Musculoskeletal Dynamic Quiz

A nurse is determining a client's risk of developing osteoporosis. The nurse should identify that which of the following are risk factors for bone loss? SATA A. Small body frame B. Hypertension C. African-American ethnicity D. Low vitamin D intake E. Smoking

A, D, E

A nurse is caring for a client who has osteoporosis and a new prescription for calcium supplements. Which of the following foods should the nurse recommend to promote calcium absorption? A. Fortified milk B. Ripe bananas C. Steamed broccoli D. Green leafy vegetables

A. Fortified milk

A nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe methotrexate at which of the following times? A. Within 3 months of the initial diagnosis B. When NSAIDs have not provided pain relief C. During an exacerbation of symptoms D. Once bone degeneration progresses

A. Within 3 months of the initial diagnosis

A nurse is reviewing the medical records of a client who has postmenopausal osteoporosis and a prescription for raloxifene. Which of the following findings in the client's medical record should the nurse identify as a contraindication to receiving this medication? A. Breast cancer B. History of deep-vein thrombosis (DVT) C. Allergy to calcitonin D. Current diagnosis of cholecystitis

B. History of deep-vein thrombosis (DVT)

A nurse is reinforcing medication teaching to a client who has a new diagnosis of rheumatoid arthritis. Which of the following medications in the therapy regimen will take weeks to months to be effective? A. Ibuprofen B. Methotrexate C. Prednisone D. Celecoxib

B. Methotrexate

A nurse is caring for a client who has rheumatoid arthritis and a new prescription for etanercept. Which of the following values should the nurse review prior to the administration of the medication? A. Ability to swallow B. Results of last purified protein derivative (PPD) test C. Serum creatinine level D. Blood glucose level

B. Results of last purified protein derivative (PPD) test

A nurse is preparing to administer an initial dose of etanercept for a client who has rheumatoid arthritis. For which of the following manifestations should the nurse monitor as a potential adverse effect of the medication? A. Blurred vision B. Rhinitis C. Urinary retention D. Anorexia

B. Rhinitis

A nurse in a provider's office is reinforcing teaching with a client who has osteoporosis and a new prescription for alendronate sodium. Which of the following pieces of information should the nurse provide? A. Alendronate sodium can be administered by IV once yearly B. Take alendronate sodium with a full glass of water on an empty stomach C. Side effects of alendronate sodium include leukopenia D. Alendronate sodium should be taken with calcium-containing foods to increase absorption.

B. Take alendronate sodium with a full glass of water on an empty stomach

A nurse is reinforcing teaching with a client who is postmenopausal and has a prescription for alendronate. Which of the following statements should the nurse include in the teaching? A. You can lie down 15min after taking this medication B. Take this medication on an empty stomach C. Crush this medication to improve absorption D. Avoid taking antacids or supplements that contain calcium while taking this medication

B. Take this medication on an empty stomach

A nurse is teaching a client who has osteoporosis and a new prescription for alendronate. Which of the following client statements indicates that the teaching was effective? A. "I should take the medication with a glass of orange juice." B. "I will allow the medication to dissolve in my mouth." C. "I will sit upright for 30min after taking the medication." D. "I should take the medication right after eating breakfast."

C. "I will sit upright for 30min after taking the medication."

A nurse is reviewing the medical record of a client who is postmenopausal and has osteoporosis. The client has a new prescription for alendronate sodium. Which of the following findings in the client's history is a contraindication to this medication? A. Glaucoma B. Paget's disease C. Esophageal stricture D. Long-term corticosteroid use

C. Esophageal stricture

A nurse is reinforcing teaching with a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin-salmon. Which of the following statements by the client indicates an understanding of the teaching? A. I will administer a spray into each nostril daily B. I should expect nasal bleeding for the first week C. I will need to depress the side arms initially to activate the pump D. I should expect to take this medication for short-term course of treatment

C. I will need to depress the side arms initially to activate the pump

A nurse is reinforcing teaching with a client who has been taking an NSAID to treat rheumatoid arthritis. During the client's first month checkup, the provider prescribed methotrexate to be added to the medication regimen. Which of the following statements should the nurse include in the teaching about the purpose of this change in the client's medication? A. "Your current medication was not strong enough to manage this condition." B. "Once your blood levels of methotrexate are within the therapeutic range, the NSAID will be discontinued." C. This medication was added to delay the disease progression." D. "Treating this disease with 2 medications will help protect you from becoming treatment-resistant."

C. This medication was added to delay the disease progression."

A nurse is preparing to administer raloxifene to a client. Which of the following conditions is a contraindication for the administration of this medication? A. Osteoporosis B. Hyperthyroidism C. Myocardial infarction D. Deep-vein thrombosis

D. Deep-vein thrombosis

A nurse is reinforcing teaching with a client who is scheduled to start taking alendronate sodium. Which of the following recommendations should the nurse include in the teaching? A. The medication may be crushed if you have difficulty swallowing it B. Drink a full glass of milk when you take the medication C. Take the medication at bedtime D. Discontinue the medication if you develop heartburn

D. Discontinue the medication if you develop heartburn

A nurse is reviewing the medical record of a female client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? A. Decreased intake of sodium B. Spending several hours in the sun daily C. Increased estrogen levels D. History of anorexia nervosa

D. History of anorexia nervosa

A nurse is reinforcing teaching with a client who has osteoporosis. Which of the following instructions should the nurse include in the teaching? A. Reduce dietary protein intake B. Apply ice to painful areas C. Increase calcium intake to 900mg per day D. Perform weight-bearing exercises

D. Perform weight-bearing exercises

A nurse is caring for a female client who has osteoporosis and is taking raloxifene. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication? A. Severe leg cramps B. Urinary frequency C. Jaw pain D. Sudden onset of dyspnea

D. Sudden onset of dyspnea