musculoskeletal plickers

an older adult patent had a hip replacement. When should the patient begin with assisted ambulation with a walker?

24 hours

a patient comes back to the clinic with continued reports of back pain. What time frame does the nurse understand constitutes "chronic pain"

3 months

The nurse is caring for a patient with a total hip replacement. How should the nurse assist the patient to turn?

45 degrees onto the unoperated side if te affected hip is kept abducted

the nurse is caring for a patient after arthroscopic surgery for a rotator cuff tear. The nurse informs the patient that full activity can usually resume after what period of time?

6-12 months

The nurse has educated a patient with low back pain about techniques to relieve the discomfort and prevent further complications. What statement by the patient shows understanding of the education the nurse provided?

I will avoid prolonged sitting or walking

Arthritis is a leading cause of musculoskeletal-related disability. Which of the following statements would indicate a patient needs more education?

I will need to get blood tests frequently to check to progression of my arthritis

the nurse is caring for a ptient with plantar fasciitis. The nurse knows the patient understands teaching when they say which of the following?

I will probably have pain in the morning, but stretching my foot and heel will help

a patient is prescribed alendronate. The nurse knows more education is needed if the patient states which of the following?

I will take this medication with breakfast with only a sip of water

the nurse is caring for a patient diagnosed with septic arthritis. For which of the following would the nurse expect an order?

IV cefepime

After a bone density test, an older adult female patient tells the nurse, I don't understand why I have osteoporosis because I eat well and take my calcium. What is the best response by the nurse?

The loss is from withdrawal of estrogen and a decrease in activity levels

A patient had a total hip replacement. What recommended leg position should the nurse ensure is maintained to prevent prothesis dislocation?

abduction

A patient with an arm cast reports pain in the extremity. Which of these nursing actions will not help to reduce the incidence of complications?

administer a prescribed analgesic to promote comfort and allay anxiety

which of the following lab results indicate a protein deficiency

albumin 2.8

the nurse correctly identifies which of the following people to be at higher risk for carpal tunnel syndrome

an auto mechanic

a patient has an above-the-knee amputation of the left leg related to complications from peripheral vascular disease. The nurse enters the room and finds the dressing and bed covers saturated with blood. WHat is the first action by the nurse?

apply a tourniquet

A patient is schedled for a procedure that will allow the physician to visualize the knee joint in order to diagnose the patient's pain. What procedure will the nurse prepare the patient for?

arthroscopy

a patient sustains a fracture of the arm. WHen does the nurse antcipate pendulum exercises should begin?

as soon as tolerated, after a reasonable period of immobilization,

a patient has undergone hip arthroplasty. The nurse knows to tell the patient to do which of the following?

avoid crossing the legs, avoid flexion of 90 degrees and higher, avoid twisting

a patient has stepped in a hole in the yard, causing an ankle injury. The ankle is edematous and painful to palpation. How long should the nurse inform the patient that the acute inflammatory stage will last?

between 24-48 hours

A patient has been diagnosed iwth osteomalacia. What common symptoms does the nurse recognize correlate with the diagnosis

bone pain and tenderness

a patient with Stage IV lung cancer has dull, boring, consistent pain in her extremities and nothing relieves it. The nurse may correctly suspect that the patient likely has which of the following problems?

cancer metastasis to the bones

A patient tells the healthcare provider about shoulder pain that is present even without any strenuous movement. The healthcare provider identifies a sac filled with synovial fluid. What condition should the nurse educate the patient about?

chronic bursitis

a nurse administers an ordered dose of cyclobenzaprine. The nurse knows this drug is likelly being given for which of the following problems?

chronic low back pain

the nurse is caring for a pregnant patient with pregnancy-induced hypertension. When assessing the reflexes in the ankle, the nurse observes rhythmic contractions of the muscle when dorsiflexing the foot. What would the nurse document this as?

clonus

a patient was climbing a ladder, slipped on a rug, and fell on the right side of the chest. X-rays reveal three rib fractures and the patient reports pain with inspiration. What is the anticipated treatment for this patient

coughing and deep breathing with pillow splinting

a nurse is caring for a patient who has had an amputation. WHich of these interventions by the nurse does not foster a positive slef-image?

