Med surg Final

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Which of the following diagnostic studies are done to relieve joint pain due to effusion? A) Arthrocentesis B) Electromyography (EMG) C) Bone scan D) Biopsy

A) Arthrocentesis (joint aspiration ) releasing fluid to relieve pain

A client presents to a clinic with a leg ulcer that isn't healing; subsequent diagnostic testing suggests osteomyelitis. The nurse is aware that the most common pathogen to cause osteomyelitis is what? A) Staphylococcus aureus B) Proteus C) Pseudomonas D) Escherichia coli

A) Staphylococcus aureus

A client with systemic lupus erythematosus (SLE) has the classic rash of lesions on the cheeks and bridge of the nose. What term should the nurse use to describe this characteristic pattern? A) Butterfly rash B) Papular rash C) Pustular rash D) Bull's eye rash

A) butterfly rash rash on the upper cheeks and bridge of the nose

A client has been in a motor vehicle collision. Radiographs indicate a fractured humerus; the client is awaiting the casting of the upper extremity and admission to the orthopedic unit. What is the primary treatment for musculoskeletal trauma? A) immobilization B) surgical repair C) external rotation D) complications

A) immobilization fractured bones due to trauma must be immobilized until healed

A client is complaining of severe pain in the left great toe. What lab studies that the nurse reviews indicate that the client may have gout? A) Elevated white blood count B) Elevated uric acid levels C) Decreased hemoglobin and hematocrit D) Increased AST and ALT

B) Elevated uric acid levels

Which term refers to a grating or crackling sound or sensation? A) Callus B) Clonus C) Fasciculation D) Crepitus

C) Fasciculation involuntary twitch of a muscle fiber

A client with a fracture develops compartment syndrome that requires surgical intervention. What treatment will the nurse would most likely prepare the client for? A) Bone graft B) Joint replacement C) Fasciotomy D) Amputation

C) Fasciotomy incision between the fascia and muscle to relieve pressure

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

D) Decreased height

An older adult client seeks care for the treatment of a swollen, painful knee joint. Diagnostic imaging and culturing of synovial fluid resulted in a diagnosis of septic arthritis. The nurse will prioritize which aspects of care? Select all that apply. A) Administration of oral and IV corticosteroids as ordered B) Prevention of falls and pathologic fractures C) Maintenance of adequate serum levels of vitamin D D) Intravenous administration of antibiotics E) Education on the possible need for a needle aspiration of the knee

D) Intravenous administration of antibiotics E) Education on the possible need for a needle aspiration of the knee


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