nurs 327 final

When describing malignant bone tumors to a group of students, which of the following would the instructor cite as the usual location?

Distal femur around the knee

Which of the following diagnostics are used to evaluate spinal nerve root disorders (radiculopathies)?

Electromyogram

Dupuytren's contracture causes flexion of which area(s)?

Fourth and fifth fingers

A client has been prescribed alendronate for the prevention of osteoporosis. Which is the highest priority nursing intervention associated with the administration of the medication?

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

Which of the following are routes of administration for Calcitonin? Select all that apply.

Nasal spray Subcutaneous Intramuscular injection

The nurse is assessing the muscle tone of a client with cerebral palsy. Which description does the nurse determine to be an expected assessment of this client's muscle tone?

hypertonic

The nurse advises a 36-year-old patient who suffered a severe wrist sprain subsequent to a fall that she can begin progressive passive and active exercises in:

1 to 3 weeks.

A client is hospitalized for open reduction of a fractured femur. During the postoperative assessment, the nurse notes that the client is restless and observes petechiae on the client's chest. Which nursing action is indicated first?

Administer oxygen.

When is it advisable for the nurse to apply heat to a sprain or a contusion?

After 2 days

Vestibular suppressants used in the treatment of vertigo originate from which of the following drug classifications? Select all that apply.

Anticholinergics Antihistamines Benzodiazepines

Which nursing action is most important in caring for the client following an arthrogram?

Apply ice to the joint.

Which nursing intervention is appropriate for monitoring the client for the development of Volkmann's contracture?

Assess the radial pulse.

A nurse is caring for a client with osteomyelitis. What complication should the nurse consider that the client is at risk to develop?

Bone abscess formation

The orthopedic nurse is caring for a client diagnosed with a fracture of the radius. When the nurse is considering all of the various types of bone fractures, which bone type is most anticipated?

Cancellous

Which is an inappropriate use of traction?

Decrease space between opposing structures

A client is informed that he has a benign bone tumor but that this type of tumor that may become malignant. The nurse knows that this is characteristic of which type of tumor?

Osteoclastoma

You are teaching the daughter how to instill ear drops into her father's ear to remove impacted cerumen. What is a priority action to teach this woman?

Place the container in warm water before instillation.

The nurse is assessing a client's peroneal nerve. What technique will the nurse use?

Prick the skin mid-way between the great and second toe.

Which nursing instruction is most important to stress when teaching on calcium intake?

Provide age-related calcium intake recommendations.

Which term refers to a disease of a nerve root?

Radiculopathy

Which part of the retina is responsible for central vision?

macula

Which group of medications causes pupillary constriction?

miotics

A client with a conductive hearing disorder caused by ankylosis of the stapes in the oval window undergoes a stapedectomy to remove the stapes and replace the impaired bone with a prosthesis. After the stapedectomy, the nurse should provide which client instruction?

"Don't fly in an airplane, climb to high altitudes, make sudden movements, or expose yourself to loud sounds for 30 days."

A client sustained a stable fracture of the cervical spine and is having skeletal traction applied. What type of traction does the nurse educate the client about?

Crutchfield tongs

What is the best action by the nurse to achieve optimal outcomes when caring for a client with a musculoskeletal disorder who is using a cast?

Educate the client on cast care and complications

Postoperative nursing assessment for a patient who has had a mastoidectomy should include observing for facial paralysis, which might indicate damage to which cranial nerve?

seventh

Which of the following is the treatment of choice for acoustic neuromas?

surgery

The nurse is conducting a medication reconciliation with a client admitted with a fracture. What medication predisposes a client for a risk for fractures?

prednisone

Which term refers to an injury to ligaments and other soft tissues surrounding a joint?

sprain

After surgery for removal of cataract, a client is being discharged, and the nurse has completed discharge instruction. Which client statement indicates that the outcome of the teaching plan has been met?

"I should avoid pulling or pushing any object that weighs more than 15 lbs."

A client undergoes an arthroscopy at the outpatient clinic. After the procedure, the nurse provides discharge teaching. Which response by the client indicates the need for further teaching?

"I should use my heating pad this evening to reduce some of the pain in my knee."

Which of the following classification of medications is the most common cause of ototoxicity?

Aminoglycosides

A nurse practitioner explains to a patient recently diagnosed with noise-induced hearing loss that the basic altered physiology in the ear is the result of:

Damage to the hair cells inside the cochlea.

A group of students are reviewing the structure and function of bones. The students demonstrate understanding of the information when they state that cortical bone is found primarily in which of the following?

Diaphyses

Which statement describes external fixation?

The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins.

Which nerve is assessed when the nurse asks the client to spread all fingers?

ulnar

A nurse is caring for a client following removal of a Morton's neuroma. Which nursing intervention would be most appropriate?

