Exam 3
The nurse knows the risk of bone fractures increases for women as they age. Bone density tests are recommended for all women over which age? a. 45 b. 50 c. 55 d. 65
d
The nurse reviews the medication profile of a patient who is being treated for osteomyelitis and determines that the patient is at risk of tendon rupture. The nurse makes this determination based on what medication that the patient is taking? a. Cefazolin b. Neomycin c. Tobramycin d. Ciprofloxacin
d
The patient is brought to the emergency department after a car accident and has a femur fracture. What nursing intervention should the nurse implement to prevent a fat embolus in this patient? a. Administer enoxaparin b.Provide range of motion exercises c. Apply sequential compression boots d. Immobilize the fracture preoperatively
d
This morning a patient had a long leg cast applied and wants to get up and try to practice crutch walking. What is the best rationale that the nurse should give the patient for not allowing the patient to perform this task? a. The cast is not dry yet and it may be damaged while using crutches. b. The nurse does not have anyone available to accompany the patient. c. Rest, ice, compression, and elevation (RICE) are in process to decrease pain. d. Excess edema and other problems are prevented when the leg is elevated for 24 hours.
d
What is a common complaint after a patient has completed physical therapy? a. Dry skin b. Blindness c. Constipation d. Fatigue and tiredness
d
When the patient is diagnosed with muscular dystrophy, what information should the nurse include in the teaching about this disorder? a. Prolonged bed rest will be used to decrease fatigue b. An orthotic jacket will limit mobility and may contribute to deformity c. Continuous positive airway pressure (CPAP) will be used to facilitate sleeping d. Remaining active will prevent skin breakdown and respiratory complications or distress
d
Which condition in a patient indicates that he or she is an ideal candidate for an osteotomy? a. Synovitis b. Osteoarthritis c. Rheumatoid arthritis d. Ankylosing Spondylitis
d
Which part of the joint enables progression of inflammation to other parts of the joint? a. Tendons b. Ligaments c. Articular cartilage d. Synovial membrane
d
A 25-year-old female patient with systemic lupus erythematosus (SLE) who has a facial rash and alopecia tells the nurse, "I never leave my house because I hate the way I look." The nurse will plan interventions with the patient to address the nursing diagnosis of: a. Social isolation b. Activity intolerance c. Impaired skin integrity d. Impaired social interaction
a
A middle-aged patient is reporting a sore shoulder after raking the yard. The nurse should suspect which problem? a. Bursitis b. Fasciitis c. Sprained Ligament d. Achilles Tendonitis
a
A newborn baby has sustained an uncomplicated midshaft fracture of the femur. In how many weeks will the fracture heal? Record your answer as a whole number. a. 3 weeks b. 7 weeks c. 10 weeks d. 20 weeks
a
Total knee arthroplasty
start progressive knee exercises to 90°
The nurse plans care for a patient who has a fractured femur. During the 48 to 72 hours after the fracture the nurse should monitor the patient for the development of what? a. Fat emboli b. Renal calculi c. Muscle atrophy d. Bone demineralization
a
The nurse teaching a support group of women with rheumatoid arthritis (RA) about how to manage activities of daily living suggests they should: a. Avoid activities requiring repetitive use of the same muscles and joints b. Protect the knee joints by sleeping with a small pillow under the knees c. Stand rather than sit when performing daily household and yard chores d. strengthen small hand muscles by wringing out sponges or washcloths
a
The registered nurse teaches a student nurse about care of a patient with a fracture of the humerus, compartment syndrome, and a plaster cast in place. The student nurse provides discharge education to the patient. Which statement made by the student nurse needs correction? a. "Elevate the extremity above the heart level." b. "Use a hair dryer on a low setting to dry the cast thoroughly." c. "Avoid covering the cast with plastic for extended periods of time." d. "Control the itching sensation by using a hair dryer on a cool setting at the site of itching."
a
What is the correlation of bone resorption to bone deposition in osteoporosis? a. Bone resorption exceeds bone deposition. b. Bone deposition exceeds bone resorption. c. Bone deposition is equal to bone deposition. d. Bone resorption is followed by bone replacement.
a
What is the main aim of surgical procedures in the treatment of joint diseases? a. Correct deformity b. Decreases crepitation c. Decreases ecchymosis d. Decreases muscle spasm
a
Which action will the nurse include in the plan of care for a patient with newly diagnosed ankylosing spondylitis? a. Advise the patient to sleep on the back with a flat pillow b. Emphasize the application of heat may worsen symptoms c. Schedule annual laboratory assessment for the HLA-B27 antigen d. Assist patient to choose physical activities that involve spinal flexion
a
Which complication is being addressed when the nurse assists the patient with physical therapy exercises following shoulder surgery? a. Fibrosis b. Fat embolism c. Thromboembolism d. Compartment syndrome
a
Which finding for a patient who is taking hydroxychloroquine (Plaquenil) {anti-malarial drug} to treat rheumatoid arthritis is likely to be an adverse effect of the medication a. Blurred vision b. Joint tenderness c. Abdominal cramping d. Elevated blood pressure
a
a patient with dermatomyositis is receiving long-term prednisone {corticosteroid} therapy. Which assessment finding by the nurse is important to report to the health care provider? a. The patient has painful hematuria b. Acne is noted on the patient's face c. Fasting blood glucose is 112 mg/dL d. The patient has an increased appetite
a
What instructions should be given to a patient with a cast to prevent edema and skin breakdown? Select all that apply. a. Exercise joints above and below the cast. b. Cover the cast with plastic for prolonged periods. c. Remove the padding of the cast after going home. d. Apply ice on the fracture site during the first 24 hours. e. Elevate the affected limb above heart level during the first 48 hours.
a, d, e
A nurse is performing a musculoskeletal assessment on a patient. What are the findings that denote a normal musculoskeletal system? Select all that apply. a. Muscle strength of 5 b. No eruptions on the joints c. No pigmentation on the joints d. No joint swelling, deformity, or crepitation e. Full range of motion of all joints without pain or laxity f. No tenderness on palpation of spine, joints, or muscles
a, d, e, f
The nurse is caring for an older adult patient that is being treated for Paget's disease. Which medications does the nurse expect to find in the patient's prescription? Select all that apply. a. Calcitonin b. Raloxifene c. Denosumab d. Teriparatide e. Bisphosphonates
a, e
A nurse is taking the health history of a patient with severe pain in the right knee and lower right extremity. What are the important questions related to the dietary behavior of the patient that the nurse should ask about? Select all that apply. a. Do you like to eat out? b. What is your usual daily intake of food? c. Do you have difficulties preparing your food? d. Do you consume any calcium or vitamin D supplements? e. Do you face any digestive problem after the consumption of some specific food?
