Musculoskeletal

The RN in the outpatient clinic instructs the patient receiving probenecid. It is MOST important for the RN to make which statement? A) "Drink 6-8 glasses of water each day." B) "Take the medication on an empty stomach." C) "You may take aspirin for minor pain." D) "You are permitted to drink wine with dinner."

A) "Drink 6-8 glasses of water each day."

The RN provides care for a patient with degenerative joint disease (osteoarthritis). The patient receives a new prescription for celecoxib. The RN is MOST concerned if the patient makes which statement? A) "I am allergic to aspirin." B) "I should take this medication with food." C) "This medication will reduce joint discomfort." D) "I will contact the health care provider if I have any weight gain."

A) "I am allergic to aspirin."

The clinic RN counsels a patient reporting low back pain. Which patient statement requires a follow-up by the RN? A) "I work full-time as a package handler for Amazon." B) "I use a lumbar support while sitting at my desk." C) "I walk for 30 minutes each day." D) "I sleep on my side with my knees and hips flexed."

A) "I work full-time as a package handler for Amazon."

The home care RN makes a home visit to a patient diagnosed with osteoarthritis. The RN asks the patient's spouse if the patient is having any problems. The RN further assesses if the spouse makes which statement? A) "My spouse has not been participating in his regular activities." B) "Last night, my spouse enrolled in an exercise class." C) "My spouse bends from the knees when picking the papers up from the floor." D) "My spouse only uses a small pillow under the head when sleeping at night."

A) "My spouse has not been participating in his regular activities."

Which persons are at high risk for chronic low back pain? (select all that apply): A) A 63-yr-old man who is a long-distance truck driver B) A 30-yr-old nurse who works on an orthopedic unit and smokes C) A 55-yr-old construction worker who is 6 ft, 2 in and weighs 250 lbs. D) A 44-yr-old female chef with prior compression fracture of the spine E) A 28-yr-old female yoga instructor who is 5 ft, 6 in and weighs 130 lbs.

A) A 63-yr-old man who is a long-distance truck driver B) A 30-yr-old nurse who works on an orthopedic unit and smokes C) A 55-yr-old construction worker who is 6 ft, 2 in and weighs 250 lbs. D) A 44-yr-old female chef with prior compression fracture of the spine

Aspirin is prescribed for a patient. The RN administers this medication with which liquid? A) A glass of milk B) A glass of orange juice C) A glass of diet soda D) A small amount of water

A) A glass of milk

Total hip replacement is scheduled for a patient with degenerative joint disease of the left femoral head. Following surgery, it is MOST important for the RN to place the patient's left leg in which position? A) Abducted with toes pointing upward B) Elevated on two pillows with knees flexed C) Elevated on several pillows with the ankle abducted D) Adducted with ankle joint hyperextended

A) Abducted with toes pointing upward

You are providing discharge education for a patient with SEID. What should be included regarding activity and diet? A) Avoid total rest and balanced diet of fiber and dark-colored veggies B) To minimize severe fatique-total rest and brain fog-total rest C) Total rest minimize pain and joint aches D) Sign up at local gym which includes a strenuous activity program

A) Avoid total rest and balanced diet of fiber and dark-colored veggies

You are providing discharge education for a patient with SEID. What should be included regarding activity and diet? A) Avoid total rest and balanced diet of fiber and dark-colored veggies B)To minimize severe fatique-total rest and brain fog-total rest C) Sign up at local gym which includes a strenuous activity program D) Total rest minimize pain and joint aches

A) Avoid total rest and balanced diet of fiber and dark-colored veggies

The increased risk for falls in the older adult is likely due to (select all that apply): A) Changes in balance. B) Decrease in bone mass. C) Loss of ligament elasticity. D) Erosion of articular cartilage. E) Decrease in muscle mass and strength.

A) Changes in balance. B) Decrease in bone mass. C) Loss of ligament elasticity. E) Decrease in muscle mass and strength.

A patient with a pelvic fracture should be monitored for: A) Changes in urine output. B) Petechiae on the abdomen. C) A palpable lump in the buttock. D) Sudden increase in blood pressure.

A) Changes in urine output.

A patient with a torn ligament in the knee asks what the ligament does. The nurse's response is based on the knowledge that ligaments: A) Connect bone to bone. B) Provide strength to muscle. C) Lubricates joints with synovial fluid. D) Relieve friction between moving parts.

A) Connect bone to bone.

