FHN1 Chp 41

A client diagnosed with carpal tunnel syndrome (CTS) asks the nurse about numbness in the fingers and pain in the wrist. What is the best response by the nurse? "CTS is a neuropathy that is characterized by bursitis and tendinitis." "CTS is a neuropathy that is characterized by compression of the median nerve at the wrist." "CTS is a neuropathy that is characterized by pannus formation in the shoulder." "CTS is a neuropathy that is characterized by flexion contracture of the fourth and fifth fingers."

"CTS is a neuropathy that is characterized by compression of the median nerve at the wrist."

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

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

A client with osteoporosis is prescribed calcitonin 100 units subcutaneously. The medication is available 200 units per ml. How many milliliters will the nurse administer to the client?

0.5mL

Which client would the nurse identify as having the greatest risk for osteoporosis? A 16-year-old male with a history of asthma A 20-year-old male athlete with repeated injuries A small-framed, thin 45-year-old white woman A 40-year-old overweight African American woman

A small-framed, thin 45-year-old white woman

Which client would the nurse identify as having the greatest risk for osteoporosis? A 20-year-old male athlete with repeated injuries A small-framed, thin 45-year-old white woman A 40-year-old overweight African American woman A 16-year-old male with a history of asthma

A small-framed, thin 45-year-old white woman

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

Decreased height

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? Help the client walk to the nearest nurses' station. Raise the client's arm above the heart. Place the client in a sitting position. Immobilize the client's arm.

Immobilize the client's arm.

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? Immobilize the client's arm. Raise the client's arm above the heart. Help the client walk to the nearest nurses' station. Place the client in a sitting position.

Immobilize the client's arm.

A family member is caring for an older adult client with osteomalacia in the home. When the home health nurse comes to evaluate the client, what should be a focus point of the visit? Ensuring that the client is eating enough Making sure the client is receiving a daily bath Observing for safety hazards that could be a fall risk Making sure the client has adequate financial resources

Observing for safety hazards that could be a fall risk

Which of the following is the most common and most fatal primary malignant bone tumor? Osteogenic sarcoma (osteosarcoma) Rhabdomyoma Osteochondroma Enchondroma

Osteogenic sarcoma (osteosarcoma)

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? Rectus abdominis Gastrocnemius Quadriceps Latissimus dorsi

Quadriceps

Which of the following is the most important nursing diagnosis for an elderly patient diagnosed with osteoporosis? Deficient knowledge about osteoporosis and the treatment regimen Acute pain related to fracture and muscle spasm Risk for injury related to fractures due to osteoporosis Risk for constipation related to immobility

Risk for injury related to fractures due to osteoporosis

A patient is having low back pain. What position can the nurse suggest to relieve this discomfort? High-Fowler's to allow for maximum hip flexion Supine, with the knees slightly flexed and the head of the bed elevated 30 degrees Supine, with the bed flat and a firm mattress in place Prone, with a pillow under the shoulders

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

A client with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. The wound appearance has not improved. What action would the nurse anticipate to promote healing? Surgical debridement Wound packing Vitamin supplements Wound irrigation

Surgical debridement

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

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

A client has been treated for migraine headaches for several months and comes to the clinic stating he is getting no better. The nurse is talking with the client and hears an audible click when the client is moving his jaw. What does the nurse suspect may be happening? Loose teeth Trigeminal neuralgia Temporomandibular disorder Dislocated jaw

Temporomandibular disorder

A nurse is teaching a client about preventing osteoporosis. Which teaching point is correct? Obtaining the recommended daily allowance of calcium requires taking a calcium supplement. To prevent fractures, the client should avoid strenuous exercise. Obtaining an X-ray of the bones every 3 years is recommended to detect bone loss. The recommended daily allowance of calcium may be found in a wide variety of foods.

The recommended daily allowance of calcium may be found in a wide variety of foods.

The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action? Reduce stress Walk or perform weight-bearing exercises Decrease the intake of vitamins A and D Increase fiber in the diet

Walk or perform weight-bearing exercises

The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action?

Walk or perform weight-bearing exercises outdoors

The nurse is preparing a client for a surgical procedure that will allow visualization of the extent of joint damage of the knee for a client with rheumatoid arthritis and also obtain a sample of synovial fluid. What procedure will the nurse prepare the client for? Needle aspiration Open reduction Arthroscopy Arthroplasty

arthroscopy

Which is not a risk factor for osteoporosis? small-framed, thin White or Asian women being male family history being postmenopausal

being male

Which group is at the greatest risk for osteoporosis? Asian women African American women Men Caucasian women

caucasian women

A has experienced increasing pain and progressing inflammation of the hands and feet. The rheumatologist has prescribed NSAID use to treat the condition. What client education is most important for the nurse to address with the use of these medications? common adverse effects dietary restrictions loading-dose schedule activity restrictions

common adverse effects

A health care provider diagnoses primary osteoporosis in a client who has lost bone mass. For which client is primary osteoporosis most common?

elderly postmenopausal woman

Which aspect should a nurse include in the teaching plan for a client with osteomalacia? Avoid dairy products Include calcium, phosphorus, and vitamin D supplements Avoid green, leafy vegetables Avoid any activity or exercise

include calcium, phosphorus, and vitamin D supplements

Which of the following presents with an onset of heel pain with the first steps of the morning?

plantar fascitis

A nurse is performing discharge teaching for an elderly client diagnosed with osteoporosis. Which statement about home safety should the nurse include? "Most accidental injuries among the elderly are automobile-related. Elderly clients should have vision testing every 6 months while they're still driving." "Most falls among the elderly occur in the home. These clients should remove throw rugs and install bathroom grab bars." "Most falls among the elderly occur outside the home. Clients should confine themselves to their homes as much as practical." "Because of the increase in home burglaries involving the elderly, these clients should have burglar bars on every window in the home."