b, c, d
A patient experiences a nondisplaced fracture. What condition can potentially displace the fracture in the patient? a. Crepitation b. Ecchymosis c. Muscle spasm d. Edema and swelling
c
A patient is scheduled for a somatosensory evoked potential (SSEP). What information should the nurse provide the patient? Select all that apply. a. This test analyzes and determines the strength of the bones. b. The procedure is similar to EMG but does not involve needles. c. Transcutaneous or percutaneous electrodes are applied to the skin. d. The test measures nerve conduction along the pathways not accessible by electromyogram (EMG). e. The electrodes are pierced in the superficial layer on the skin under anesthesia, so it is not painful.
b, c, d
A nurse is interviewing a patient to assess the risk for developing musculoskeletal impairments. What are the conditions that increase the patient's risk of developing a musculoskeletal ailment? Select all that apply. a. Patient has a history of hyperlipidemia and has been on lovastatin for a long time. b. Patient has a history of premenopausal amenorrhea and is taking oral contraceptives. c. Patient has renal disease and has been taking a potassium-depleting diuretic for a long time. d. Patient suffers from hypertension and has been on treatment with amlodipine for a long time. e. Patient has a seizure disorder and has been taking antiseizure medications for a long time.
b, c, e
What are the types of movements that are possible at the shoulder joint in a patient suffering from elbow pain? Select all that apply. a. Inversion b. Adduction c. Abduction d. Opposition e. Circumduction
b, c, e
An older adult patient presents to the clinic reporting joint pain. The nurse reviews the patient's medical record and discovers which risk factors for osteoarthritis (OA)? Select all that apply. a. Daily intake of multivitamins b. History of fractured right ankle c. Participates in yoga three times weekly d. Played football in high school and college e. Frequent exacerbations of chronic obstructive pulmonary disease (COPD) with steroid use
b, d, e
The nurse is performing a health history assessment on the older patient. The nurse knows that which of these illnesses can affect the older patient's musculoskeletal status? Select all that apply. a. Pancreatitis b. Poliomyelitis c. Diverticulitis d. Tuberculosis e. Diabetes mellitus
b, d, e
A 30-year-old female patient with severe rheumatoid arthritis (RA) is prescribed methotrexate for disease management. What should the nurse instruct the patient to do? a. Avoid use of contraceptives as this increases the risk for deep vein thrombosis. b. Expect an orange-yellow urine discoloration during treatment with methotrexate. c. Use effective contraception during and three months after treatment with methotrexate. d. Decrease fluid intake to reduce the risk of edema-related side effects with methotrexate.
c
A patient admitted with cellulitis and probable osteomyelitis received an injection of radioisotope at 9:00 AM before a bone scan. At what time should the nurse plan to send the patient for the bone scan? a. 9:30 PM b. 10:30 AM c. 11:00 AM d. 1:00 PM
c
A patient asks the nurse why an arthrogram has been scheduled. The nurse should reply that this test is designed to identify which condition? a. Fractures of the bone b. The risk for osteoporosis c. Disorders of the cartilage d. Vein Patency....
c
A patient being seen in the clinic has rheumatoid nodules on the elbows. Which action will the nurse take? a. Draw blood for rheumatoid factor analysis b. Teach the patient injections for the nodules c. Assess the nodules for skin breakdown or infection d. Discuss the need for surgical removal of the nodules
c
A patient diagnosed with osteomalacia is prescribed nutritional therapy and phosphorus supplements. Which other nonpharmacologic instruction is appropriate for the nurse to include on the patient's care plan? a. Instructing the patient to wear a corset b. Instructing the patient to use a firm mattress c. Encouraging the patient to expose self to sunlight d. Encouraging the patient to perform high-impact aerobics
c
The nurse is admitting a patient who has a new onset of lower back pain. To differentiate between the pain of a lumbar herniated disc and lower back pain from other causes, what would be the best question for the nurse to ask the patient? a. "Is the pain worse in the morning or in the evening?" b. "Is the pain sharp or stabbing, or burning or aching?" c. "Does the pain radiate down the buttock or into the leg?" d. "Is the pain totally relieved by analgesics, such as acetaminophen (Tylenol)?"
c
The nurse is assessing a patient who is taking alendronate for osteoporosis. What should the nurse inform the patient to be aware of when taking this medication? a. Helps replace low calcium levels b. Can lead to uncontrolled weight gain c. Must be taken with a full glass of water d. Is always given after primary treatment with estrogen therapy
c
The nurse is caring for a patient with osteoarthritis who is about to undergo total left knee arthroplasty. The nurse assesses the patient carefully to be sure that there is no evidence of what in the preoperative period? a. Chronic pain b. Left knee stiffness c. Left knee infection d. Left knee instability
c
The nurse is planning care for a patient with hypertension and gout who has a red, painful right great toe. Which nursing action will be included in the plan of care? a. Gently palpate the toe to assess swelling b. Use pillows to keep the right foot elevated c. Use a footboard to hold bedding away from the toe d. Teach the patient to avoid use of acetaminophen (Tylenol)
c
The nurse is planning health promotion teaching for a patient with asthma, low back pain from a herniated lumbar disc, and hypertension. The nurse determines which exercise would be best to include in an individualized exercise plan for the patient? a. Tennis b. Running c. Walking d. Weightlifting
c
When assessing the range of motion in a patient, which instrument should the nurse use? a. Spirometer b. Arthroscope c. Goniometer d. Fundoscope
c
A patient is brought to the hospital with bloodstains on clothing and active bleeding from the nose, with deformity of the right arm. Prioritize the initial interventions to be done in this case. a. Check for pulse rate. b. Check for respiratory rate. c. Check if there is blood in the mouth. d. Assess the neurovascular status of the right arm.
c, b, a, d
The nurse understands that there are three types of muscles in the body. Which body parts are made up of smooth muscles? Select all that apply. a. Legs b. Heart c. Uterus d. Arteries e. Urinary Bladder
c, d, e
A nurse evaluates a patient who reports twisting an ankle while walking down steps. Besides edema, which symptoms would most likely be observed if a nondisplaced simple fracture were present? a. Numbness, coolness, and loss of pulse b. Loss of sensation, redness, and warmth c. Coolness, redness, and inability to bear weight d. Redness, warmth, and inability to use the affected part
d
A nurse is taking the health history of a patient suffering from severe knee pain. Which question related to the sexuality-reproductive pattern are important in this scenario for assessment? a. What are your sexual preferences? b. How many sexual partners do you have? c. Which method of contraception do you use? d. Do you face any sexual concerns related to your mobility?
