From PrepU
A nurse practitioner assesses a patient's movement in his left hand after a cast is removed. The nurse asks the patient to turn his wrist so the palm of his hand is facing up. This movement is known as: Extension. Pronation. Eversion. Supination.
Supination
Older adults have a greater/less prevalence of obesity than general population?
greater
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? 3 to 4 weeks 8 weeks 3 to 4 months 6 to 12 months
6-12 months
A client with osteoarthritis asks for information concerning activity and exercise. When assisting the client, which concept should be included? The time of day when exercise is performed isn't important. Exercising in the evening before going to bed is beneficial. Exercising immediately upon awakening allows the client to participate in activities when he has the greatest amount of energy. Delaying exercise for at least 1 hour after awakening allows the client to participate in exercise after some of the morning-related stiffness has subsided.
Delaying exercise for at least 1 hour after awakening allows the client to participate in exercise after some of the morning-related stiffness has subsided. OA: morning stiffness
Which of the following disorders is characterized by an increased autoantibody production? Systemic lupus erythematosus (SLE) Scleroderma Rheumatoid arthritis (RA) Polymyalgia rheumatic
SLE
A nurse cares for a client with sepsis who had bariatric surgery two weeks ago. What is the most likely source of the sepsis? Disruption at the site of anastomosis. Perforation of the gastric contents. Bacterial infiltration at the surgical site of the skin. Colonization of bacteria in the bladder.
disruption @ site of anastomosis (where vesllse converge)
A nurse cares for a female client of childbearing age who will undergo bariatric surgery. When teaching the client about precautions after surgery, which teaching will the nurse include that is specific to this population? "You should avoid pregnancy for at least 18 months after surgery." "After surgery, your ability to conceive is decreased considerably." "You should avoid pregnancy for at least 9 months after surgery" "After surgery, contraceptives have much less efficacy."
avoid pregancny atleast18 months post surgery
The nurse cares for a client who is post op bariatric surgery whose bowel sounds have returned and is tolerating oral intake. What teaching will the nurse provide the client about the nutrition required at this time? *Select all that apply.* "You will have three small meals consisting of 500 calories each." "You need to drink plenty of water in between meals." "Stop eating prior to feeling full." "Eat slowly." "You will have six small meals consisting of 600 calories each."
b) drink water between meals d) eat slow e) 6 meals of 600 calories each
A nurse is preparing a client with systemic lupus erythematosus (SLE) for discharge. Which instruction should the nurse include in the teaching plan? "Exposure to sunlight will help control skin rashes." "There are no activity limitations between flare-ups." "Monitor your body temperature." "Corticosteroids may be stopped when symptoms are relieved."
c) monitor your body temps infection can be a sign of a flare up
The nurse intervenes to assist the client with fibromyalgia to cope with which symptoms? Chronic fatigue, generalized muscle aching, and stiffness Pain, viral infection, and tremors Diminished vision, chronic fatigue, and reduced appetite Generalized muscle aching, mood swings, and loss of balance
chronic fatigue, generalized muscle aching and stiffnes
A nurse teaches a client homecare nutrition expectations who will undergo bariatric surgery. Which foods will the nurse suggest the client keep on hand at home after surgery? Select all that apply. Gelatin Pudding Fat-free milk Yogurt Creamy soups
gelatin pudding fat free milk
A nurse is developing a teaching plan for a client diagnosed with osteoarthritis. To minimize injury to the osteoarthritic client, the nurse should instruct the client to: install safety devices in the home. wear worn, comfortable shoes. get help when lifting objects. wear protective devices when exercising
instal safety devices in the home
Which findings best correlate with a diagnosis of osteoarthritis? Joint stiffness that decreases with activity Erythema and edema over the affected joint Anorexia and weight loss Fever and malaise
joint stiffness that decreases with activity
Physiologic responses to pain include ____ (4)
pallor tachycardia diaphoresis hypertension.
The nurse is conducting an admission history of a client admitted with a fracture. The nurse recognizes that which of the client's medications placed the client at risk for fractures? prednisone (Deltasone) furosemide (Lasix) digoxin (Lanoxin) metoprolol (Lopressor)
prednisone NSAIDS and corticosteroids can cause decreased bone mass and inc risk fracture
If taking orlistat, use caution if
renal/liver issues
During which stage or phase of bone healing after fracture does callus formation occur? Remodeling Inflammation Reparative Revascularization
reparative
Indicators of hypovolemic shock include a heart rate greater ____, a blood pressure less than ____, and urine output less than ____.
than 100 beats per minute 90/60 mm Hg 30 ml per hour
Sensitization occurs when ____
the client waits too long to report pain and the pain is so intense that it is difficult to relieve.
A nurse cares for a client with obesity who takes anticonvulsant medication for the treatment of epilepsy. Which anticonvulsant medications may be contributing to the client's obesity? Select all that apply. Zonisamide Topiramate Lamotrigine Carbamazepine Gabapentin
weight gain: Gabapentin and Carbamasepine Weight loss: Zonisamide, Topiramate, Lamotrigine