The nurse is obtaining a health history of a patient with a fracture. Which condition poses the most concern related to the musculoskeletal system? A) Diabetes B) Hypertension C) Chronic bronchitis D) Nephrotic syndrome

A) Diabetes

While performing passive range of motion for a patient, the nurse puts the elbow joint through the movements of (select all that apply): A) Flexion and extension. B) Inversion and eversion. C) Pronation and supination. D) Flexion, extension, abduction, and adduction. E) Pronation, supination, rotation, and circumduction.

A) Flexion and extension. C) Pronation and supination.

A patient with a humeral fracture is returning for a 4-week checkup. The nurse explains that initial evidence of healing on x-ray is indicated by: A) Formation of callus. B) Complete bony union. C) Hematoma at the fracture site. D) Presence of granulation tissue.

A) Formation of callus.

The nurse teaches the patient with an above-the-knee amputation that the residual limb should not be routinely elevated because this position promotes: A) Hip flexion contracture. B) Clot formation at the incision. C) Skin irritation and breakdown. D) Increased risk for wound dehiscence.

A) Hip flexion contracture.

A patient who has had surgical correction of bilateral hallux valgus is being discharged from the same-day surgery unit. The nurse will teach the patient to: A) Rest frequently with the feet elevated. B) Wear shoes continually except when bathing. C) Soaks the feet in warm water several times a day. D) Expects the feet to be numb for the next few days.

A) Rest frequently with the feet elevated.

Teach the patient with fibromyalgia the importance of limiting intake of which foods? (select all that apply): A) Sugar B) Alcohol C) Caffeine D) Red meat E) Root vegetables

A) Sugar B) Alcohol C) Caffeine

A patient is undergoing diagnostic testing for symptoms of polyarthralgia, fatigue, and hair loss. Laboratory results include the presence of anti-DNA, antinuclear antibodies, and anti-Smith in the blood. The nurse recognizes that these findings are most likely to be related to which dignosis? A) Systemic lupus erythematosus B) Chronic fatigue syndrome C) Systemic sclerosis D) Rheumatoid arthritis

A) Systemic lupus erythematosus

The RN evaluates care given to a patient after a left below-the-knee amputation. The RN intervenes if which observation is made? A) The dressing to the surgical site is dated two days prior. B) A surgical tourniquet is readily available to the patient and staff. C) The RN uses a transfer belt when patient transfers from bed to chair. D) The patient sits in a chair frequently for short periods of time.

A) The dressing to the surgical site is dated two days prior.

A patient with osteomyelitis undergoes surgical debridement with implantation of antibiotic beads. When the patient asks why the beads are used, the nurse answers (select all that apply): A) "Oral or IV antibiotics are not effective in most cases of bone infection." B) "The beads are an adjunct to debridement and antibiotics for deep infections." C) "The beads are used to deliver antibiotics directly to the site of the infection." D) "This is the safest method to deliver long-term antibiotic therapy for bone infection." E) "Ischemia and bone death related to osteomyelitis are impenetrable to IV antibiotics."

B) "The beads are an adjunct to debridement and antibiotics for deep infections." C) "The beads are used to deliver antibiotics directly to the site of the infection."

A patient with osteosarcoma of the humerus shows understanding of his treatment options when he states: A) "I accept that I have to lose my arm with surgery." B) "The chemotherapy before surgery will shrink the tumor." C) "This tumor is related to the melanoma I had 3 years ago." D) "I'm glad they can take out the cancer with such a small scar."

B) "The chemotherapy before surgery will shrink the tumor."

A patient diagnosed with type 1 diabetes is scheduled for a right below-the-knee amputation due to a gangrenous toe. The patient asks the RN why the amputation is so extensive. The RN's response is based on which understanding? A) A below-the-knee amputation ensures enough skin to form a flap over the residual limb. B) A below-the-knee amputation results in better circulation and healing. C) A below-the-knee amputation facilitates earliest prosthesis training. D) A below-the-knee amputation significantly reduces edema of the residual limb.

B) A below-the-knee amputation results in better circulation and healing.

When administering medications to the patient with chronic gout, the nurse recognizes which drug is used as a treatment for this disease? A) Colchicine B) Allopurinol C) Sulfasalazine D) Cyclosporine

B) Allopurinol

The RN provides care for a patient in Buck traction. Which is the MOST important nursing action to maintain effective traction? A) Encourage the patient to limit body movement B) Allow weights to hang freely at all times C) Remove weights immediately when patient reports discomfort D) Give pain medication regularly

B) Allow weights to hang freely at all times

Three hours after arriving in the orthopedic unit, a patient reports a hot feeling under the cast. Which action does the RN take FIRST? A) Instructs the patient to lie still since the cast is newly applied. B) Assesses the circulation in the casted extremity and changes the patient's position. C) Takes the patient's temperature and observes for other signs of infection. D) Medicates the patient for pain and notifies the health care provider of the report.