d
The nurse is providing discharge teaching to a patient after a stress fracture of the foot. Which drug does the nurse inform the patient would increase the risk for osteoporosis? Select all that apply. a. Aspirin b. Lisinopril c. Metformin d. Hydrocodone e. Betamethasone f. Calcium carbonate
e, f
A nurse is assessing a fracture of a patient's hand. Which phenomenon would the nurse note as the bone fragments rub against each other? a. Crepitation b. Resorption c. Subluxation d. Proliferation
a
A patient arrives in the emergency department after sustaining a fall. The initial assessment reveals that the left leg is shorter than the right and externally rotated. What condition should the nurse suspect? a. Fractured hip b. Fractured pelvis c. Fractured tibia/fibula d. Nondisplaced fractured femur
a
A patient experiences an unstable wrist fracture. Which type of cast will be most beneficial for the patient? a. Long arm cast b. External fixation c. Short arm cast, restricting motion at the wrist and elbow d. Short arm cast, providing wrist immobilization and unrestricted elbow motion
a
A patient experiences delayed bone healing. What function does the nurse identify as helpful by electrical bone growth stimulation? a. Increases the calcium uptake of bones b. Deactivates intracellular calcium stores c. Decreases the calcium uptake of the bone d. Decreases the production of bone growth factors
a
A patient has been taking bisphosphonates for the treatment of osteoporosis and has demonstrated a low tolerance to the drug. What alternative medication does the nurse anticipate will be prescribe? a. Calcitonin b. Corticosteroids c. Cholestyramine d. Divalproex sodium
a
A patient is demonstrating signs of Paget's disease. When obtaining a health history from the patient, which initial manifestation reported does the nurse recognize correlates with this diagnosis? a. Bone pain b. Weight loss c. Thinning of the skull d. Spontaneous fracture
a
A patient that is postmenopausal that is at risk for breast cancer is prescribed a medication for the treatment of osteoporosis. Which medication will the nurse educate the patient about? a. Raloxifene b. Denosumab c. Teriparatide d. Human calcitonin
a
A patient who had arthroscopic surgery of the right knee 7 days ago is admitted with a red, swollen, and hot knee. Which assessment finding by the nurse should be reported to the health care provider immediately? a. The blood pressure is 86/50 mm Hg. b. The white blood cell count is 11,500/µL. c. The patient is taking ibuprofen (Motrin). d. The patient says the knee pain is severe.
a
A patient who takes multiple medications develops gouty arthritis. The nurse will consult with the health care provider before giving the prescribed dose of: a. Sertraline (Zoloft)- Antidepressant b. Famotidine (Pepcid)- H2 blocker c. Hydrochlorothiazide- diuretic d. Oxycodone (Roxicodone)- narcotic
a
A patient with ulnar drift caused by rheumatoid arthritis (RA) is scheduled for an arthroplasty of the hand. Which patient statement to the nurse indicates realistic expectation for the surgery? a. "I will be able to use my fingers to grasp objects better." b. "I will not have to do as many hand exercises after the surgery." c. "This procedure will prevent further deformity in my hands and fingers." d. "My fingers will appear more normal in size and shape after this surgery."
a
After interacting with a patient, the nurse determines that the patient is at risk for developing musculoskeletal problems. Which statement made by the patient supports the nurse's conclusion? a. "I only exercise once in a while." b. "I try not to sleep flat on my stomach." c. "I try to not take pain killers frequently." d. "I drink orange juice every day for breakfast."
a
After the nurse has taught a 28-year-old with fibromyalgia, which statement by the patient indicates a good understanding of effective self-management? a. "I will need to stop drinking so much coffee and soda" b. "I am going to join a soccer team to get more exercise" c. "I will call the doctor every time my symptoms get worse" d. "I should avoid using over-the-counter medications for pain"
a
An older adult patient is receiving corticosteroid therapy for rheumatoid arthritis. What should the nurse inform the patient a complication of this therapy might be? a. Osteopenia b. Drug-drug interaction c. Moon face and weight gain d. Diabetes and mood swings
a
During a health screening event, which assessment finding would alert the nurse to the possible presence of osteoporosis? a. A measurable loss of height b. The presence of bowed legs c. Poor appetite and aversion to dairy products d. Development of unstable, wide-gait ambulation
a
The nurse determines that colchicine has been effective for a patient with an acute attack of gout upon finding: a. Reduced joint pain b. Increased urine output c. Elevated serum uric acid d. Increased white blood cells (WBC)
a
The nurse is admitting a patient to the acute care unit with a history of a herniated lumbar disc and low back pain. In completing a more thorough pain assessment, the nurse should ask the patient if which action aggravates the pain? a. Bending or lifting b. Application of warm moist heat c. Sleeping in a side-lying position d. Sitting in a fully extended recliner
a
The nurse is admitting a patient to the clinic that is suspected of having osteomalacia. Which diagnostic test should the nurse prepare the patient for to confirm the diagnosis? a. X-ray b. Quantitative ultrasound (QUS) c. Magnetic resonance imaging (MRI) scan d. Dual-energy x-ray absorptiometry (DXA)
a
The nurse is assessing the recent health history of a patient with osteoarthritis. The nurse determines that the patient was managing the condition well when the patient states that their activity pattern has consisted of which of the following? a. Walking and swimming regularly b. Bed rest and walking to the restroom c. Minimal exercise with frequent rest periods d. Running three miles most days of the week
a
The nurse is caring for a patient with a fracture who has a Buck's traction boot in place. Which complication is prevented by the use of the boot? a. Muscle spasms b. Posttraumatic arthritis c. Intraarticular adhesions d. Extraarticular adhesions
a
The nurse is grading a muscle-strength test on the patient and obtains a score of 4/5. What best describes this score? a. Active movement against gravity and some resistance b. Active movement of body part with elimination of gravity c. Active movement against full resistance without evident fatigue d. Active movement against gravity only and not against resistance
a
The nurse is performing a musculoskeletal assessment of an older adult patient whose mobility has been decreasing progressively in recent months. How should the nurse best assess the patient's range of motion (ROM) in the affected leg? a. Observe the patient's unassisted ROM in the affected leg b. Perform passive ROM, asking the patient to report any pain c. Ask the patient to lift progressive weights with the affected leg d. Move both of the patient's legs from a supine position to full flexion
a
A nurse is making note of the elimination pattern of a patient suffering from severe knee pain. What are the points that she should include in the assessment? Select all that apply. a. Do you experience constipation? b. Does your functional ability make it difficult for you to reach the toilet in time? c. Do you need any assistive devices or equipment to achieve a bowel movement? d. How many times in a day do you have to have a bowel movement? Is it satisfactory? e. Do you find that problems related to moving your bowels occur after eating a particular food?
