Musculoskeletal Disorders

What clinical manifestation would the nurse expect to find in a client who has had osteoporosis for several years? a. Decreased height b. Bone spurs c. Diarrhea d. Increased heel pain

a. Decreased height

The client diagnosed with osteosarcoma is scheduled for a surgical amputation. Which nursing diagnosis would be a priority for this client compared with other surgical clients? a. Disturbed body image b. Risk for infection c. Impaired physical mobility d. Inadequate nutrition

a. Disturbed body image

Assessment of a client reveals signs and symptoms of Paget's disease. Which of the following would be most likely? a. Long bone bowing b. Lordosis c. Upright gait d. Skull narrowing

a. Long bone bowing

A client presents to the emergency department with fever, chills, restlessness, and limited movement of a fractured jaw. What complication should the nurse interpret as the findings? a. Compartment syndrome b. Osteomyelitis c. Avascular necrosis d. Fat embolism

b. Osteomyelitis

A client is diagnosed with osteomyelitis. This is most commonly caused by which of the following? a. Pseudomonas aeruginosa b. Staphylococcus aureus c. Escherichia coli d. Proteus vulgaris

b. Staphylococcus aureus

In chronic osteomyelitis, antibiotics are adjunctive therapy in which situation? a. Wound packing b. Surgical debridement c. Wound irrigation d. Vitamin supplements

b. Surgical debridement

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? a. Have the client make a fist and open the hand against resistance. b. Have the client pronate the hand while the nurse palpates the radial nerve. c. Have the client hold the palm of the hand up while the nurse percusses over the median nerve. d. Have the client stretch the fingers around a ball and squeeze with force.

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

Which group is at the greatest risk for osteoporosis? a. European American women b. Asian American women c. Men d. African American women

a. European American women

A nurse is teaching a client who was recently diagnosed with carpal tunnel syndrome. Which statement should the nurse include? a. "Using arm splints will prevent hyperflexion of the wrist." b. "This condition is associated with various sports." c. "Surgery is the only sure way to manage this condition." d. "Ergonomic changes can be incorporated into your workday to reduce stress on your wrist."

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

Morton neuroma is exhibited by which clinical manifestation? a. Swelling of the third (lateral) branch of the median plantar nerve b. Longitudinal arch of the foot is diminished c. Inflammation of the foot-supporting fascia d. High arm and a fixed equinus deformity

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

Which of the following are routes of administration for Calcitonin? Select all that apply. a. Intravenous b. Intramuscular injection c. Oral d. Subcutaneous e. Nasal spray

b, d, e

The nurse has educated a patient with low back pain about techniques to relieve the back pain and prevent further complications. What statement by the patient shows understanding of the education the nurse provided? a. "I will bend at the waist when I am lifting objects from the floor." b. "I will avoid prolonged sitting or walking." c. "I will lie prone with my legs slightly elevated." d. "Instead of turning around to grasp an object, I will twist at the waist."

b. "I will avoid prolonged sitting or walking."

Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing bone mass density (BMD)? a. Vitamin D b. Calcitonin c. Raloxifene d. Teriparatide

b. Calcitonin

A home care nurse assesses for disease complications in a client with bone cancer. Which laboratory value may indicate the presence of a disease complication? a. Sodium level of 110 mEq/L b. Potassium level of 6.3 mEq/L c. Calcium level of 11.6 mg/dl d. Magnesium level of 0.9 mg/dl

c. Calcium level of 11.6 mg/dl

A nurse is planning discharge instructions for the client with osteomyelitis. What instructions should the nurse include in the discharge teaching? a. "You need to perform weight-bearing exercises twice a week." b. "Use your continuous passive motion machine for 2 hours each day." c. "You need to limit the amount of protein and calcium in your diet." d. "You will receive IV antibiotics for 3 to 6 weeks."

d. "You will receive IV antibiotics for 3 to 6 weeks."

A nurse notices a client lying on the floor at the bottom of the stairs. The client is alert and oriented and denies pain other than in the arm, which is swollen and appears deformed. After calling for help, what should the nurse do? a. Raise the client's arm above the heart. b. Place the client in a sitting position. c. Help the client walk to the nearest nurses' station. d. Immobilize the client's arm.

d. Immobilize the client's arm.

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? a. Administer pain medication per client request. b. Monitor vital signs every 4 hours. c. Examine the surgical dressing every hour. d. Perform neuromuscular assessment every hour.

d. Perform neuromuscular assessment every hour.

When an infection is bloodborne, the manifestations include which symptom? a. Hypothermia b. Chills c. Hyperactivity d. Bradycardia

b. Chills

A client is informed that he has a benign bone tumor but that this type of tumor that may become malignant. The nurse knows that this is characteristic of which type of tumor? a. Enchondroma b. Osteoclastoma c. Osteoid osteoma d. Osteochondroma

b. Osteoclastoma

A nurse is educating a client diagnosed with osteomalacia. Which statement by the nurse is appropriate? a. "You will need to engage in vigorous exercise three times a week for 30 minutes." b. "You will need to avoid foods high in phosphorus and vitamin D." c. "You may need to be evaluated for an underlying cause, such as renal failure." d. "You will need to decrease the amount of dairy products you consume."

c. "You may need to be evaluated for an underlying cause, such as renal failure."