B) Assesses the circulation in the casted extremity and changes the patient's position.

Etanercept (Enbrel) is prescribed for a patient with stage II rheumatoid arthritis. The nurse determines that the medication is effective if what is observed? A) Absence of Rh factor in the blood B) Decreased C-reactive protein (CRP) C) Decreased lymphocyte count D) Increased serum immunoglobulin G

B) Decreased C-reactive protein (CRP)

Etanercept (Enbrel) is prescribed for a patient with stage II rheumatoid arthritis. The nurse determines that the medication is effective if what is observed? A) Absence of Rh factor int eh blood B) Decreased C-reactive protein (CRP) C) Increased serum immunoglobulin G D) Decreased lymphocyte count

B) Decreased C-reactive protein (CRP)

In assessing the joints of a patient with osteoarthritis, the nurse understands that Bouchard's nodes: A) Are often red, swollen, and tender. B) Indicates osteophyte formation at the PIP joints. C) Is the result of pannus formation at the DIP joints. D) Occurs from deterioration of cartilage by proteolytic enzymes.

B) Indicates osteophyte formation at the PIP joints.

The nurse is caring for a 74-year old woman. What would be a normal age-related finding? A) Kyphosis B) Loss of height C) Back pain D) Spinal crepitation

B) Loss of height

The nurse notices that a patient has a disturbed gait. To further assess this problem, which action should the nurse take? A) Perform deep palpation of the hip joints. B) Measure the length of both legs. C) Perform muscle-strength testing of the legs. D) Test range of motion of the lower extremities.

B) Measure the length of both legs.

A patient with rheumatoid arthritis has articular involvement. The nurse recognizes these characteristic changes include (select all that apply): A) Bamboo-shaped fingers. B) Metatarsal head dislocation in feet. C) Noninflammatory pain in large joints. D) Asymmetric involvement of small joints. E) Morning stiffness lasting 60 minutes or more.

B) Metatarsal head dislocation in feet. E) Morning stiffness lasting 60 minutes or more.

A client recovering from a limb amputation complains of pain the ankle of the amputated limb. This type of pain is A) Residual pain B) Phantom pain C) Chronic pain D) Neuropathic pain

B) Phantom pain

A patient experiences an acute bout of gouty arthritis. The RN expects the patient's affected foot to have which appearance? A) Pale B) Red C) Mottled D) Cyanotic

B) Red

The nurse should teach the patient with ankylosing spondylitis the importance of: A) Avoiding extremes in environmental temperatures B) Regularly exercising and maintaining proper posture. C) Maintaining patient's usual physical activity during flares. D) Applying hot and cool compresses for relief of local symptoms.

B) Regularly exercising and maintaining proper posture.

A patient with osteoarthritis is scheduled for total hip arthroplasty. The nurse explains the purpose of this procedure is to (select all that apply): A) Fuse the joint. B) Replaces the joint. C) Prevents further damage. D) Improves or maintain ROM. E) Decreases the amount of destruction in the joint.

B) Replaces the joint. D) Improves or maintain ROM.

The nurse is providing discharge teaching to a patient who had a myelogram. What would the nurse include in the teaching plan? A) Decrease fluid intake for 4 to 8 hours to prevent nausea. B) Report a headache that is worse when sitting or standing C) Remain flat in bed for 24-48 hours to prevent pain D)Take acetaminophen (Tylenol) to prevent a fever.

B) Report a headache that is worse when sitting or standing

The RN provides care for a patient with rheumatoid arthritis. Which finding assumes the HIGHEST priority for the RN when assessing and planning the patient's care? A) Subcutaneous nodules on the patient's right and left forearms B) Slight contracture of the right wrist C) Mild erythema of finger joints D) Bruised area about 3 mm in diameter on right forearm

B) Slight contracture of the right wrist

What is most important to include in the teaching plan for a patient with osteopenia? A) Lose weight. B) Stop smoking. C) Eat a high-protein diet. D) Start swimming for exercise.

B) Stop smoking.