a, b, c
A nurse is taking a patient's health history related to musculoskeletal system. What are the common symptoms of musculoskeletal impairments? Select all that apply. a. Stiffness b. Weakness c. Joint crepitation d. Redness and blisters e. Change in pigmentation
a, b, c
A patient is scheduled for magnetic resonance imaging (MRI). What nursing interventions should the nurse perform to prepare the patient for the procedure? Select all that apply. a. Offer ear plugs or music. b. Inform the patient to remain still throughout the procedure. c. Ensure that patient is not wearing metal such as zippers or jewelry. d. Ensure that the patient is shaved completely and also catheterize the patient. e. Explain that the machine will make loud tapping noises intermittently, and there is no cause for alarm.
a, b, c, e
A nurse is taking the health history of a patient with a backache. What are the questions that should be included in the health history related to this condition? Select all that apply. a. Did you lift a heavy object? b. Describe your usual daily activities. c. Do you have any vision problems? d. Did you have any unsafe sexual activity? e. Do you find it difficult to perform your daily activities?
a, b, e
A patient has been prescribed diclofenac sodium. What precautions should the nurse inform the patient to take with its use? Select all that apply. a. Avoid exposure to sunlight. b. Do not coadminister with oral aspirin. c. Antacids should be used concomitantly. d. Sunscreen should be used concomitantly. e. Avoid external heat or occlusive dressings.
a, b, e
A patient presents with festinating gait. What are the signs and symptoms while ambulating that a nurse should expect in this patient? Select all that apply. a. Speed may increase as if patient is unable to stop. b. Patient displays delayed start with short, quick, shuffling steps. c. The patient is unable to walk for more than two steps at a time. d. The patient is unable to walk in a straight line and walks diagonally. e. While walking, the neck, trunk, and knees flex while the body is rigid.
a, b, e
The nurse is caring for the patient with skeletal traction for an extremity fracture. What action(s) by the nurse are most appropriate? Select all that apply. a. Keep the weights off of the floor. b. Elevate the end of the bed as needed. c. Ensure that the weights are secured to the pulleys. d. Confirm that the forces are pulling in the same direction. e. Make sure that the traction ranges from 5 to 45 pounds (2.3 to 20.4 kg). f. Apply the traction intermittently as prescribed by the health care provider (HCP).
a, b, e
A patient with Paget's disease is encouraged to wear a brace to relieve back pain and provide support when in the upright position. What should the nurse instruct this patient to do? Select all that apply. a. Attend physical therapy. b. Avoid the use of bed board. c. Avoid falls and subsequent fractures. d. Examine the skin for damage due to friction. e. Lift light weights using good body mechanics
a, c, d
The nurse is assessing a patient with lower back pain. What prevention methods should the nurse teach the patient? Select all that apply. a. Use a pillow for sitting. b. Sleep in a prone position. c. Bend at the knees when lifting heavy objects. d. Consult health care provider about exercising. e. Lift objects by holding them away from the body.
a, c, d
The nurse is giving the patient gentamicin through a central line. What actions by the nurse are appropriate? Select all that apply. a. Monitor peak and trough levels b. Obtain daily blood cultures during therapy. c. Evaluate renal function before starting therapy. d. Assess patient for dehydration before starting therapy. e. Obtain electrocardiogram (ECG) before initiating therapy. f. Teach patient to contact the health care provider (HCP) if any visual, hearing, or urinary problems occur.
a, c, d, f
A patient is scheduled for an arthroscopy. The patient wants to know what an arthroscopy is. What information should the nurse provide to this patient? Select all that apply. a. The procedure will be performed under anesthesia. b. Fluid from the joints will be aspirated during this procedure. c. This procedure allows visualization of the interior portion of the joint capsule. d. In case of inflammatory joint diseases, intraarticular injections of corticosteroids may be given. e. A needle is inserted in the joint, it is distended with fluid or air, and the joint cavity is examined.
a, c, e
A patient presents with severe pain in the left lower extremity and also has difficulty ambulating. The left leg appears to be slightly shorter than the right. What points should the nurse consider when taking the measurement of the lower extremity? Select all that apply. a. Measure the muscle mass circumferentially at the largest area. b. Measure the muscle mass circumferentially at the smallest area. c. Measure the length and circumference at the same points of opposite limb. d. Measure the length of the extremity from the anterior superior iliac spine to the toe. e. Measure the length of the extremity from the anterior superior iliac spine to the medial malleolus.
a, c, e
After a motor vehicle crash, a patient has a dislocated right hip joint, and the bone is exposed in the right thigh. What type of fracture should the nurse document? Select all that apply. a. Open b. Closed c. Displaced d. Greenstick e. Comminuted
a, c, e
A patient presents with pain in the wrist joint radiating up the entire arm. What should the nurse ask the patient while taking the health history? Select all that apply. a. Nature of work b. Food preference c. Respiratory function d. Mechanism of injury if any e. Safety practices followed at work
a, d, e
A patient will undergo a computed tomography (CT) scan of the knee joint. What nursing interventions should the nurse perform to prepare the patient for the procedure? Select all that apply. a. Inform the patient that procedure is painless. b. Ensure that the patient is shaved completely. c. Administer local anesthesia and obtain a blood sample. d. Inform the patient of the importance of remaining still during the procedure. e. If a contrast medium is being used, verify that patient does not have shellfish allergy.
a, d, e
The nurse is caring for a patient following lumbar fusion. What nursing interventions should the nurse perform for this patient? Select all that apply. a. Assess extremity circulation. b. Use a soft mattress for comfort. c. Place patient in Fowler's position. d. Monitor peripheral neurologic signs. e. Report severe headache to the surgeon.
a, d, e
A 29-year-old woman is taking methotrexate {antimetabolite} to treat rheumatoid arthritis. Which information form the patient's health history is important for the nurse to report to the health care provider related to the methotrexate? a. The patient had a history of infection mononucleosis as a teenager b. The patient is trying to get pregnant before her disease becomes more severe c. The patient has a family history of age-related macular degeneration of the retina d. The patient has been using large doses of vitamins and health foods to treat the RA
b
A patient has scleroderma manifested by CREST (calcinosis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia) syndrome. Which action will the nurse include in the plan of care? a. Avoid use of capsaicin cream on hands. b. Keep the environment warm and draft free. c. Obtain capillary blood glucose before meals. d. Assist to bathroom every 2 hours while awake.
