NUR 1172: Prep U Module 1

A group of students are reviewing information about osteoporosis in preparation for a class discussion. The students demonstrate a need for additional review when they state which of the following as a risk factor?

Hypothyroidism

Surgical fusion of a joint.

Arthrodesis

Identifying acute or chronic tears of the joint capsule or supporting ligaments of the knee, shoulder, ankle, hip, or waist.

Arthrography

Instructions for the patient with low back pain include that when lifting the patient should:

Avoid Overreaching

Indicator of neurovascular compromise.

Capillary Refill >3 Seconds

Infection is blood bone the manifestations include which of the following symptoms?

Chills

Early complication of fracture healing.

Fat Embolism Syndrome

A fracture is termed pathologic when the fracture:

Occurs through an area of diseased bone.

Serum albumin is an indicator of which type of deficiency?

Protein

Which intervention should the nurse implement with the client who has undergone a hip replacement?

Instruct the client to avoid internal rotation of the leg.

Lifestyle risk factors for osteoporosis includes this.

Lack of Exposure to Sunshine

When discussing physical activities with the client who has just undergone a right total hip replacement, which instruction should the nurse provide?

Limit hip flexion to 90 degrees

Factor that inhibits fracture healing.

Local Malignancy

Excision of damage joint fibrocartilage.

Meniscectomy

Failure of fragments of a fractured bone to heal together.

Nonunion

Hallmark sign of compartment syndrome.

Pain

Which therapeutic exercise is done by the nurse without assistance from the patient?

Passive

Which of the following is a characteristic of fracture pain?

Piercing

The nurse is taking the health history of a newly admitted client. Which of the following conditions would place the client at risk for impaired immune function?

Previous Organ Transplantation

Which of the following terms refers to disease of a nerve root?

Radiculopathy

Spinal cord injury pt has no awareness of the needed void.

Reflex (Neurogenic) Incontinence

Phase of bone healing after fracture does callus formation occur.

Reparative

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

Risk for Falls

Which of the following musculoskeletal injuries is manifested by acromioclavicular joint pain?

Rotator Cuff Tears

Lateral curving of the spine.

Scoliosis

Lab study indicates the rate of bone turnover.

Serum Osteocalcin

Pt with CTS experience pain in the hands. What to help assuage the pain in the pt?

Shake the hands

Which sign may be helpful in identifying carpal tunnel syndrome?

Tinel's

A male patient with a musculoskeletal injury is instructed to alter his diet. The objective of this diet alteration is to facilitate the absorption of calcium from food and supplements. Considering the food intake objective, which of the following food items should the nurse encourage the patient to include in the diet?

Vitamin D-Fortified Milk

Designed to support and immobilize a body part in a desired position.

Splint

What stage of pressure ulcer development does the ulcer extend into the subcutaneous tissue?

Stage III

Type of incontinence is associated with weakened perineal muscles that permit the leakage of urine when intra-abdominal pressure is increased.

Stress Incontinence

A client's left leg is in skeletal traction with a Thomas leg splint and Pearson attachment. Which intervention should the nurse include in this client's care plan?

Teach the client how to prevent problems caused by immobility.

The nurse is conducting an admission history of a client admitted with a fracture. The nurse recognizes that which of the client's medications placed the client at risk for fractures?

prednisone (Deltasone)

A nurse is describing the concept of habilitation to a group of families who have members in need of these services. Which of the following statements would the nurse include in this description?

"Habilitation focuses on the person's abilities."

The nurse is preparing the client for computed tomography. Which information should be given by the nurse?

"You must remain very still during the procedure."

The nurse is reviewing the client's admission assessment and notes that crepitus of the right knee joint was documented. The nurse recognizes that crepitus is:

A grating sound when a joint is put through range of motion.

Common cause of death in patients diagnosed with fat emboli syndrome.

ARDS

Which of the following statements describes paresthesia?

Abnormal Sensations

The post-amputation client is seen by the home health nurse. One client outcome included preventing exposure to infection. Which finding would indicate to the nurse that this outcome was met?

Absence of Fever

This is an inconsistent initial pain relief measure for the patient with a cast.

Application of a New Cast

The nurse teaches the patient with a high risk for osteoporosis about risk-lowering strategies including which of the following actions?

Walk or perform weight-bearing exercises outdoors.

A client is scheduled to have an x-ray examination of his shoulder in which the synovial fluid will be aspirated and sent to the laboratory for analysis. This will be followed by administration of a contrast medium and x-rays. The nurse understands that the client will be undergoing which of the following?

Arthrogram

A group of students are reviewing information about cast composition in preparation for a discussion on the advantages and disadvantages of each. The students demonstrate understanding of the topic when they cite which of the following as an advantage of a plaster cast?

Better molding to the client.

Pt learn to consciously contract excretory sphincters and control voiding cues.

Biofeedback

Which of the following clinical manifestations would the nurse expect to find in a client who has Paget's disease?

Bowing of the legs

Medication directly inhibits osteoclasts thereby reducing bone loss and increasing BMD.

Calcitonin (Miacalcin)

Most effective cleansing solution to complete pin site care.

Chlorhexidine

Complication the nurse closely monitored in late postop period of patient who has its arm amputated surgically.

Chronic Osteomyelitis and Causalgia

NV problem caused by pressure within a muscle area that increase to such an extent that microcirculation diminishes.

Compartment Syndrome

Alters urinary elimination patterns in older adults.

Decrease Muscle Tone

A group of students are reviewing the structure and function of bones. The students demonstrate understanding of the information when they state that cortical bone is found primarily in which of the following?

Diaphyses

Colles' fracture occurs in this area.

Distal Radius

A rehabilitation nurse is assisting a patient to cope with a disability. Which of the following would the nurse suggest?

Emphasize areas of strengths.

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 24 to 48 hours, then apply heat packs."

Shaft of the long bone.

Diaphysis

Pulselessness late sign of compartment syndrome and of this.

Diminished Arterial Perfusion

Type of therapeutic exercise performed by the patient where the muscle contracts and relax.

Isometric

Mature compact bone structures that form concentric rings of bone matrix.

Lamellae

Skin or mucous membranes extends to the fractured bone.

Simple Fracture

Inaccurate principle of traction.

Skeletal traction is interrupted to turn and reposition the patient.

The nurse is planning discharge instructions for the client with osteomyelitis. What instructions should the nurse include in the discharge teaching?

Swing-through

Dupuytren's contracture causes flexion of this areas.

Fourth and Fifth Fingers

A client spends most of his time in a wheelchair. The nurse would be especially alert for the development of pressure ulcers in which area?

Ischial tuberosity

Which nursing intervention is appropriate for minimizing muscle spasms in the client with a hip fracture?

Maintain Buck's traction.

Which of the following is the only selective estrogen receptor modulator approved for osteoporosis in post menopausal women?

Raloxifene

A rehabilitation nurse is preparing a presentation for clients and caregivers about issues that clients with disabilities may face. Which of the following would be most appropriate for the nurse to include in the presentation?

Priority setting is helpful in dealing with the impact of the disability.

During assessment, a patient reports that she sometimes "wets herself" when sneezing. The nurse documents this as which of the following?

Stress incontinence

When assessing the patient with osteoporosis, nurse finds that the patient takes antacids. Which information should the nurse give to the patient?

Take antacids containing calcium

A client who suffers an injury in a local high school hockey game presents with left shoulder pain. The client cannot move the left arm, and the left shoulder is lower than the right shoulder. The nurse recognizes the client most likely has a:

Dislocated Shoulder