Prednisone 2 mg daily is prescribed for a patient with rheumatoid arthritis. Which important point does the RN include when teaching the patient about this medication? A) The health care provider will increase the dose until there is complete relief of symptoms. B) The dosage of prednisone must be increased and decreased gradually. C) Some people experience incontinence as an adverse effect of this medication. D) Prednisone is a dangerous medication and must be carefully monitored.

B) The dosage of prednisone must be increased and decreased gradually.

The RN provides care for an older adult patient eight days after an open reduction and internal fixation of the right hip. The RN intervenes if which observation is made? A) The patient ate half of the food on the breakfast tray. B) The patient is not wearing elastic stockings. C) The patient must have assistance to transfer from the bed to bedside commode. D) The patient requires pain medication three times per day.

B) The patient is not wearing elastic stockings.

In caring for a patient after a spinal fusion, the nurse would report which finding to the health care provider? A) The patient has a single episode of emesis. B) The patient is unable to move the lower extremities. C) The patient is nauseated and has not voided in 4 hours. D) The patient reports of pain at the bone graft donor site.

B) The patient is unable to move the lower extremities.

The RN prepares a patient for a total hip replacement. What information will likely postpone the surgery? A) The patient's hemoglobin is 15 g/dL (150 g/L). B) The patient reports burning on urination. C) The patient reports periodic heartburn. D) The patient's platelet count is 250,000/mm3.

B) The patient reports burning on urination.

An abnormal assessment finding of the musculoskeletal system is: A) Equal leg length bilaterally. B) Ulnar deviation and subluxation. C) Full range of motion in all joints. D) Muscle strength of 5/5 in all muscles.

B) Ulnar deviation and subluxation.

A plaster splint is applied with an elastic bandage to the leg of a patient with a fractured tibia in preparation for open reduction and internal fixation. The patient complains of increasing pain in the affected leg and foot that is not relieved by loosening of the elastic bandage. the most appropriate action by the nurse is to A) Elevate the leg on two pillows B) perform neurovascular assessment of the foot. C) apply ice over the fracture site D) notify the health care provider

B) perform neurovascular assessment of the foot

The nurse determines that teaching about management of osteoarthritis of the feet and hands has been effective when the patient says: A) "I will be careful to avoid crowds and people with infections." B) "I should avoid the use of glucosamine as it has been shown to have no therapeutic value." C) "I can use heat to relieve the stiffness when I wake up in the morning." D) "I should exercise my hands every day, especially if they are painful and inflamed."

C) "I can use heat to relieve the stiffness when I wake up in the morning."

A patient asks the RN, "What is the difference between rheumatoid arthritis and osteoarthritis?" Which response by the RN is BEST? A) "Rheumatoid arthritis is progressive, and osteoarthritis is not." B) "Rheumatoid arthritis is often treated surgically, and osteoarthritis is not." C) "Rheumatoid arthritis is a systemic disease, and osteoarthritis is not." D) "There is very little clinical difference between rheumatoid arthritis and osteoarthritis."

C) "Rheumatoid arthritis is a systemic disease, and osteoarthritis is not."

A patient is scheduled for a bone scan. The nurse explains that this diagnostic test involves: A) Incision or puncture of the joint capsule. B) Insertion of small needles into certain muscles. C) Administration of a radioisotope before the procedure. D) Placement of skin electrodes to record muscle activity.

C) Administration of a radioisotope before the procedure.

An older adult patient is diagnosed with a fractured femur. The RN recognizes which observation is an EARLY sign of fat embolism? A) Chest pain and dyspnea B) Increased respirations, pulse, and temperature C) Altered mental status D) Petechiae

C) Altered mental status

In teaching a patient with Sjögren's syndrome about drug therapy for this disorder, the nurse includes instruction about the use of which drug? A) Pregabalin (Lyrica) B) Etanercept (Enbrel) C) Cyclosporine (Restasis) D) Cyclobenzaprine (Flexeril)

C) Cyclosporine (Restasis)

The nurse suspects a neurovascular problem based on assessment of: A) Exaggerated strength with movement. B) Increased redness and heat below the injury. C) Decreased sensation distal to the fracture site. D) Purulent drainage at the site of an open fracture.

C) Decreased sensation distal to the fracture site.

