neuro 2
which structure protects a clients internal organs, supports blood cell production, and stores minerals
bones
which hormone is responsible for altered serum calcium concentrations? select all that apply
calcitonin parathyroid hormone
which client statement assessment data would correspond to a muscle strength rating of 3
can complete ROM against gravity
a client who has been receiving treatment for osteomyelitis reports hives, mouth sores, and blood diarrhea. which medication would the nurse expect to see in the clients medication administration record
cefazolin
which food would the nurse recommend for a client who is at risk for developing osteoporosis? select all that apply
chicken breast broiled beef steak
back pain from vertebral compression fracture.
collapse of the vertebral bodies
buck extension
cutaneous traction
OA muscle spasm
cyclobenzaprine hydrochloride
long leg cast removed
elevate the extremity when sitting
osteomyelitis
elevated WBC presence of avascular scar tissue elevated ESRD
prothetic fits porper
evenly darkened skin of residual limb
first post op day after total hip replacement
flex the knee on the unoperated leg and pull on the trapeze to lift your pelvis
which hormone aids in regulating intestinal calcium and phosphorous absorption
glucocorticoids
newly applied long leg plaster cast
handling the cast with fingertips
which hormones are involved in building and maintaining healthy bone tissue? select all that apply
insulin growth hormone glucocorticoids
a client is admitted with a fracture of the neck of the femur
internal rotation with extension of the knee and hip
in which location would the nurse place a pillow or sandbag to prevent external rotation of a clients lower extremity
lateral to the clients affected hip
which assessment finding is consistent with felty syndrome? select all that apply
leukopenia splenomegaly
prepare client who has above the knee amputation for crutch walking
lifting weights
which condition would the nurse suspect in the male client whose laboratory report shows creatine kinase levels higher than the normal range? select all that apply
muscle trauma progressive muscular dystrophy
cast applied to lower extremity presence of complication
numbness prolonged capillary refill
which medication to treat osteoporosis would be contraindicated for a client who has a history of renal calculi
os-cal
middle aged fatigue
perform push ups in the morning
snugly bandaging residual limb after an amputation
promoting tissue shrinkage
which synovial joint movement is involved in turning a clients palm downward
pronation
which population level action would the nurse use to support tertiary prevention for clients with osteoporosis
support development of low impact physical activity options for those diagnosed with osteoporosis
compromised circulation for a client with a long leg cast
swelling of the toes prolonged capillary refill
prophylactic palliative tx for RA
synovectomy
benefit of continuous regional analgesia versus conventional methods
systemic side effects are minimal
which nursing intervention would help reduce the severity of an older adult clients kyphotic posture and widened gait condition? select all that apply
teach the client proper body mechanics instruct the client to sit in supportive chairs with arms
osteomyelitis
temp of 102 erythema of affected area tenderness of affected area
at which joint would the nurse be bale to palpate spongy swelling caused by excess synovial fluid
temporomandibular joint
positioning after a total hip arthroplasty
use a pillow to keep the legs abducted
which position would the nurse encourage for the client who had an above the knee amputation
functional alignement
when treating clients for osteoporosis, which medication has a side effect of atrial fibrillation when infused too quickly
zoledronic acid
scoliosis of thoracic spine and lumbar spine
cardiac function impairment
which medications are useful to relieve pain associated with muscle spams? select all that apply
carisoprodol methocarbamol cyclobenzaprine
which condition can be identified in a client using phalanx test
carpal tunnel syndrome
exacerbation of arthtirits
encourage motion of the joint maintain joints in functional alignment when resting
which type of cast or splint would the nurse expect to see on a child with a fractured femur
hip spica
which clinical manifestation would the nurse associate with landouzy-dejerine muscular dystrophy
loss of hearing
hip replacement
place pillow btwn legs use elevated toilet seat keep hips neutral
four point gait with crutches
the client must be able to bear weight on both legs
which crutch walking technique would the nurse need to reinforce after the client has knee surgery
three point
for which purpose is a goniometer used
to assess range of motion
bucks traction
to immobilize the fracture
3 on muscle strength scale
active movement against gravity but not against resistance
4 hours after hip replacement
advise the client that the legs must be kept wide apart
cartilaginous degeneration
advise to take warm showers
which nursing intervention would be contraindicated for a client who has a fracture and has compartment syndrome? select all that apply
applying cold compresses elevating the extremity above heart level
the nurse finds that the client has normal knees with a space between the clients medical malleoli of 4.5cm which condition would cause this finding? select all that apply
arthritis poliomyelitis congenital deformity
below the knee amputation further teaching
at night, i sleep with a pillow under my knees
which type of joint permits movement in any direction
ball and socket
the nurse is teaching positioning techniques to a client who developed degenerative joint disease of the vertebral column. in addition to suggesting that the client keep the spin straight and cross the arm over the chest, which instruction would the nurse provide
bend the top knee to the side to which the client is turning
which joint helps in the gliding movement of the wrist
biaxial joint
the laboratory reports of a client reveal a total serum calcium level of 8.1. identify the correct order of events to correct this clients total serum calcium level
1. increase of PTH 2. stimulation of osteoclastic activity 3. release of calcium into the blood 4. elevation of serum calcium levels
which intervention would the nurse include in the plan of care for a client after total hip replacement? select all that apply