Assess the surgical dressing.

The nurse is preparing a presentation for a group of older adults on the topic of open-angle glaucoma. Which symptoms would be included as indications of open-angle glaucoma? Select all that apply.

Difficulty adjusting eyes in low lighting Halos around lights Blurred vision Decreasing peripheral vision

The client with a newly applied cast reports severe unrelenting pain. What is the nurse's best response?

Make the client NPO and notify the health care provider.

Which medication taken by the client in the previous 24 hours would be of greatest concern to the nurse caring for a client undergoing a bone biopsy?

aspirin

A client was hit in the eye with a stick. The nurse notes edema to the conjunctiva. What documentation by the nurse describes the assessment findings?

chemosis

The red reflex occurs when a normal orange glow is observed as light is applied to which of the following?

pupil

Which test uses a tuning fork shifted between two positions to assess hearing?

rinne

Which statement reflects the progress of bone healing?

Serial x-rays are used to monitor the progress of bone healing.

Which of the following occurs when there is deviation from perfect ocular alignment?

Strabismus

Prior to an eye exam for possible macular degeneration, the nurse completes a history of symptoms. The nurse is aware that a diagnostic sign of age-related dry macular degeneration is:

The appearance of tiny, yellow spots in the field of vision.

A nurse is caring for a client who's experiencing septic arthritis. This client has a history of immunosuppressive therapy and the immune system is currently depressed. Which assignment is the most appropriate for the nurse caring for this client?

The nurse is caring for this client on the intensive care unit.

Acoustic neuromas are benign tumors of which of the following cranial nerves?

VIII

A client's blood test results reveal an elevated alkaline phosphatase. What might this indicate?

bone tumor

Which of the following type of fracture is associated with osteoporosis?

compression

A client has just been diagnosed with early glaucoma. During a teaching session, the nurse should:

demonstrate eyedrop instillation.

The nurse is teaching a client about osteoporosis. What diagnostic test will the nurse include with the client teaching?

dual-energy x-ray absorptiometry

Fracture healing occurs in four areas, including the

external soft tissue.

If untreated, squamous cell carcinoma of the external ear can spread through the temporal bone, causing

facial nerve paralysis.

Arthrodesis is:

fusion of a joint (most often the wrist or knee) for stabilization and pain relief.

Assessment of visual acuity reveals that the client has blurred vision when looking at distant objects but no difficulty seeing near objects. The nurse documents this as which of the following?

myopia

Which type of cataract is caused by central opacity of the lens?

nuclear

A patient is scheduled for a bone marrow biopsy. The nurse explains to the family that the bone marrow is located mainly in four areas. She tells the family that the site to be used would be the

sternum

A client is having a routine eye examination. The procedure being performed is done by using an instrument to indent or flatten the surface of the eye. This is known as ________ and it is routinely done to test for ________.

tonometry; intraocular pressure

A client is experiencing pain, joint instability, and difficulty walking due to an injury to the knee ligaments. The injury was judged not to require surgery. Which intervention would not be included in this client's care?

traction

The nurse recognizes that rheumatoid arthritis is characterized by:

ulnar deviation

A client newly diagnosed with otitis media reports that the pain and pressure in the ear has suddenly disappeared. What is the best action by the nurse?

Assess the tympanic membrane.

A nurse is reviewing a client's medication history. Which drug would the nurse identify as placing the client at risk for ototoxicity.

Erythromycin

A patient in pelvic traction needs circulatory status assessed. How should the nurse assess for a positive Homans' sign?

Have the patient extend each leg and dorsiflex each foot to determine if pain or tenderness is present in the lower leg.

Which of the following precautions should the nurse take when a patient is at risk of injury secondary to vertigo and probable imbalance?

Have the patient sit in a wheelchair when moving.

The nurse is assisting with the administration of a caloric stimulation test. Which client response would the nurse document as an expected response?

Nystagmus

A deoxypyridinoline (DPD) level has been ordered. How will the nurse prepare for this measurement?

Obtain a clean-catch urine.

Which of the following brain structures is responsible for equilibrium?

cerebellum

Meniscectomy refers to the

excision of damaged joint fibrocartilage.

A client is transported to the emergency department for a femur fracture following a motor vehicle crash. What action by the nurse is the highest priority?

Assess vital signs and level of consciousness.

Which of the following is the correct advice regarding food for a patient who underwent a cataract surgery?

Eat soft, easily chewed foods.

The nurse is obtaining a visual history from a client who has noted an increase in glare and changes in color perception. Which assessment would the nurse anticipate to confirm a definitive diagnosis?

Identification of opacities on the lens

The nurse is assessing a client's hearing using the Rinne test. When providing instruction to elicit client feedback, which instruction is essential?

