Neuromuscular peds

A nurse is teaching an assistive personnel about the purpose of a footplate on the bed of a client whose leg is in Buck's traction. Which of the following statements indicates the AP understands the teaching?

"The footplate helps to prevent foot drop"

A nurse is providing home safety information for an older adult client who uses a cane. Which of the following statements should the nurse include in the teaching

"You should advance your weak leg forward to the cane, then move your strong leg

A nurse is teaching a client who is scheduled for dual-energy x-ray absorptiometry (DXA) to screen for osteoporosis. Which of the following instructions should the nurse include in the teaching?

"You will need to remove all jewelry before the test."

A nurse is participating in lead screening at a community center. The nurse should instruct parents to bring their children back for re-screening in a year for which of the following lab values?

4 mcg/dL

A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include?

Administer prednisone on an alternate-day schedule

A nurse is caring for a client with a new diagnosis of Piaget's disease. The nurse anticipated the provider will prescribe which of the following medications for this client?

Aledronate

A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as increasing a child's risk for carpal tunnel syndrome?

Assembly line worker

A nurse is reviewing the medication history of a client who has a new prescription for colchicine. Which of the following medications increases the client's risk when used in combination with Colchis for developing rhabdomylosis?

Atovarstatin

A nurse is teaching a client who has chronic tophaceous gout about his new prescription for allopurinol. The nurse should explain that the purpose of this medication is to reduce blood levels of which of the following substances?

Uric Acid

A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant's growth and development?

allow the infant to stand in the crib

A nurse is providing teaching to a client who has a new diagnosis of fibromyalgia. Which of the following client statements indicates an understanding of the teaching?

"Low-impact aerobics can help reduce episodes of pain

post op teaching with a client who had a surgical correction of hallux valgus. Which of the following information should the nurse include in the teaching?

"Rest frequently with your foot elevated."

A nurse is teaching a client who has a new prescription of allopurinol for the treatment of gout. Which of the following instructions should the nurse include?

"Drink 2 liters of fluid each day while taking the medication"

10 A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include?

"Monitor for muscle pain"

A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. Which of the following behaviors by the adolescent should the nurse anticipate because it is most common reaction?

Body image changes

a nurse is completing an admission assessment. what anatomical landmark does she use when measuring the chest circumference?

The nipple line

A nurse is reviewing risk factors for osteoporosis with a group of nursing students. The nurse should include that which of the following types of medication therapy is a risk factor for osteoporosis?

Thyroid hormones

a nurse is caring for a client who is postoperative following a below the knee amputation and will soon undergo a fitting for a leg prosthesis. which of the following is an appropriate nursing intervention for the client at this time?

wrap the stump with an elastic bandage in a figure-eight configuration

The nurse is providing discharge teaching for a client following hip arthroplasty. which of the following pieces of furniture should the nurse instruct the client to sit in at home

A straight-backed chair with an elevated seat

A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching?

A synthetic cast weighs less

A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication?

Erythrocyte sedimentation rate (ESR)

A nurse is assessing a client who reports numbness and pain in his right palm, index finger, and middle finger. The client reports working with a keyboard most of the time while at work. The nurse suspects carpal tunnel syndrome. Which of the following tests should the nurse request that the client perform?

Hold the wrist at a 90° flexion

A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?

I need to increase my fluid intake while taking this medication

A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen?

I will limit my alcohol intake

A nurse is teaching a client about preventing osteoporosis. Which of the following statements by the client indicates a need for further teaching?

I will reduce my intake of vitamin K rich foods.

A nurse is caring for a client who is 1-day postoperative following total hip arthroplasty. It is 0830 and the client is schedule for physical therapy (PT) at 0900. Which of the following interventions should the nurse take?

Identify the client's pain level and medicate if needed

A nurse is assessing a client who has a left lower arm fracture. Which of the following findings indicates impaired venous return in the affected arm?

Increasing edema

A nurse is caring for a client who has an unrepaired femur fracture of the mid shaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?

Instruct the client to wiggle his toes.

A nurse needs to a box in a supply roomWhich of the following actions should the nurse take to prevent an injury due to lifting?

Keep the box close to the body as he lifts

A nurse in a provider's office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition?

Knuckle deformity

A nurse is developing a plan of care for a client who has a fracture to achieve the outcome of functional healing. To assist in meeting this goal, which of the following nursing interventions is the highest priority?

Maintain immobilization and alignment

A nurse is planning care for a newly admitted client who has skeletal traction for a fracture femur. Which of the following interventions should the nurse include in the plan?

Monitor the clients pedal pulses every hour

A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?

Pallor of the toes

A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?

Perform a neuro vascular assessment

A nurse is caring for a client who has a fractured right femur and is in balanced suspension traction. The client is reporting pain from muscle spasms. Which of the following actions should the nurse take first?

Realign the clients position

A nurse is caring for a client who has a prescription for balanced skeletal traction with a Thomas splint for the treatment of a fractured femur. Which of the following interventions should the nurse implement to prevent pressure points from developing around the edges of the splint?

Reposition the client to keep him from staying in the same position in bed

A nurse is discussing Russell's traction with a newly licensed nurse. Which of the following statements about this form of traction should the nurse include in the teaching?

Russel's traction uses a sling under the knee to treat a fracture of the femur.

A nurse is caring for a client who reports low back pain and asks the nurse for specific exercise recommendations. Which of the following activities should the nurse suggest?

Swimming

A nurse is assessing a client's ability to ambulate with crutches using a three-point gait. Which of the following actions should the nurse identify as a risk to the client's safety?

The client places partial weight on the affected leg

A Nurse is caring for an older adult client who had a femoral head fracture 24 hr ago and is in skin traction. The client reports shortness of breath and dyspnea. The nurse should suspect that the client has developed which of the following complications?

fat embolism

A nurse is contributing to the plan of care for a client who is postoperative following a total hip athroplasty. Which of the following information should the nurse include?

prevent hip flexion of the affected extremity