The RN provides care for a patient with a newly applied plaster cast to the lower extremity. The RN takes which action? A) Sets up a fan to blow on the cast and maintains the patient in supine position B) Rests the casted leg on the mattress and avoids handling it until it has dried C) Elevates the leg on pillows and leaves the cast open to air D) Covers the cast lightly with a sheet until completely dry

C) Elevates the leg on pillows and leaves the cast open to air

The RN witnesses a car hit a pedestrian in the parking lot. As the RN approaches the pedestrian, the pedestrian cries out, "I think my leg is broken!" Which action does the RN take FIRST? A) Asks the patient to move the ankle B) Tells the patient to lie perfectly still and remain calm C) Inspects the affected leg for evidence of bleeding D) Immobilizes the affected leg

C) Inspects the affected leg for evidence of bleeding

A patient with a comminuted fracture of the tibia is to have an open reduction with internal fixation (ORIF) of the fracture. The nurse explains that ORIF is indicated when: A) The patient is unable to tolerate prolonged immobilization. B) The patient cannot tolerate the surgery for a closed reduction. C) Other nonsurgical methods cannot achieve adequate alignment. D) A temporary cast would be too unstable to provide normal mobility.

C) Other nonsurgical methods cannot achieve adequate alignment.

The RN provides care for an older adult patient reporting a new onset of bone pain, rapidly increasing in intensity, as well as fatigue and difficulty walking. The patient is transported to x-ray and the labs show a high alkaline phosphatase level. The RN prepares to teach the patient about which disease process? A) Degenerative joint disease B) Bursitis C) Paget disease D) Juvenile rheumatoid arthritis

C) Paget disease

A patient is undergoing diagnostic testing for symptoms of polyarthralgia, fatigue, and hair loss. Laboratory results include the presence of anti-DNA, antinuclear antibodies, and anti-Smith in the blood. The nurse recognizes that these findings are most likely to be related to which diagnosis? A) Chronic fatigue syndrome B) Systemic sclerosis C) Systemic lupus erythematosus D) Rheumatoid arthritis

C) Systemic lupus erythematosus

The RN provides care for an older adult patient after a total hip replacement due to degenerative joint disease. The RN intervenes if which observation is made? A) The patient uses an incentive spirometer every 2 hours. B) The patient is seated in the hospital bed positioned with a pillow between the legs. C) The patient is sitting on a chair with no arms. D) The patient moves slowly when getting out of bed.

C) The patient is sitting on a chair with no arms.

The RN provides care for a patient immediately following a right below-the-knee amputation. The RN is MOST concerned if which observation is made? A) The patient periodically naps. B) The patient reports a throbbing headache. C) The patient reports persistent pain at the operative site. D) The patient voices concern about being able to use a prosthesis.

C) The patient reports persistent pain at the operative site.

The nurse determines that teaching about management of osteoarthritis of the feet and hands has been effective when the patient says: A) "I should avoid the use of glucosamine as it has been shown to have no therapeutic value." B) "I should exercise my hands every day, especially if they are painful and inflamed." C) "I will be careful to avoid crowds and people with infections." D) "I can use heat to relieve the stiffness when I wake up in the morning."

D) "I can use heat to relieve the stiffness when I wake up in the morning."

The RN teaches a patient diagnosed with a fractured left femur that is in a cast. The patient asks how to keep the muscles of the legs strong during the time the cast is on the left leg. Which response by the RN is BEST? A) "It is important to perform active range of motion every day with your left leg." B) "I'll teach your parent to perform active assistive range-of-motion exercises." C) "Perform left leg lifts with a 2lb weight attached to your ankle." D) "I'll teach you how to do isometric exercises with your left leg."

D) "I'll teach you how to do isometric exercises with your left leg."

When grading muscle strength, the nurse records a score of 3/5, which indicates: A) No detection of muscular contraction. B) A barely detectable flicker of contraction. C) Active movement against full resistance without fatigue. D) Active movement against gravity but not against resistance.

D) Active movement against gravity but not against resistance.

Which nursing intervention is MOST important for a patient diagnosed with rheumatoid arthritis and reporting generalized pain? A) Perform ADLs for the patient throughout the day B) Administer morphine IM for treatment of acute pain C) Massage the inflamed joints alternately with essential oils and isopropyl alcohol D) Assist the patient with heat application and range-of-motion exercises

D) Assist the patient with heat application and range-of-motion exercises

A patient is scheduled for total ankle replacement. The nurse should tell the patient that after surgery he should avoid: A) Lifting heavy objects. B) Sleeping on the back. C) Abduction exercises of the affected ankle. D) Bearing weight on the affected leg for 6 weeks.

D) Bearing weight on the affected leg for 6 weeks.