Raise your hand when you no longer hear sound.

A client with osteoporosis is prescribed a selective estrogen receptor modifier (SERM) as treatment. The nurse would identify which drug as belonging to this class?

Raloxifene (Evista)

A client is diagnosed with an exudative retinal detachment. When reviewing the client's history, the nurse would identify which of the following as a possible underlying cause?

Macular degeneration

A client is suspected of having an acoustic neuroma. The nurse most likely would prepare the client for which diagnostic test to confirm the diagnosis?

Magnetic resonance imaging (MRI)

What assessment findings of the leg are consistent with a fracture of the femoral neck?

Shortened, adducted, and externally rotated

A nurse is performing foot care for a client with chronic osteomyelitis and the client asks the nurse about the next treatment. What is the specific treatment for a client with chronic osteomyelitis?

Surgical removal of the sequestrum

An aging client is brought to the eye clinic by the son. The son states he has seen his parent holding reading materials at an increasing distance to focus properly. What age-related changes does this indicate?

presbyopia

Which of the following is an accurate statement regarding refractive surgery?

Refractive surgery is an elective, cosmetic surgery performed to reshape the cornea.

When the client who has experienced trauma to an extremity reports severe burning pain, vasomotor changes, and muscles spasms in the injured extremity, the nurse recognizes that the client is likely demonstrating signs of

complex regional pain syndrome.

A client is diagnosed with Meniere's disease. The nurse would most likely expect the client to report which of the following?

vertigo

The nurse just completed educating a client on hearing aid care. Which statement by the client indicates that the teaching was effective?

"I will use a small pipe cleaner to clean the cannula on the hearing aid."

The nurse is employed in an ear, nose, and throat (ENT) physician's office, obtaining a client history. The nurse documents the following client statements. Which symptoms may indicate a diagnosis of otosclerosis? Select all that apply.

"It seems that I increasingly could not hear my kids talk to me." "I now notice a ringing in my ears especially when I lay down to sleep at night." "I can hear best when you put the tuning fork behind my ear."

A client with suspected osteomalacia has a fractured tibia and fibula. What test would give a definitive diagnosis of osteomalacia?

A bone biopsy

The client displays manifestations of compartment syndrome. What treatment will the nurse expect the client to be scheduled for?

A fasciotomy

A client presents at an ambulatory clinic and reports pain and aching in the lower left leg. After examining the client, a health care provider determines the client has experienced a strain related to the client's exercise regimen. The treatment plan includes analgesics, rest, and cold and heat therapies. Which guideline should be included in the care plan?

After 24 hours, apply heat for periods of 15 to 30 minutes.

An eight-grade boy tells the school nurse that the eye doctor told him he had astigmatism and that meant his eyeball wasn't shaped right. The boy says he went home and looked in the mirror and both eyes looked just alike. What is the school nurse's best response?

Astigmatism means that the cornea of the eye is shaped differently than the cornea in most eyes."

A client comes to the eye clinic for a routine check-up. The client tells the nurse he thinks he is color blind. What screening test does the nurse know will be performed on this client to assess for color blindness?

Ishihara

A physician is assessing a client's ear and notes excess bone formation around the oval window. Which additional assessment finding should the nurse anticipate?

Low-frequency hearing loss

Which should be included in the teaching plan for a client diagnosed with plantar fasciitis?

Management of plantar fasciitis includes stretching exercises.

A client is diagnosed with a first-degree strain of the left ankle related to running 5 miles daily. How would the nurse differentiate the first-degree strain from other strains and sprains?

The client has some edema of the left ankle with muscle spasms but is able to walk without assistive devices.

The nurse recognizes that rheumatoid arthritis is characterized by:

Ulnar deviation

The nurse is taking care of a client with lower motor neuron destruction. How would the nurse document on the electronic health record the muscle tone in the client's lower legs?

atonic

Which of the following medication classifications increases aqueous fluid outflow in the patient with glaucoma?

cholinergics

A client has a cast that extends from below the elbow to the palmar crease and is secured around the base of the thumb. The thumb is also casted. The nurse identifies this as which type of cast?

gauntlet cast

Which data is most important for the nurse to record while assessing a client with an open wound?

when the client last received a tetanus immunization

The nurse is caring for a patient postoperatively following orthopedic surgery. The nurse assesses an oxygen saturation of 89%, confusion, and a rash on the upper torso. What does the nurse suspect is occurring with this patient?

Fat emboli syndrome

The nurse assesses subtle personality changes, restlessness, irritability, and confusion in a client who has sustained a fracture. The nurse suspects which complication?

Fat embolism syndrome

The nurse notes that the client's left great toe deviates laterally. This finding would be recognized as which condition?

Hallux valgus