nurse be bale to palpate spongy swelling caused by excess synovial fluid

temporomandibular joint

positioning after a total hip arthroplasty

use a pillow to keep the legs abducted

which position would the nurse encourage for the client who had an above the knee amputation

functional alignement

when treating clients for osteoporosis, which medication has a side effect of atrial fibrillation when infused too quickly

zoledronic acid

scoliosis of thoracic spine and lumbar spine

cardiac function impairment

which medications are useful to relieve pain associated with muscle spams? select all that apply

carisoprodol methocarbamol cyclobenzaprine

which condition can be identified in a client using phalanx test

carpal tunnel syndrome

exacerbation of arthtirits

encourage motion of the joint maintain joints in functional alignment when resting

which type of cast or splint would the nurse expect to see on a child with a fractured femur

hip spica

which clinical manifestation would the nurse associate with landouzy-dejerine muscular dystrophy

loss of hearing

hip replacement

place pillow btwn legs use elevated toilet seat keep hips neutral

four point gait with crutches

the client must be able to bear weight on both legs

which crutch walking technique would the nurse need to reinforce after the client has knee surgery

three point

for which purpose is a goniometer used

to assess range of motion

bucks traction

to immobilize the fracture

3 on muscle strength scale

active movement against gravity but not against resistance

4 hours after hip replacement

advise the client that the legs must be kept wide apart

cartilaginous degeneration

advise to take warm showers

which nursing intervention would be contraindicated for a client who has a fracture and has compartment syndrome? select all that apply

applying cold compresses elevating the extremity above heart level

the nurse finds that the client has normal knees with a space between the clients medical malleoli of 4.5cm which condition would cause this finding? select all that apply

arthritis poliomyelitis congenital deformity

below the knee amputation further teaching

at night, i sleep with a pillow under my knees

which type of joint permits movement in any direction

ball and socket

the nurse is teaching positioning techniques to a client who developed degenerative joint disease of the vertebral column. in addition to suggesting that the client keep the spin straight and cross the arm over the chest, which instruction would the nurse provide

bend the top knee to the side to which the client is turning

which joint helps in the gliding movement of the wrist

biaxial joint

the laboratory reports of a client reveal a total serum calcium level of 8.1. identify the correct order of events to correct this clients total serum calcium level

1. increase of PTH 2. stimulation of osteoclastic activity 3. release of calcium into the blood 4. elevation of serum calcium levels

which intervention would the nurse include in the plan of care for a client after total hip replacement? select all that apply

1. regularly scheduled analgesics and as needed meds for pain control 2. frequent neuro assess should be done 3. when turning, the client should be log rolled to prevent the leg

the nurse notes an older adults admission orders include gentamicin for the treatment of osteomyelitis. which laboratory report would the nurse review before beginning the medication? select all that apply

BUN and creatinine, electrolytes and urinalysis

which area are the central thermoreceptors located in the human body select all that apply

spinal cord hypothalamus abdominal organs

bone density

standary x ray

avoid after a total hip replacement

sitting in a low chair

skeletal muscles

skeletal muscles accounts for about half of a human beings body weight

rotator cuff surgery

skin color presence of edema movement of the hand sensations in the extremity

a client with cancer is scheduled for a bone scan. which comment by the client indicates to the nurse that the teaching before the scan has been effective

a low radioactivity substance will be injected into my vein, and a machine will detect where it goes

pain due to muscle spasm

providing heat compresses at the site

walker walking

put walkers front leg tips about an arms length ahead of feet shift the body eight to the walker and step forwards

increase countertraction to reduce hip fx

raise the foot of the bed slightly

exacerbation of arthritistis diet

regular with vitamins and minerals

traction for fractured hip

relieving muscle spasm and pain

avoid when providing care for a fractured extremity

remove shoes or boots

which joint is an example of a gliding joint

sacroiliac

which action would the nurse take to ensure that bucks traction is being applied correctly

cast hand weight to apply traction, but limit to 10 lb

a clients blood test after receiving a general anesthetic indicates increased intracellular calcium levels. which medication would the nurse anticipate administering to this client

dantrolene

which factor contributes to a clients slow rate of healing? select all that apply

diabetes, smoking, alcohol abuse

which nursing intervention would the nurse implement when providing postoperative care for a client who had a below the knee amputation

elevate residual leg slightly while keeping the knee joint straight for first 24 hours

which client joint would be palpated by the nurse to identify genu valgum

knee

which joint is an example of a condyloid

wrist

compartment syndrome

bivalve the cast loosen the bandage applied evaluate the clients level of pain

30 degree and pulling toward tibia

lachmans test

which movement would the nurse assess to determine a clients range of motion in the ankle? select all that apply

eversion inversion dorsiflexion plantar flexion

after total knee replacement continuous passive motion device

improve joint flexion

which intervention would the nurse anticipate incorporating into the plan of care for a client with bursitis of the left knee? select all that apply

rest affected joint use compression splint take NSAIDs

which assessment data would the nurse examine when planning the care for a client with paget disease and taking zoledronic acid? select all that apply

serum creatinine dental examination serum alkaline phosphatase

which instruction would he nurse give a client while performing McMurrays test

to flex, rotate, and extend the knee

a client returns from surgery, after a right below the knee amputation, with the residual limb straight, bu t elevated on a pillow to prevent edema. in which position would the nurse place the line taste the first post op day

turn client to the prone position for 15 to 20 minutes at least three times a day

the health care provide3r prescribed raloxifine for a client with osteoporosis. which manifestation would the nurse monitor in this client

monitor liver function tests

for which clinical manifestation would the nurse focus when assessing clients taking tobramycin? select all that apply

blurred vision hearing impairment decreased sense of smell

which finding would the nurse expect when assessing a client with fat embolism syndrome? select all that apply

decreased PaO2 lipids in the urine decreased hematocrit level

a client with multiple myeloma is scheduled to have a chest x ray and bone scan. which action is the priority responsibility of the nursing and radiology staff

handle the client with supportive movements

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 statement made by the client would indicate to then ruse that teaching has been effective regarding the management of low back pain? select all that apply

i should keep a check on my body weight i should stop exercising if the pain becomes severe

which client statement indicates understanding of the precautions taken during bisphosphonate therapy

i should take the medication with a large glass of water

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

moderate abduction

osteochondroma

occurs most often in those 10 to 25 years old

which type of synovial joint movement is involved in moving the clients first and fifth metacarpals anteriorly from the flattened palm?

opposition

which treatment is considered first line for pagets disease

oral alendronate

which hormone promotes bone resorption in a client and potential leads to decreased bone density

parathyroid hormone

which serum hormone level elevates in response to a clients total serum calcium concentration of 7.9

parathyroid hormone

a primary health care provider schedules a bone scan for a client with osteoporosis which nursing action is beneficial for the client? select all that apply

placing the client tin the supine position instructing the client to empty their bladder before the scan

which instruction would the nurse include when providing discharge teaching to a client who had hip replacement surgery about protecting the affected extremity when in the sitting position

when sitting in a firm armchair, the left foot should be flat on the floors surface

the client can complete range of motion with gravity eliminated. which grade would the nurse assign to the clients muscle strength

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