ATI 70, 72 osteoporosis and osteoarthritis
A nurse is caring for a client who injured her lower back during a fall and describes sharp pain in her back and down her left leg. In which of the following positions should the nurse plan to place the client to attempt to decrease her pain? A. Prone without use of pillows B. Semi-Fowler's with a pillow under the knees C. High-Fowler's with the knees flat on the bed D. Supine with the head flat
B
A nurse is providing care for a client who had a vertebroplasty of the thoracic spine. Which of the following is an appropriate action by the nurse? A. apply heat to the puncture site B. place the client in a supine position C. turn the client every hour D. Ambulate the client within the first hour postprocedure
B
A nurse is providing dietary teaching about calcium-rich foods to a client who has osteoporosis. Which of the following foods should the nurse include in the teachings? A. white bread B. white beans C. white meat of chicken D. white rice
B
A nurse is providing information about capsaicin cream to a client who reports continuous knee pain from OA. Which of the following information should the nurse include in the discussion? A. continuous pain relief is provided B. inspect for skin irritation and cuts prior to application C. cover the area with tight bandages after application D. apply the medication every 2 hours during the day
B
A nurse is admitting an older adult client who has suspected osteoporosis. Which of the following is an expected finding? (select all that apply) A. history of consuming one glass of wine daily B. loss of height of 2 inches C. BMI of 21 D. Kyphotic curve at upper thoracic spine E. history of lactose intolerance
B, C, D, E
A nurse is planning discharge teaching on home safety for an older adult client who has osteoporosis. Which of the following information should the nurse include in the teaching? (select all that apply) A. remove throw rugs in walkways B. use prescribed assistive devices C. remove clutter from the environment D. walk with caution on icy surfaces E. Maintain lighting of doorway areas
A, B, C, E
A nurse is providing information to a client who has osteoarthritis of the hip and knee. Which of the following information should the nurse include in the information (Select all that apply) A. Apply heat to joints to alleviate pain B. Ice inflamed joints following activity C. Install an elevated toilet seat D. Take tub baths E. Complete high-energy activities in the morning
A, B, C, E
A nurse is performing health screenings at a health fair. Which of the following clients are at risk for osteoporosis? (select all that apply) A. a 40 year old client who takes prednisone for asthma B. a 30 year old client who jobs 3 miles daily C. a 45 year old client who takes phenytoin for seizures D. A 65 year old client who has a sedentary lifestyle E. a 70 year old client who has smoked for 50 years
A, C, D, E
A nurse is assessing a client who has osteoarthritis of the knees and fingers. Which of the following manifestations should the nurse expect to find? (Select all that apply) A. Heberden's nodes B. Swelling of all joints C. Small body frame D. Enlarged joint size E. Limp when walking
A, D, E
A nurse is providing teaching for a client who has a history of low back injury. Which of the following instructions should the nurse give the client to prevent future problems with low back pain? (Select all that apply) A. Engage in regular exercise including walking. B. Sit for up to 10 hr each day to rest the back. C. Maintain weight within 25% of ideal body weight. D. Create a smoking cessation plan. E. Wear low-heeled shoes.
A, D, E