LS1 Week 8 Chapter 41 Management of Pt With Musculoskeletal Disorders

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

a. Include calcium, phosphorus, and vitamin D supplements

Which tem refers to a disease of a nerve root? a. Radiculopathy b. Contracture c. Involucrum d. Sequestrum

a. Radiculopathy

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

b. Surgical debridement

Which group is at the greatest risk for osteoporosis? a. Caucasian women b. Asian women c. African American women d. Men

a. Caucasian women

When an infection is bloodborne, the manifestation include which sx? a. Chills b. Hypothermia c. Bradycardia d. Hyperactivity

a. Chills

In which deformity does the great toe deviate laterally? a. Hallux valgus b. Pes cavus c. Plantar fasciitis d. Hammertoe

a. Hallux valgus

Which should be included in the teaching plan for a client diagnosed with plantar fasciitis? a. Mangement of plantar fasciitis includes stretching exercises b. Plantar fasciitis presents as acute onset pain localized to the ball of the foot that occurs when pressure is placed on it an diminishes when pressure is released c. The pain of plantar fasciitis diminshes with warm water soaks d. Complications of plantar fasciitis include neuromuscular damage and decreases ankle range of motion

a. Mangement of plantar fasciitis includes stretching exercises

Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing BMD? a. Vitamin D b. Raloxifene (Evista) c. Teriparatide (Forteo) d. Calcitonin (Miacalcin)

d. Calcitonin (Miacalcin)

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

d. Smoking cessation

Which condition is a metabolic bone disease characterized by inadequate mineralization of bone? a. Osteoarthritis b. Osteomalacia c. Osteoporosis d. Osteomyelitis

b. Osteomalacia

Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing bone mass. a. Calcitonin b. Vitamin D c. Teriparatide d. Raloxifene

a. Calcitonin

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

d. Alendronate

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

a. Walk or perform weight-bearing exercises

The nurse is educating a group of women on the prevention of osteoporosis. The nurse recognizes the education as being effective when the group members make which statement? a. "We need an adequate amoung of exposure to sunshine" b. We need to increase aerobic exercise" c. "We need to consume a low-calcium, high-phosphorus diet" d. "Estrogen deficiency increases bone desnisty"

a. "We need an adequate amount of exposure to sunshine"

Which term refers to a flexion deformity caused by a slowly progressive contracture of the plamar fascia? a. Hammertoe b. Callus c. Dupuytren contracture d. Hallus valgus

c. Dupuytren contracture

Localized rapid bone turnover, most commonly affecting the skull femur, tibia, pelvic bones, and vertebrea, is characterized by which bone disorder? a. Osteomalacia b. Osteoporosis c. Osteitis deformans d. Osteomyelitis

c. Osteitits deformans

Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which bone disorder/ a.Osteomyelitis b. Osteomalacia c. Paget disease d. Ganglion

c. Paget disease

The majority of bone infections are caused by which organism? a. Proteus b. Pseudomonas c. Staphylococcus

c. Staphylococcus

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

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

Instructions for the client with low back pain include that, when lifting the client should a. use a narrow base of support b. place the load away from the body c. bend the knees and loosen the abdominal muscles d. avoid overreaching

d. avoid overreaching

Lifestyle risk factors for osteporosis include a. a low protein, high fat diet b. lack of aerobic exercise c. an estrogen deficiency or menopause d. lack of exposure to sunshine

d. lack of expsure to sunshine

A physician prescribes raloxifene to a hospitalized client. The client's hx includes a right hip fx, hysterectomy, deep vein thrombosis, and hypertension. Which action by the nurse demonstrates safe nursing care? a. Administering the raloxifene in the evening b. Admninstering the raloxifene with food or milk c.Hold the raloxifene and notifying the physician d. Having the pt. sit upright for 30-60 minutes following administratino

.c. Holding the raloxifene and notifiying the physician

The nurse is educating a client on home care following removal of a ganglion cyst from the right wrist. Which statement by the client demonstartes that the nure's teaching has been effective. a. "I will leave the dressing on until I follow up with my doctor as scheduled" b. " I will notify my doctor if I develop redness and purulent drainage for 2 days" c. "If my pain is not relieved I will use a heat pack and take some more medication d. "If my hand becomes numb and cool I will elevate it above my heart"

a. "I will leave the dressing on until Ifollow up with my doctor as scheduled"

Which common problem of the upper extremity results from entrapment of the median nerve at the wrist? a. Carpal tunnel syndrome b. mpingement syndrome c. Ganglion d. Dupuytren's contracture

a. Carpal tunnel syndrome

A client has been prescribed alendronate for the prevention of osteoporosis. Which is the highes priority nursing intervention associated with the administration of the medicatio? a. Have the client sit upright for at least 30 minutes following administration b. Encourage the client to get yearly dental exams c. Ensure adequate intake of vitamin D in the diet d. Assess for the use of corticosteroids

a. Have the client sit upright for at least 30 minutes following administration

Which should be included in the teaching plan for a clietn dx with plantar fasciitis? a. Management of plantar fasciitis includes stretching exercises b. Complications of plantar fasciitis include neuromuscular damage and decreased ankle range of motion c. Plantar fasciitis present as an acute onset of pain localized to the ball of the foot . d. The pain of plantar fasciitis diminishes with soaking the foot with warm water

a. Management of plantar fasiciitis includes stretching exercises

The nurse is educating a client with lower back pain on proper lifting techniques. The nurse recognizes that the education was effective when the client a. places the load close to the body b. bends at the hips and tightens the abdominal muscles c. reaches over the head with the arms fully extended d. uses a narrow base of support

a. places the load close to the body

Dupuytren contracture causes flexion of which area(s) a. Thumb b. Fourth and fifth fingers c. Index and middle fingers d. Ringer finger

b. Fourth and fifth fingers

The nurse notes that the client's left great toe deviates laterally. This finding would be recognized as which condition? a. Hammertoe b. Hallux valgus c. Flatfoot d. Pes cavus

b. Hallux valgus

A client dx with osteoporosis is being discharged home. Which priority education should the nurses should provide? a. Increase calcium and vitamin D in the diet b. Remove small rugs from the home c. Participatie in weight bearing exercises d. Classify medication

b. Remove all small rugs from the home

In chronic osteomyelitis, antibiotics are adjunctive therapy in which situation? a. Vitamin supplements b. Surgical debridement c. Wound irrigation d. Wound packing

b. Surgical debridement

A client with a muscleoskeletal injury is instructed to alter the diet. The objective of altering the diet is to facilitate the absorption of calcium from food. and supplements. Considering the food intake objective, which food item should the nurse encourage the client to include in the diet? a. Red meat b. Vitamin D fortified milk c. Green vegatables d. Bananas

b. Vitamin D-fortfied milk

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

b. Walk or perform weight bearing exercises outdoors

A nurse is educating a client dx with osteomalacia. Which statement by the nurse is appropriate? a. "You will need to avoid foods high in phosphorus and Vitamin D" b. "You will need to decrease the amount of dairy products you consume" c. You may need to be evaluated for an underlying cause, such as renal failure" d. "You will need to engage in vigorous exercise three times a week for 30 minutes"

c. You may need to be evaluated for an underlying cause, such as renal failure"

Most cases of osteomyelitis are caused by which microogranism? a. Pseudomonas species b. Proteus species c. Staphylococcus aureus d. Escherichia coli

c. Staphylococcus aureus