Ch 63: Musculoskeletal Problems
which statement by a patient with discomfort from a bunion indicates to the nurse that more teaching is needed?
"I can only wear sandals, no closed-toe shoes."
the nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee amputation. which patient statement indicates to the nurse that additional teaching is needed?
"I did not have this bone cancer until my leg broke a week ago."
a patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the left femur. which statement by the patient should indicate to the nurse the need for additional teaching related to health maintenance?
"I think my left foot is starting to droop down."
a patient whose employment requires frequent lifting has a history of chronic back pain. after the nurse has taught the patient about correct body mechanics, which patient statement indicates the teaching has been effective?
"I will begin doing exercises to strengthen and support my back."
which action should the nurse take first when a patient is seen in the outpatient clinic with neck pain?
ask about numbness or tingling of the hands and arms
what action should the nurse complete before administering alendronate (Fosamax) to a patient with osteoporosis?
assist the patient to sit up at the bedside
a patient with muscular dystrophy is hospitalized with pneumonia. which nursing action should the nurse include in the plan of care?
assist the patient with ambulation
a 54-yr-old woman who recently reached menopause and has a family history of osteoporosis is diagnosed with osteopenia. which information should the nurse explain to the patient?
calcium loss from bones can be slowed by increasing calcium intake and weight-bearing exercise
which information should the nurse include when teaching a patient with acute low back pain? SELECT ALL APPLY
expect symptoms of acute low back pain to improve in a few weeks. avoid activities that require twisting of the back or prolonged sitting. use ibuprofen (Motrin, Advil) or acetaminophen (Tylenol) to relieve pain.
a patient is being discharged after 1 week of IV antibiotic therapy for acute osteomyelitis in the right leg. which information should the nurse include in the discharge teaching?
how to monitor and care for a long-term IV catheter
a patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic irrigation. which intervention should the nurse include in the initial plan of care?
immobilization of the left leg
what should the nurse include in the teaching plan for ae patient who has acute low back pain and muscle spasms?
keep the head elevated slightly and flex the knees when resting in bed
which action included in the care of a patient after laminectomy can the nurse delegate to experienced unlicensed assistive personnel (UAP)?
log roll the patient from side to side every 2 hours.
which assessment finding for a 55-yr-old patient should alert the nurse to the presence of osteoporosis?
loss of height
which actions should the nurse include in the plan of care for a patient with metastatic bone cancer of the left femur? SELECT ALL THAT APPLY
monitor serum calcium explain the use of sustained-release opioids support the left leg when repositioning the patient assist family and patient as they discuss the prognosis
which menu choice by a patient with osteoporosis indicates the nurse's teaching about appropriate diet has been effective?
oatmeal with skim milk and fruit yogurt
what should the nurse assess to evaluate the effectiveness of alendronate (Fosamax) therapy for a patient with Paget's disease?
pain intensity
a nurse who works on the orthopedic unit has just received change-of-shift report. Which patient should the nurse assess first?
patient who has not voided 8 hours after a laminectomy
which action should the nurse take when repositioning the patient who has just had a laminectomy and discectomy?
place a pillow between the patient's legs and turn the entire body as a unit
which action should the nurse take before administering gentamicin (Garamycin) to a patient with acute osteomyelitis?
review the patient's serum creatinine results
after laminectomy with a spinal fusion to treat a herniated disc, a patient reports numbness and tingling of the right lower leg. what action should the nurse take?
review the preoperative assessment data in the health record
which action should the nurse take when caring for a patient with osteomalacia?
teach about the use of vitamin D supplements
a patient has had surgical reduction of an open fracture of the right radius. Which assessment findings should the nurse report immediately to the health care provider?
temperature 101.4F (38.6C)