b
A patient has undergone amputation just below the level of the elbow in the right upper limb. The patient states that there is still the sensation of pain in the missing portion one day after surgery. What should the nurse inform the patient? a. You are having illusions b. It is normal to feel this way c. You are having hallucinations d. You are experiencing delusions
b
A patient hospitalized with polymyositis has joint pain; erythematous facial rash; eyelid edema; and a weak, hoarse, voice. The safety priority for the patient is addressing the: a. Acute pain b. Risk for aspiration c. Disturbed visual perception d. Risk for impaired skin integrity
b
A patient injured his or her arm after doing an activity he or she had not done before. What factor was most likely the cause of the injury? a. Muscle Pain b. Muscle Fatigue c. Swelling of the arm d. Poor ROM
b
A patient is at risk of bone fracture from osteoporosis. Which high-impact activity should the nurse inform the patient to avoid because it may cause bone fracture? a. Walking b. Running c. Dancing d. Swimming
b
A patient receiving intravenous (IV) vancomycin needs to have a trough drug level drawn. The medication will infuse over 60 minutes and the next dose is due to be given at 1300. The nurse should obtain a blood sample at which time? a. 1200 b. 1230 c. 1330 d. 1400
b
A patient taking calcitonin reports facial flushing and nausea and is considering discontinuation of the medication. What can the nurse suggest that will reduce these side effects? a. Administering the drug by oral route b. Administering the drug intramuscular (IM) c. Administering the drug using the intravenous (IV) route d. Having the patient use the intranasal route for administration.
b
A patient with acute osteomyelitis asks the nurse how this problem will be treated. Which response by the nurse is most appropriate? a. "Oral antibiotics often are required for several months." b. "Intravenous (IV) antibiotics usually are required for several weeks." c. "Surgery almost always is necessary to remove the dead tissue that is likely to be present." d. "Drainage of the foot and instillation of antibiotics into the affected area is the usual therapy."
b
A patient with gout has a new prescription for losartan (Cozaar) {angiotensin receptor blocker} to control the condition. The nurse will plan to monitor: a. blood glucose. b. blood pressure. c. erythrocyte count. d. lymphocyte count.
b
A patient with two school-age children has recently been diagnosed with rheumatoid arthritis (RA) and tells the nurse that home life is very stressful. Which initial response by the nurse is most appropriate? a. "You need to see a family therapist for some help with stress." b. "Tell me more about the situations that are causing you stress." c. "Your family should understand the impact of your rheumatoid arthritis." d. "Perhaps it would be helpful for your family to be involved in a support group."
b
A patient, hospitalized with osteomyelitis, has a prescription for bed rest. The nurse would place the highest priority on which intervention? a. Offer the patient a urinal every hour. b. Reposition the patient every two hours. c. Provide activities to prevent restlessness. d. Ambulate the patient to the bathroom every three hours.
b
After assessing the muscle strength of a patient, the nurse scores it as 1 on the Muscle Strength Scale. What does the score mean? a. No detection of muscular contraction b. A barely detectable flicker or trace of contraction with observation or palpation c. Active movement of the body part with elimination of gravity d. Active movement against gravity only and not against resistance
b
After the nurse has finished teaching a patient with osteoarthritis (OA) of the right hip about how to manage OA, which patient statement indicates a need for more teaching? a. "I can exercise every day to help maintain joint motion" b. "I will take 1g of acetaminophen (Tylenol) every 4 hours" c. "I will take a shower in the morning to help relieve stiffness" d. "I can use a cane to decrease the pressure and pain in my hip"
b
Peak bone mass occurs before which age? a. 10 b. 20 c. 30 d. 40
b
The HCP has prescribed the following interventions for a patient who is taking azathioprine (Imuran) {Immunosuppressive} for systemic lupus erythematosus. Which order will the nurse question? a. Draw anti-DNA blood titer- auto antibody b. Administer varicella vaccine- live vaccine c. Naproxen (Aleve) 200mg BID- NSAID d. Famotidine (Pepcid) 20mg daily- H2 blockers
b
Which result for a patient with systemic lupus erythematosus (SLE) is most important for the nurse to communicate to the health care provider? a. Decreased C-reactive protein (CRP) b. Elevated blood urea nitrogen (BUN) c. Positive antinuclear antibodies (ANA) d. Positive lupus erythematosus cell prep
b
The nurse determines additional instruction is needed when a patient diagnosed with scleroderma makes which statement? a. "Paraffin baths can be used to help my hands" -heated wax b. "I should lie down for an hour after each meal" c. "Lotions will help if I rub them in for a long time" d. "I should perform ROM exercises daily"
b
The nurse is admitting a patient who is scheduled for knee arthroscopy related to osteoarthritis (OA). Which finding should the nurse expect to be present on assessment of the patient's knees? a. Ulnar drift b. Pain with joint movement c. Reddened, swollen affected joints d. Stiffness that increases with movement
b
The nurse is assessing a patient with a painful deformity of the great toe with swelling of the bursa and formation of callus over the bony enlargement. What condition does the nurse suspect from these findings? a. Hammer toe b. Hallux valgus c. Hallux rigidus d. Morton's neuroma
b
The nurse is completing discharge teaching with a patient who has undergone total knee arthroplasty. Which statement would indicate the need for additional teaching? a. "I will increase intake of vitamins and minerals." b. "I should expect that my knee may change shape." c. "I should continue physical therapy as prescribed." d. "I will report pain or swelling to the health care provider."
b
The nurse is providing postoperative care to a patient who underwent surgical repair of a fractured hip two days ago. Which assessment finding indicates the need for immediate nursing action and intervention? a. Pain at the surgical site b. Sudden shortness of breath c. Serosanguineous wound drainage d. Limited range of motion of the affected leg
b
The nurse is reviewing the bone density score for a patient who is suspected of having osteopenia. Which score confirms this suspicion? a. T-score of -1 b. T-score of -2 c. T-score below -2.5 d. T-score between -2.5 with low body weight
b
The nurse suggests that a patient recently diagnosed with rheumatoid arthritis (RA) plan to start each day with: a. A brief routine of isometric exercises b. A warm bath followed by a short rest c. Active range-of-motion (ROM) exercises d. Stretching exercises to relieve joint stiffness
b
The patient is having a musculoskeletal diagnostic test called an electromyogram (EMG). The nurse knows that this test __________. a. Evaluates potential of muscle contractions b. Evaluates electrical potential related to skeletal muscle contraction c. Records variations in volume and pressure of blood passing through tissues d. Uses an infrared detector to measure degrees of heat radiating from the skin surface
b
What action should a nurse implement to prevent foot drop in a patient who has a full-leg cast? a. Encourage bed rest b. Support the foot with 90 degrees of flexion c. Maintain the foot in a boot with 45 degrees of flexion d. Place an antiembolic garment on the affected leg and foot.
