Multiple sclerosis, Parkinson's disease, Osteoarthritis, Arthroplasty, Low-back pain.

When assessing a patient diagnosed with osteoarthritis (OA), the healthcare provider looks for which characteristic of this condition? A. waddling gait B. decreased grip strength C. joint crepitus D. bilateral joint swelling

C. joint crepitus

A nurse is providing preoperative teaching for a client who is scheduled for a total knee arthroplasty. Which of the following statements by the client indicates an understanding of the teaching? A. "I will begin exercising my legs the day after surgery." B. "I will wear a continuous movement machine on my knee for 24 hours a day." C. "I should avoid taking NSAID medications for pain after surgery." D. "I should wear elastic stockings on both legs." E. "I can use a pillow under my knees for comfort."

D. "I should wear elastic stockings on both legs."

A nurse is teaching about levodopa with a family member of a client who has Parkinson's disease. Which of the following pieces of information should the nurse include? A. Levodopa is given at the onset of mild symptoms. B. A full therapeutic response may take several months to happen. C. Levodopa should be taken with high-protein foods. D. Levodopa is used as a PRN medication.

B. A full therapeutic response may take several months to happen.

A nurse is developing a plan of care for the nutritional needs of a client with stage 4 Parkinson's disease. Which actions should be included: A. Provide 3 large balanced meals daily B. Add thickener to liquids C. Limit proteins and calories D. Limit fluids

B. Add thickener to liquids

The nurse is evaluating the communication abilities of a client with Parkinson's disease. The nurse determines that outcomes have been met with the client does which of the following? A. Speaks as quickly as he can. B. Does not talk because it is frustrating. C. Lets a family member speak for him. D. Brings a white board and marker to the visit.

D. Brings a white board and marker to the visit

When assessing a patient diagnosed with multiple sclerosis (MS) which of the following would require immediate action by the healthcare provider? A. Fatigue and depression B. Paresthesia and tremor C. Nystagmus and diplopia D. Dysphagia and congested cough

D. Dysphagia and congested cough This pt will experience all of these symptoms but D. will most likely kill the pt first.

An obese client with OA is being managed pharmacologically with acetaminophen therapy. The nurse determines that additional teaching is necessary when the client says: A. "I use my acetaminophen when I have extreme pain or stiffness." B. "I use heat sometimes to help reduce my pain and stiffness." C. "I frequently examine my stools for bleeding." D. "I've started a smoking cessation program."

A. "I use my acetaminophen when I have extreme pain or stiffness."

A nurse is providing teaching about degenerative complications to the partner of a client who has a new diagnosis of Parkinson's disease. Which manifestation is the priority? A. Dysphagia B. Emotional lability C. Impaired speech D. Self-care dependency

A. Dysphagia this is a priority question, they will have all of these symptoms but this is the most abundant one

A client who has been coughing intermittently during meals, attempting to clear her throat repeatedly, and eating only a small portion of each meal. Which member of the interprofessional team should the nurse recommend a referral? A. Speech-language pathologist B. Social Worker C. Physical therapist D. Occupational therapist

A. Speech-Language Pathologist

The nurse is evaluating a patient who is being treated for low back pain. The nurse concludes the goals have been met when the client does which of the following? A. swims for exercise B. asks supervisor for a desk job C. begins jogging to lose weight D. rates 5 or less as an acceptable level of pain

A. swims for exercise d is incorrect because it needs to be 3 or less.

A nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. Which of the following medications should the nurse anticipate administering to this client to prevent a deep vein thrombosis? A. aspirin B. warfarin C. acetaminophen D. enoxaparin

D. Enoxaparin

A nurse is providing discharge instructions for a client who had a left total hip arthroplasty. Which of the following statements indicates the teaching was effective? A. "I should expect swelling of the left leg for several weeks." B. "I should not cross my legs at the ankles or knees." C. "I will inspect my hip inscision for redness every other day." D. "I can bend over at the hip to pick up objects."

B. "I should not cross my legs at the ankles or knees."

A nurse is providing discharge teaching to a client who is postoperative following total hip arthroplasty. Which of the following statements indicates the client understands the instructions? A. "When I can walk without my walker, I can stop attending physical therapy." B. "I'll use a reacher to help me pick up anything I drop on the floor." C. "When I'm doing my exercises, I'll include bent-leg raises." D. "I'll use alcohol pads to clean my incision each day."

B. "I'll use a reacher to help me pick up anything I drop on the floor."

The client with OA reports "the pain is increasing each day" wants to discuss non-pharmacological approaches to help relieve her pain. Which of the following interventions will the nurse suggest? A. Limiting sleep to 6-7 hours per night. B. Applying warm compresses to sore joints. C. Use ice pack directly against skin for maximum pain relief. D. Use a pillow to keeping joints flexed during rest periods.

B. Applying warm compresses to sore joints. can leave it for 10-30 min c. is wrong because it says DIRECTLY AGAINST SKIN d. you do not want joints flexed

A nurse is caring for a client who is 3 days postoperative following a right total hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should assess the client for which of the following manifestations of dislocation of the hip prosthesis? A. Bulging in the area over the surgical incision. B. Shortening of the right leg. C. Sensation of warmth over the surgical incision. D. Pallor following elevation of the right leg.

B. Shortening of the right leg.

A client newly diagnosed with Multiple Sclerosis asks the nurse "What is the usual course of MS?" A."Each client is different; we cannot predict what will happen." B. "I can see you are worried, but it's too soon to predict what will happen." C. D.

C.

Which of the following statements is correct for a patient with OA of Right Hip and lower back: A. "I will exercise even when I feel pain." B. "I should avoid using a heating pad on my back." C. "Using a cane when I walk can help me relieve the pressure on my hip." D. "I can get a steroid injection in my joints to treat my pain."

C. "Using a cane when I walk can help me relieve the pressure on my hip."

A nurse is teaching a client with low back pain about heat therapy. Which of the following statements by the client indicates a need for further teaching? A. I can use hot showers or moist heating pads to promote comfort. B. Keeping the heat on my back for 10-30 minutes will help it heal. C. I'll sleep on top of the heating pad to increase the heat penetration. D. I shouldn't turn up the temperature if I can't feel the heat.

C. I'll sleep on top of the heating pad to increase the heat penetration.

A nurse is planning care for client following a total hip arthroplasty. Which of the following interventions should the nurse include in the plan? A. Position the client with her legs adducted B. Internally rotate the client's affected hip C. Instruct the client to avoid flexing her hip more than 95 degrees D. Place a pillow between the client's legs

D. Place a pillow between the client's legs

A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for baclofen PO. Which of the following pieces of information should the nurse include? A. You should take the medication on an empty stomach to increase absorption. B. You can stop taking the medication once your back spasms disappear. C. You can expect to experience urinary frequency when you first start taking this medication. D. You should change positions slowly while taking this medication.

D. You should change positions slowly while taking this medication.

When will the client with Parkinson's disease need a physical therapist A. Need for gait assessment B. Postural assessment C. Range of motion D. all of these

D. all of the above

The nurse provides teaching to a 50-year-old white male client who has low back pain. He weighs 290 pounds, drives a forklift, sits for prolonged periods, and seldom participates in exercise activity. He has smoked for 30 years. What risk factors should the nurse include in the teaching? A. lack of exercise, obesity, sitting for prolonged periods B. degenerative disc disease, race, inactivity C. age, obesity, lack of exercise, genetic factors D. every thing about his lifestyle is a risk factor

D. every thing about his lifestyle is a risk factor pregnancy is also a risk factor