1. regularly scheduled analgesics and as needed meds for pain control 2. frequent neuro assess should be done 3. when turning, the client should be log rolled to prevent the leg
the nurse notes an older adults admission orders include gentamicin for the treatment of osteomyelitis. which laboratory report would the nurse review before beginning the medication? select all that apply
BUN and creatinine, electrolytes and urinalysis
which area are the central thermoreceptors located in the human body select all that apply
spinal cord hypothalamus abdominal organs
bone density
standary x ray
avoid after a total hip replacement
sitting in a low chair
skeletal muscles
skeletal muscles accounts for about half of a human beings body weight
rotator cuff surgery
skin color presence of edema movement of the hand sensations in the extremity
a client with cancer is scheduled for a bone scan. which comment by the client indicates to the nurse that the teaching before the scan has been effective
a low radioactivity substance will be injected into my vein, and a machine will detect where it goes
pain due to muscle spasm
providing heat compresses at the site
walker walking
put walkers front leg tips about an arms length ahead of feet shift the body eight to the walker and step forwards
increase countertraction to reduce hip fx
raise the foot of the bed slightly
exacerbation of arthritistis diet
regular with vitamins and minerals
traction for fractured hip
relieving muscle spasm and pain
avoid when providing care for a fractured extremity
remove shoes or boots
which joint is an example of a gliding joint
sacroiliac
which action would the nurse take to ensure that bucks traction is being applied correctly
cast hand weight to apply traction, but limit to 10 lb
a clients blood test after receiving a general anesthetic indicates increased intracellular calcium levels. which medication would the nurse anticipate administering to this client
dantrolene
which factor contributes to a clients slow rate of healing? select all that apply
diabetes, smoking, alcohol abuse
which nursing intervention would the nurse implement when providing postoperative care for a client who had a below the knee amputation
elevate residual leg slightly while keeping the knee joint straight for first 24 hours
which client joint would be palpated by the nurse to identify genu valgum
knee
which joint is an example of a condyloid
wrist
compartment syndrome
bivalve the cast loosen the bandage applied evaluate the clients level of pain
30 degree and pulling toward tibia
lachmans test
which movement would the nurse assess to determine a clients range of motion in the ankle? select all that apply
eversion inversion dorsiflexion plantar flexion
after total knee replacement continuous passive motion device
improve joint flexion
which intervention would the nurse anticipate incorporating into the plan of care for a client with bursitis of the left knee? select all that apply
rest affected joint use compression splint take NSAIDs
which assessment data would the nurse examine when planning the care for a client with paget disease and taking zoledronic acid? select all that apply
serum creatinine dental examination serum alkaline phosphatase
which instruction would he nurse give a client while performing McMurrays test
to flex, rotate, and extend the knee
a client returns from surgery, after a right below the knee amputation, with the residual limb straight, bu t elevated on a pillow to prevent edema. in which position would the nurse place the line taste the first post op day
turn client to the prone position for 15 to 20 minutes at least three times a day
the health care provide3r prescribed raloxifine for a client with osteoporosis. which manifestation would the nurse monitor in this client
monitor liver function tests
for which clinical manifestation would the nurse focus when assessing clients taking tobramycin? select all that apply
blurred vision hearing impairment decreased sense of smell
which finding would the nurse expect when assessing a client with fat embolism syndrome? select all that apply
decreased PaO2 lipids in the urine decreased hematocrit level
a client with multiple myeloma is scheduled to have a chest x ray and bone scan. which action is the priority responsibility of the nursing and radiology staff
handle the client with supportive movements
which finding would the nurse expect to identify in a client who has osteoarthritis that would not be present in clients with rheumatoid arthritis
heberden nodes
which statement made by the client would indicate to then ruse that teaching has been effective regarding the management of low back pain? select all that apply
i should keep a check on my body weight i should stop exercising if the pain becomes severe
which client statement indicates understanding of the precautions taken during bisphosphonate therapy
i should take the medication with a large glass of water
which position would the nurse use for placement o the affected extremity of a client who is recovering from an open reduction and internal fixation n(ORIF) of a fractured hip
moderate abduction
osteochondroma
occurs most often in those 10 to 25 years old
which type of synovial joint movement is involved in moving the clients first and fifth metacarpals anteriorly from the flattened palm?
opposition
which treatment is considered first line for pagets disease
oral alendronate
which hormone promotes bone resorption in a client and potential leads to decreased bone density
parathyroid hormone
which serum hormone level elevates in response to a clients total serum calcium concentration of 7.9
parathyroid hormone
a primary health care provider schedules a bone scan for a client with osteoporosis which nursing action is beneficial for the client? select all that apply
placing the client tin the supine position instructing the client to empty their bladder before the scan
which instruction would the nurse include when providing discharge teaching to a client who had hip replacement surgery about protecting the affected extremity when in the sitting position
when sitting in a firm armchair, the left foot should be flat on the floors surface
the client can complete range of motion with gravity eliminated. which grade would the nurse assign to the clients muscle strength
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