b
What is the duration of hospitalization for hip arthroplasty? a. one to two days b. three to five days c. two to four weeks d. six to twelve weeks
b
Which action will the nurse include in the plan of care for a patient with a new diagnosis of Rheumatoid arthritis (RA)? a. Instruct the patient to purchase a soft mattress b. Encourage the patient to take a nap in the afternoon c. Teach the patient to use lukewarm water when bathing d. Suggest exercise with light weights several times daily
b
Which assessment finding for a patient using naproxen (Naprosyn) to treat osteoarthritis is likely to require a change in medication? a. The patient has gained 3lb b. The patient has dark-colored stools c. The patient's pain affects multiple joints d. The patient uses capsaicin cream (Zostrix)- topical analgesic
b
Which assessment information obtained by the nurse indicates a patient with an exacerbation of rheumatoid arthritis (RA) is experiencing a side effect of prednisone {corticosteroid}? a. The patient has joint pain and stiffness b. The patient's blood glucose is 165 mg/dL c. The patient has experience a recent 5lb weight loss d. The patient's erythrocyte sedimentation rate (ESR) has increased?
b
Which body part of the patient is at risk for superior mesenteric artery syndrome when sustaining a fracture? a. Knee b. Vertebrae c. Lower extremity d. Upper extremity
b
Which conclusion would the nurse make when reviewing a client radiology report that reveals no evidence of callus formation after the second week of treatment for a bone fracture? a. Healing normally as expected b. Failing to heal despite treatment c. Slower rate of healing than expected d. Healing abnormally and asymmetrically
b
Which finding will the nurse expect when assessing a patient who has osteoarthritis (OA) of the knee? a. Presence of Heberden's nodule b. Discomfort with joint movement c. Redness and swelling of the knee joint d. Stiffness that increase with movement
b
Which information will the nurse include when preparing teaching materials for a patient with an exacerbation of Rheumatoid arthritis? a. Affected joints should not be exercised when pain is present b. Applying cold pack before exercise may decrease joint pain c. Exercises should be performed passively by someone other than the patient d. Walking may substitute for range-of-motion (ROM) exercises on some days
b
Which information will the nurse include when teaching a patient with newly diagnosed ankylosing spondylitis (AS) about management of the condition? a. exercise by taking long walks b. Do daily deep-breathing exercises c. Sleep on the side with hips flexed d. Take frequent naps during the day
b
Which information will the nurse include when teaching a patient with newly diagnosed systemic exertion intolerance disease (SEID) about self-management? a. Symptoms usually progress as patients become olderrequrire b. A gradual increase in daily exercise may help decrease fatigue c. Avoid use of over-the-counter antihistamines or decongestants d. A low-residue, low-fiber diet will reduce any abdominal distention
b
Which laboratory result with the nurse monitor to determine if prednisone has been effective for a patient with an acute exacerbation of rheumatoid arthritis? a. blood glucose b. C-reactive protein c. Serum electrolytes d. Liver function tests
b
Which statement by a patient with systemic lupus erythematosus (SLE) indicates the patient has understood the nurse's teaching about the condition? a. "I will exercise even if I am tired" b. "I will use sunscreen when I am outside" c. "I should avoid NSAIDS" d. "I should take birth control pills to avoid getting pregnant"
b
While completing an admission history for a patient with osteoarthritis admitted for knee arthroplasty, the nurse asks about the patient's perception of the reason for the admission. The nurse expects the patient to relate which response to this question? a. Recent knee trauma b. Debilitating joint pain c. Repeated knee infections d. Onset of "frozen" knee joint
b
The nurse is performing a physical examination on a patient with sciatica. Which statements are correct for the straight-leg-raising test? Select all that apply. a. The patient should lie prone for the test. b. The nerve root at the level of L4-5 or L5-S1 may be involved. c. The patient is instructed to actively raise his or her legs to 60 degrees. d. The test is positive if the patient complains of pain along the distribution of the sciatic nerve. e. A positive test indicates nerve root irritation from intervertebral disc prolapse and herniation.
b, d, e
The nurse is reviewing the report of a patient's synovial fluid analysis. Which findings would suggest the presence of rheumatoid arthritis? Select all that apply. a. Clear yellow in color b. Presence of fibrin flecks c. Presence of sodium urate crystals d. Elevated white blood cell (WBC) count e. Increased matrix metallopeptidase (MMP)-3 enzyme
b, d, e
What questions should the nurse ask a patient with severe back pain in the lumbar region when taking the health history? Select all that apply. a. Have you been vaccinated against hepatitis? b. Does your work involve lifting any heavy objects? c. Have you taken any high-dose antibiotic recently? d. Has this pain affected your social or professional life? e. Do you consume any dietary supplements like calcium or vitamin D? f. Do you require frequent change of position while you are sleeping because of the pain?
b, d, e, f
A patient with gout underwent arthrocentesis. What would be the characteristics of the fluid aspirated? Select all that apply. a. Floating fat globules b. Whitish yellow in color c. Purulent and thick fluid d. Elevated protein content e. Presence of uric acid crystals
b, e
The nurse is planning interventions for a patient recently diagnosed with rheumatoid arthritis (RA). In which order should the nurse perform the following actions? Please place the options in order of importance. a. Educate about pharmacologic interventions b. Perform a careful physical assessment c. Coordinate a carefully planned program for rehabilitation and education d. Evaluate psychosocial needs and environmental concerns
b, e, a, c
A patient has been prescribed vitamin D3 and vitamin D2 supplements for treatment of osteomalacia. What does the nurse determine is the primary goal of treatment for this patient? a. Relief from back pain b. Regeneration of the bones c. Recalcification of the bones d. Replenishment of bone mass
c
A patient has osteoarthritis of the knees. Which finding would the nurse expect upon examination of the patient's knees? a. Morning stiffness b. Positive Phalen's sign c. Pain with joint movement d. Positive anterior drawer test
c
A patient hospitalized with a fever and red, hot, painful knees is suspected of having septic arthritis. Information obtained during the nursing history indicates a risk factor for septic arthritis is that the patient: a. Had several knee injuries as a teenager b. Recently returned from South America c. Is sexually active with multiple partners d. Has a parent who has rheumatoid arthritis
c
A patient hospitalized with osteomyelitis has a prescription for bed rest with bathroom privileges, with the affected foot elevated on two pillows. The nurse would place highest priority on which intervention? a. Ambulate the patient to the bathroom every two hours. b. Ask the patient about preferred activities to relieve boredom. c. Perform frequent position changes and range-of-motion exercises. d. Allow the patient to dangle legs at the bedside every two to four hours.