encourage the patint to have family and friends view the residual limb to decrease self-consciousness and

the nurse is caring for a patient postoperatively following orthopedic surgery. The nurse assesses an oxygen saturation of 89%, confusion, and a rash on the upper torso. What does the nurse suspect is occurring with this patient?

fat emboli syndrome

A patient had a stroke and its unable to move the right upper and lower extremities. during assessment the nurse picks up the arm and it is limp and without tone. How would the nurse document this finding?

flaccidity

the nurse is concerned about the potential debilitating complication of perineal nerve injury. What symptom does the nurse recognize as a result of that complication?

footdrop

whle riding a bike on a narrow road, the patient was hit from behind and thrown in a ditch, sustaining a pelvic fracture. What complications does the nurse monitor for that are common to pelvic fractures?

hemorrhage and shock

The nurse is caring for a patient with bone metastasis from breast cancer. The patient reports muscle weakness and nausea and is voiding large amounts frequently. cardiac dysrhythmias are observed on the monitor. What should the nurse suspect?

hypercalcemia

the nurse is monitoring a patient who sustained an open fracture of the left hip. What type of shock should the nurse recognize can occur with this type of injury?

hypovolemic

a patient has suffered a femoral shaft fracture in an industrial accident. What is an immediate nursing concern for this patient?

hypovolemic shock

the nurse is caring for a patient who sustained an open fracture of the right femur in an automobile crash. What does the nurse recognize is the most serious complication of an open fracture?

infection

the nurse is performing an assessment n an older adult patient and observes the patient has an increased forward curvature of the thoracic spine. What does the nurse understand this common finding is known as?

kyphosis

a patient is diagnosed with osteomyelitis of the right leg. What sign/symptom does the nurse recognize is not associated with this diagnosis?

leukopenia

bisphosphonates, such as Reclast, are indicated for which of the following conditions

paget disease

A patient comes to the clinic and informs the nurse of numbness, tingling, and a burning sensation in the arm from the elbow down to the fingers. What type of symptom would this be documented as?

parasthesia

the nurse knows more education is needed when the student says which of the following?

patients who have a hip arthroplasty often have to stay in bed for up to five days after surgery

a patient has a fracture that is being treated with open rigid compression plate fixation devices. How will the progress of bone healing be monitored?

perform serial x-rays

a patient had surgery to correct a Dupuytren contracture. What nursing intervention is a priority postoperativly?

performing hourly neurovascular assessments for the first 24 hours

the nurse is caring for a patient in skeletal traction. The nurse knows that assessing the skin at the pin sites is important for which of the following>

preventing skin breakdown and infection

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?

quadriceps

The hospice nurse is assigned to care fro a patient with metastatic bone cancer who wants to remain at home. What is the therapeutic goal in the care of this patient?

relieve pain and discomfort while promoting quality of life

an elderly patient has undergone a total hip arthroplasty. The nurse knows, before discharge, the patient must be able to do which of the following?

safely transfer from chair to bed

A patient arrives in the emergency department with a suspected bone fracture of the right arm. How does the nurse expect the patient to describe the pain?

sharp and piercing

A patient reports experiencing low back pain. What position can the nurse suggest to relieve this discomfort?

supine, with the knees slightly flexed and the head of the bed is elevated 30 degrees

a patient had a total left hip arthroplasty. What clinical manifestation would indicate to the nurse that the prothesis is dislocated?

the left leg is internally rotated

The nurse assesses soft subcutaneous nodules along the line of the tendons in a patient's hand and wrist. What does this finding indicate to the nurse?

the patient has rheumatoid arthritis

arthroscopy is used to assist with the diagnosis of joint disorders. After a knee arthroscopy, the nurse knows which of the following interventions to be most important.

use a compression dressing

A patient has a cast removed after bone healing takes place. What action by the patient requires further education?

using friction to remove dead surface skin by rubbing the area with a towel

the nurse knows osteomalacia results form which of the following deficiencies?

vitamin D

The nurse is caring for a patient in skeletal traction. The nurse knows to immediately intervene if they notice which of the following?

weights resting on the floor

the nurse knows a knee arthrocentesis is indicated for which of the following?

worsening effusion

A patient tells the nurse, I was working out and lifting weights and now that I have stopped, I am flabby and my muscles have gone. What is the best response by the nurse?

your muscles were in a state of hypertrophy from the weight lifting but it will persist only if the exercise is continued