"Most falls among the elderly occur in the home. These clients should remove throw rugs and install bathroom grab bars."

Which common problem of the upper extremity results from entrapment of the median nerve at the wrist? Impingement syndrome Carpal tunnel syndrome Dupuytren contracture Ganglion

Carpal tunnel syndrome

A physician prescribes raloxifene to a hospitalized client. The client's history includes a right hip fracture, hysterectomy, deep vein thrombosis, and hypertension. Which action by the nurse demonstrates safe nursing care? Holding the raloxifene and notifying the physician Administering the raloxifene in the evening Having the patient sit upright for 30-60 minutes following administration Administering the raloxifene with food or milk

Holding the raloxifene and notifying the physician

Using proper body mechanics to lift objects is essential to prevent exacerbations of low back pain. Which of the following is the most important teaching point? Limit time lifting up to reach something. Lift with the large leg muscles (quadriceps), not the back muscles. Contract trunk muscles to stabilize the spine. Avoid lifting above waist level.

Lift with the large leg muscles (quadriceps), not the back muscles.

The nurse recognizes that goal of treatment for metastatic bone cancer is to: Diagnose the extent of bone damage Reconstruct the bone with a prosthesis Promote pain relief and quality of life Cure the diseased bone and cartilage

Promote pain relief and quality of life

The hospice nurse is assigned to care for a patient with metastatic bone cancer who wants to remain at home. What is the therapeutic goal in the care of this patient? Prevent the patient from having to go to the hospital for care. Ensure that the family accepts the patient's imminent death. Relieve pain and discomfort while promoting quality of life. Increase the activity level of the patient to prevent complications related to immobility.

Relieve pain and discomfort while promoting quality of life

A provider asks the nurse to teach a client with low back pain how to sit in order to minimize pressure on the spine. Which teaching points would the nurse include? Select all that apply. Place feet flat on the floor. Sit with the buttocks "tucked under." Avoid hip extension. Use a firm pillow placed behind the thoracic vertebrae to straighten the small of the back. Sit in a straight-backed chair with arm rests.

Sit in a straight-backed chair with arm rests. Avoid hip extension. Place feet flat on the floor. Sit with the buttocks "tucked under."

Which is a strategy for lowering risk for osteoporosis? Diet low in calcium and vitamin D Low initial bone mass Smoking cessation Increased age

Smoking cessation

A patient stepped on an acorn while walking barefoot in the backyard and developed an infection progressing to osteomyelitis. What microorganism does the nurse understand is most often the cause of the development of osteomyelitis? Staphylococcus aureus Proteus Pseudomonas Salmonella

Staphylococcus aureus

Most cases of osteomyelitis are caused by which microorganism? Pseudomonas species Proteus species Staphylococcus aureus Escherichia coli

Staphylococcus aureus

An orthopedic nurse is caring for a client who is postoperative day 1 following foot surgery. What nursing intervention should be included in the client's subsequent care? The surgical site can be soaked in warm bath water for up to 5 minutes. Dressing changes should not be performed unless there are clear signs of infection. The surgical site should be cleansed with hydrogen peroxide once daily. The foot should be elevated in order to prevent edema.

The foot should be elevated in order to prevent edema.

A client with suspected osteomalacia has a fractured tibia and fibula. What test would give a definitive diagnosis of osteomalacia? Increased and decreased areas of bone metabolism Elevated levels of alkaline phosphatase A bone biopsy Demineralization of the bone

a bone biopsy

The nurse is planning an education program for women of childbearing years. What does the nurse recognize as the primary prevention of osteoporosis? Undergoing assessment of serum calcium levels every year Engaging in non-weight-bearing exercises daily Having a DXA beginning at age 35 years Ensuring adequate calcium and vitamin D intake

Ensuring adequate calcium and vitamin D intake

A client with diabetes has been diagnosed with osteomyelitis. The nurse observes that the client's right foot is pale and mottled, cool to touch, with a capillary refill of greater than 3 seconds. The nurse should suspect what type of osteomyelitis? Osteomyelitis with vascular insufficiency Osteomyelitis with muscular deterioration Hematogenous osteomyelitis Contiguous focus osteomyelitis

Osteomyelitis with vascular insufficiency

A client is admitted with acute osteomyelitis that developed after an open fracture of the right femur. When planning this client's care, the nurse should anticipate which measure? Administering large doses of I.V. antibiotics as ordered Withholding all oral intake Administering large doses of oral antibiotics as ordered Instructing the client to ambulate twice daily

Administering large doses of I.V. antibiotics as ordered

The nurse is caring for a client with a hip fracture. The physician orders the client to start taking a bisphosphonate. Which medication would the nurse document as given? Teriparatide Alendronate Denosumab Raloxifene

Alendronate

An older adult female has a bone density test that reveals severe osteoporosis. What does the nurse understand can be a problem for this client due to the decrease in bone mass and density? Hypertension Compression fractures Cardiac disease Diabetes

Compression fractures

Which area of the spinal column is subject to the greatest mechanical stress and degenerative changes? Cervical Thoracic Lower lumbar Upper lumbar

lower lumbar