c
A patient is at risk for bone fracture related to osteoporosis. Which weight-bearing activity does the nurse instruct the patient to use to reduce risk of bone fracture? a. Do chair aerobics. b. Swim laps in the pool. c. Walk 30 minutes daily. d. Do isometric exercises.
c
A patient is prescribed zoledronic acid for the treatment of Paget's disease. What outcome does the nurse anticipate from the administration of this medication? a. Increased bone mass b. Decreased hypocalcemia c. Decreased bone resorption d. Decreased breast cancer risk
c
A patient reports joint pain in six small joints going on for four weeks. There is a high positive rheumatoid factor (RF) and abnormal erythrocyte sedimentation rate (ESR). What is the patient's score according to rheumatoid arthritis classification criteria? a. 2 b. 5 c. 7 d. 10
c
A patient status post right total knee arthroplasty has a prescription to get out of bed to the chair. Which action would the nurse take to protect the knee joint while carrying out the prescription? a. Use a walker and two-person transfer technique. b. Transfer the patient to the chair using a mechanical lift. c. Ensure a knee immobilizer is in place and elevate the leg while sitting. d. Ask the physical therapist to assist to limit weight bearing while the patient gets out of bed.
c
A patient who develops dyspnea and is unable to complete activities of daily living (ADLs) without assistance is most likely suffering from which problem? a. Stress b. Anger c. Fatigue d. Numbness
c
A patient with a leg fracture is scheduled for a fasciotomy. What complication is identified to have caused the need for this type of surgery? a. Infection b. Fat embolism syndrome c. Compartment syndrome d. Venous thromboembolism
c
A patient with an acute attack of gout in the right great toe has a new prescription for probenecid {uricosurics}. Which information about the patient's home routine indicates a need for teaching regarding gout management? a. The patient sleeps 8-10 hours each night b. the patient usually eats beef once a week c. The patient takes one aspirin a day to prevent angina d. The patient usually drinks about 3 quarts water each day
c
A patient with morbid obesity is scheduled for bariatric surgery. Which condition needs to be assessed by the nurse who is providing preoperative care to the patient? a. Osteopenia b. Osteoporosis c. Osteomalacia d. Osteoarthritis
c
A patient with osteoarthritis of the knees has been taking celecoxib 200 mg every 12 hours. The patient states that the drug does not seem to work as well as it used to in controlling the pain. What does the nurse infer from the patient's statement? a. It may take several months for NSAIDs to reach maximal effectiveness. b. The patient is now tolerant of the medication and will need to double the dose. c. This patient may respond better to an alternate nonsteroidal antiinflammatory drug (NSAID). d. If NSAIDs are not effective in controlling symptoms, the next line of therapy is systemic corticosteroids.
c
A patient with osteoporosis is treated with analgesics and bisphosphonates. The nurse teaches the patient about safe administration of the drugs. Which patient action may interfere with the therapeutic action of the drug? a. Taking the bisphosphonates with a full glass of water b. Taking the bisphosphonates 30 minutes before a meal c. Taking the analgesics and bisphosphonates at the same time d. Remaining upright for 30 minutes after taking bisphosphonates
c
A patient with rheumatoid arthritis (RA) complains to the clinic nurse about having chronically dry eyes. Which action by the nurse is most appropriate? a. Ask the HCP about discontinuing Methotrexate b. Remind the patient that RA is a chronic health condition c. Suggest the patient use over-the-counter (OTC) artificial tears d. Teach the patient about adverse effects of the RA medications
c
Anakinra (Kineret) {Interleukin antagonist} who has rheumatoid arthritis (RA). When teaching the patient about this drug, the nurse will include information about a. Self-administration of subcutaneous injections. b. Taking the medication with at least 8 oz of fluid. c. Avoiding concurrently taking aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs). d. Symptoms of gastrointestinal (GI) irritation or bleeding.
c
The nurse has reviewed proper body mechanics with a patient with a history of low back pain caused by a herniated lumbar disc. Which statement made by the patient indicates a need for further teaching? a. "I should sleep on my side or back with my hips and knees bent." b. "I should exercise at least 15 minutes every morning and evening." c. "I should pick up items by leaning forward without bending my knees." d. "I should try to keep one foot on a stool whenever I have to stand for a period of time."
c
The nurse is administering an intravenous infusion of zoledronic acid to a patient being treated for osteoporosis. How often should the nurse inform the patient they will be receiving this medication? a. Each month for six months b. Each time the patient fractures a hip c. Annually from the time of the last infusion d. When the after-effects of the previous dose wear off
c
A patient informs the nurse they have dry eyes and a decrease in the amount of saliva being produced. Which condition does the nurse associate with the symptoms described by the patient? a. Felty syndrome b. Down's syndrome c. Turner syndrome d. Sjogren's syndrome
d
The nurse notices a circular lesion with a red border and clear center on the arm of summer camp counselor who is in the clinic complaining of chills and muscle aches. Which action should the nurse take to follow up on that finding? a. Palpate the abdomen b. Auscultate the heart sounds c. Ask the patient about recent outdoors activities d. Questions the patient about immunization history
c
The nurse will anticipate the need to teach a patient who has osteoarthritis (OA) about which medication? a. Prednisone- corticosteroid b. Adalimumab (Humira)- TNF blocker c. Capsaicin cream (Zostrix)- topical analgesic d. Sulfasalazine (Azulfidine)- antiinflammatory
c
When the nurse brings medications to a patient with rheumatoid arthritis, the patient refuses the prescribed methotrexate (Rheumatrex) {antimetabolite} the nurse, "My arthritis isn't that bad yet. The side effects of methotrexate are worse than the arthritis." The most appropriate response by the nurse is: a. "You have the right to refuse to take the methotrexate." b. "Methotrexate is less expensive than some of the newer drugs." c. "It is important to start methotrexate early to decrease the extent of joint damage." d. "Methotrexate is effective and has fewer side effects than some of the other drugs."