The RN makes a home care visit to a patient with a fractured right femur. The RN assesses the patient's safety when using crutches. The RN intervenes if which observation is made? A) When standing, the crutch tips are placed 6 inches in front of and 6 inches to the side of each foot. B) The patient ambulates using a three-point gait. C) When going down steps, the patient stands on the unaffected leg and places the crutches on the next step. D) Before sitting in a chair, patient stands on the unaffected leg and transfers both crutches in the hand opposite the unaffected leg.

D) Before sitting in a chair, patient stands on the unaffected leg and transfers both crutches in the hand opposite the unaffected leg.

An older patient has an open reduction and internal fixation of the left femoral head after a fracture. Which action by the RN is BEST? A) Offer the patient a clear liquid diet B) Keep the patient turned to the non-operative side C) Instruct the patient to exercise the arms D) Encourage the patient to cough and deep breathe every 2 hours

D) Encourage the patient to cough and deep breathe every 2 hours

The RN teaches a patient with a below-the-knee amputation (BKA) to care for the residual limb at home. The RN advises the patient to take which action? A) Apply cream daily to the residual limb B) Cover the residual limb with a nylon sock C) Keep the residual limb elevated D) Expose the residual limb to air

D) Expose the residual limb to air

The bone cells that function in the formation of new bone tissue are called: A) Osteoid. B) Osteocytes. C) Osteoclasts. D) Osteoblasts.

D) Osteoblasts.

The RN assesses the patient diagnosed with osteoarthritis. The RN expects to observe which signs/symptoms? A) Joint pain and stiffness after a stressful event B) Fever, rash, and nodules over bony prominences C) Swollen, reddened, painful joint with limitation of motion D) Pain usually provoked by activity, and stiffness of the joints after periods of rest

D) Pain usually provoked by activity, and stiffness of the joints after periods of rest

A patient with a stable, closed humeral fracture has a temporary splint with bulky padding applied with an elastic bandage. The nurse notifies the provider of possible early compartment syndrome when the patient has: A) Increasing edema of the limb. B) Muscle spasms of the lower arm. C) Bounding pulse at the fracture site. D) Pain when passively extending the fingers.

D) Pain when passively extending the fingers.

The RN provides care for a patient in balanced suspension traction. The patient reports pain in the affected extremity, and the RN administers the prescribed medication. One hour later the patient states, "I don't know why, but the pain isn't getting any better." Which action does the RN take FIRST? A) Contacts the health care provider B) Offers the patient a back rub C) Assesses the level of the patient's pain D) Performs a neurovascular assessment

D) Performs a neurovascular assessment

A patient with suspected disc herniation has acute pain and muscle spasms. The nurse's responsibility is to: A) Encourages total bed rest for several days. B) Teaches principles of back strengthening exercises. C) Stress the importance of straight-leg raises to decrease pain. D) Promotes use of cold and hot compresses and pain medication.

D) Promotes use of cold and hot compresses and pain medication.

The RN provides care for a patient after an amputation with an immediate prosthetic fitting. The RN includes which activity in the patient's plan of care? A) Assess drainage from the in-site drains B) Observe dressing for signs of excessive bleeding C) Elevate the residual limb for no less than 48 hours D) Provide cast care on the affected extremity

D) Provide cast care on the affected extremity

The nurse should teach the patient with ankylosing spondylitis the importance of: A) Applying hot and cool compresses for relief of local symptoms B) Avoiding extremes in environmental temperatures C) Maintaining patient's usual physical activity during flares D) Regularly exercising and maintaining proper posture

D) Regularly exercising and maintaining proper posture

The nurse should teach the patient with ankylosing spondylitis the importance of: A) Maintaining patient's usual physical activity during flares B) Applying hot and cool compresses for relief of local symptoms C) Avoiding extremes in environmental temperatures D) Regularly exercising and maintaining proper posture

D) Regularly exercising and maintaining proper posture

In teaching a patient with systemic lupus erythematosus about the disorder, the nurse knows the pathophysiology includes: A) Circulating immune complexes formed from IgG autoantibodies reacting with IgG. B) An autoimmune T-cell reaction that results in destruction of the deep dermal skin layer. C) Immunologic dysfunction leading to chronic inflammation in the cartilage and muscles. D) The production of a variety of autoantibodies directed against components of the cell nucleus.

D) The production of a variety of autoantibodies directed against components of the cell nucleus.

The nurse suspects an ankle sprain when a patient at the urgent care center describes: A) Being hit by another soccer player during a game. B) Having ankle pain after sprinting around the track. C) Dropping a 10-lb weight on his lower leg at the health club. D) Twisting his ankle while running bases during a baseball game.

D) Twisting his ankle while running bases during a baseball game.