Med-Serg chapter 36

Degenerative joint disease

A client comes to the emergency department complaining of pain in the right leg. When obtaining the history, the nurse learns that the client has a history of obesity and hypertension. Based on this information the nurse anticipates the client having which musculoskeletal disorder?

Administering large doses of I.V. antibiotics as ordered

A client is admitted with acute osteomyelitis that developed after an open fracture of the right femur. When planning this client's care, the nurse should anticipate which measure?

L4, L5, and S1

A client visits an orthopedic specialist because of pain beginning in the low back and radiating behind the right thigh and down below the right knee. The doctor suspects a diagnosis of sciatica. The nurse knows that the origin of the pain is between which intervertebral disks?

Surgical debridement

A client with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. The wound appearance has not improved. What action would the nurse anticipate to promote healing?

Have the client hold the palm of the hand up while the nurse percusses over the median

A healthcare provider asks a nurse to test a client for Tinel's sign to diagnose carpal tunnel syndrome. What should the nurse do to perform this assessment?

Have the client hold the palm of the hand up while the nurse percusses over the median nerve.

A healthcare provider asks a nurse to test a client for Tinel's sign to diagnose carpal tunnel syndrome. What should the nurse do to perform this assessment?

Apply a knee brace or wrap the affected knee.Apply ice packs to the affected knee.Elevate the affected leg.

A high school student who was injured in a football game presents with knee pain with internal rotation of the foot. Which interventions are appropriate nursing actions? Select all that apply.

Perform neuromuscular assessment every hour.

A nurse is caring for a client following foot surgery. Which nursing intervention is most important for the nurse to include in the nursing care plan?

Chlorpheniramine

A nurse is caring for a client with eczema. Which medication would be prescribed when an allergy is a factor causing the skin disorder?

The recommended daily allowance of calcium may be found in a wide variety of foods.

A nurse is teaching a client about preventing osteoporosis. Which teaching point is correct?

"Ergonomic changes can be incorporated into your workday to reduce stress on your wrist."

A nurse is teaching a client who was recently diagnosed with carpal tunnel syndrome. Which statement should the nurse include?

Ergonomic changes can be incorporated into your workday to reduce stress on your wrist."

A nurse is teaching a client who was recently diagnosed with carpal tunnel syndrome. Which statement should the nurse include?

Performing hourly neurovascular assessments for the first 24 hours

A patient had hand surgery to correct a Dupuytren's contracture. What nursing intervention is a priority postoperatively?

Surgical debridement

In chronic osteomyelitis, antibiotics are adjunctive therapy in which situation?

Swelling of the third (lateral) branch of the median plantar nerve

Morton neuroma is exhibited by which clinical manifestation?

Has a weight gain of 5 pounds

The client with osteoarthritis is seen in the clinic. Which assessment finding indicates the client is having difficulty implementing self-care?

Supplemental calcium and increased doses of vitamin D

The health care team is caring for a client with osteomalacia. It has been determined that the osteomalacia is caused by malabsorption. What treatment should the nurse anticipate?

Alendronate (flosmax)

The nurse is caring for a client with a hip fracture. The physician orders the client to start taking a bisphosphonate. Which medication would the nurse document as given?

Quadriceps

The nurse is educating the patient with low back pain about the proper way to lift objects. What muscle should the nurse encourage the patient to maximize?

Walk or perform weight-bearing exercises outdoors

The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action?

Osteomalacia

Which condition is a metabolic bone disease characterized by inadequate mineralization of bone?

Calcitonin (Miacalcin)

Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing BMD?

Calcitonin

Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing bone mass density (BMD)?

Calcitonin

Which of the following inhibits bone resorption and promotes bone formation?