c
Which distinct features of a new bone are revealed in the x-ray of a patient with Paget's disease? a. Brittle and porous b. Overgrowth of bone c. Large and disorganized d. Soft with ribbons of decalcification
c
Which laboratory result is important to communicate to the health care provider for a patient who is taking methotrexate {antimetabolite} to treat RA? a. Rheumatoid factor is positive b. Fasting blood glucose is 90mg/dL c. The WBC count is 1500/uL d. The erythrocyte sedimentation rate is elevated
c
Which patient seen by the nurse in the outpatient clinic is most likely to require teaching about ways to reduce the risk for osteoarthritis (OA)? a. A 56-year-old man who has a sedentary office job b. A 38-year-old man who plays on a summer softball team c. A 56-year-old woman who works on an automotive assembly line d. A 38-year-old woman who is newly diagnosed with DM
c
a new clinic patient with joint swelling and pain is being tested for systemic lupus erythematosus. Which test will provide the most specific findings for the nurse to review? a. Rheumatoid factor (RF) b. Antinuclear antibody (ANA) c Anti-Smith antibody (Anti-Sm) d. Lupus erythematosus (LE) cell prep
c
A patient has been on bed rest for several days due to an acute illness. The patient is finally able to get up in a chair. Of what will the patient most likely complain? a. Hear racing b. Sore muscles c. Trouble breathing d. Fatigue or tiredness
d
A patient is admitted with cellulitis and osteomyelitis. The nurse concludes that there is significant inflammation through which laboratory finding? a. Red blood cell count 4.5 b. Blood urea nitrogen (BUN) 24 c. White blood cell count 9500/mm3 d. Erythrocyte sedimentation rate (ESR) 88
d
A patient is being treated for a spinal vertebral fracture due to osteoporosis. Which condition poses a risk to the patient? a. Loss of hearing b. Enlarged and thickened skull c. Second vertebral fracture within 18 months d. Wedging and fractures of the vertebrae over time
d
A patient reporting painful urination and knee pain is diagnosed with reactive arthritis. The nurse will plan to teach the patient about the need for several months of therapy with: a. Methotrexate- antimetabolite b. Anakinra (Kineret)- interleukin antagonist c. Etanercept (Enbrel)- biologic d. Doxycycline (Vibramycin)- tetracycline antibiotic
d
A patient with a fracture of the femur has the extremity in skeletal traction and is encouraged to use an overhead trapeze apparatus. The nurse explains that the primary purpose of the overhead trapeze is what? a. To assist with leg exercises b. To enhance breathing and lung expansion c. To promote circulation throughout the body d. To facilitate independent movement while the patient is in bed
d
A patient with musculoskeletal fatigue is weak. How does the nurse best provide safety when the patient needs to go to the bathroom? a. By providing bed pan b. By providing bedside commode c. By assisting the patient to the bathroom d. By assessing the patient's ability to walk to the bathroom
d
A patient with profound osteoarthritis is recommended for total hip arthroplasty (THA). The patient asks why this will relieve the discomfort. What is the nurse's best response? a. THA will remove degenerative debris from the joint allowing for increased mobility and decreased pain. b. THA removes a wedge of bone to restore alignment to the joint, alleviating pain and promoting mobility. c. THA will provide increased mobility for patients with arthritis by reshaping the ball of the femur rather than replacing it. d. THA can provide significant pain relief for patients with joint deterioration from arthritis by replacing the ball-and-socket joint as well as the upper shaft of the femur.
d
An older adult patient states, "I am frustrated by my flabby belly and rigid hips." What is the best response by the nurse? a. "You should go on a diet and exercise more to feel better about yourself." b. "Something must be wrong with you because you should not have these problems." c. "You have arthritis and need to go on nonsteroidal antiinflammatory drugs (NSAIDs)." d. "Decreased muscle mass and strength, and increased hip rigidity are normal changes of aging."
d
The health care provider determines that a patient with Paget's disease needs help slowing down bone reabsorption. What medication does the nurse anticipate educating the patient regarding? a. Calcium b. Vitamin D c. Denosumab d. Alendronate
d
The home health nurse is making a follow-up visit to a patient with recently diagnosed rheumatoid arthritis (RA). Which assessment made by the nurse indicates more patient teaching is needed? a. The patient takes a 2-hour nap each day b. The patient has been taking 16 aspirins each day c. The patient sits on a stool while preparing meals d. The patient sleeps with two pillows under the head
d
The nurse assess a 78-year-old who uses naproxen (Alveve) {NSAID} daily for hand and knee osteoarthritis management. Which information requires a discussion with the health care provider about an urgent change in the treatment plan? a. Knee crepitation is noted with normal knee range of motion b. Patient reports embarrassment about having Heberden's node c. Patient's knee pain while golfing has increased over the last year d. Laboratory results indicate blood urea nitrogen is elevated
d
The nurse is assessing a patient who has a traumatic leg injury. What intervention is the most important in the initial assessment? a. Assess the patient's pain level b. Realign the extremity in the appropriate position c. Check for full or partial loss of feeling and sensation d. Determine the extremity's color and temperature in the area of the injury
d
The nurse is caring for a patient who is prescribed a muscle relaxant for acute low back pain. What should the nurse teach the patient about managing low back problems? a. Sleep in prone position. b. Maintain complete bed rest. c. Use a soft comfortable mattress. d. Place a foot on a stool during prolonged standing.
d
The nurse is caring for a patient who underwent spinal surgery a day ago. A change in which clinical factor needs to be immediately reported to the primary health care provider? a. Pain intensity b. Urinary voiding c. Bowel movements d. Movement of the leg
d
The nurse is completing a neurovascular assessment on the patient with a tibial fracture and a cast. The feet are pulseless, pale, and cool. The patient says they are numb. What should the nurse suspect is occurring? a. Paresthesia b. Pitting edema c. Poor venous return d. Compartment syndrome
d
The nurse is completing discharge teaching with an older adult patient who underwent right total hip arthroplasty. The nurse identifies a need for further instruction if the patient states the need to do what? a. Avoid crossing his legs b. Use a toilet elevator on toilet seat c. Notify future caregivers about the prosthesis d. Maintain hip in adduction and internal rotation
d
The nurse is providing discharge education to a patient with a fiberglass cast. What should the nurse be sure to include with the education? a. It must not get wet. b. The fiberglass is heavier than a plaster cast. c. It has to be replaced every one to two weeks. d. Skin irritation is more common than with a plaster cast.
d
