Nursing 2 - CH 36 Musculoskeletal
A nurse is teaching a client about preventing osteoporosis. Which teaching point is correct?
"After menopause, the body's bone density declines, resulting in a gradual loss of height."
A client diagnosed with carpal tunnel syndrome (CTS) asks the nurse about numbness in the fingers and pain in the wrist. What is the best response by the nurse?
"CTS is a neuropathy that is characterized by compression of the median nerve at the wrist."
A nurse is teaching a client who was recently diagnosed with carpal tunnel syndrome. Which statement should the nurse include?
"Ergonomic changes can be incorporated into your workday to reduce stress on your wrist."
A client is admitted with acute osteomyelitis that developed after an open fracture of the right femur. When planning this client's care, the nurse should anticipate which measure?
Administering large doses of I.V. antibiotics as ordered
The nurse is caring for a client with a hip fracture. The physician orders the client to start taking a bisphosphonate. Which medication would the nurse document as given?
Alendronate
A patient is diagnosed with osteogenic sarcoma. What laboratory studies should the nurse monitor for the presence of elevation?
Alkaline phosphatase
The nurse is preparing a client for a surgical procedure that will allow visualization of the extent of joint damage of the knee for a client with rheumatoid arthritis and also obtain a sample of synovial fluid. What procedure will the nurse prepare the client for?
Arthroscopy
osteoclasts
Bone-destroying cells
What food can the nurse suggest to the client at risk for osteoporosis?
Broccoli
Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing BMD?
Calcitonin (Miacalcin)
Calcitonin
Lowers blood calcium levels
A client with carpal tunnel syndrome has had limited improvement with the use of a wrist splint. The nurse knows that which procedure will show the greatest improvement in treatment for this client?
Open nerve release
Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which bone disorder?
Osteitis deformans
shuffling gait
Parkinson's disease
A nurse is caring for a client following foot surgery. Which nursing intervention is most important for the nurse to include in the nursing care plan?
Perform neuromuscular assessment every hour.
The nurse recognizes that goal of treatment for metastatic bone cancer is to:
Promote pain relief and quality of life
Most cases of osteomyelitis are caused by which microorganism?
Staphylococcus aureus
A patient is having low back pain. What position can the nurse suggest to relieve this discomfort?
Supine, with the knees slightly flexed and the head of the bed elevated 30 degrees
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?
Surgical debridement
Osteomyelitis treatment
Surgical debridement and antibiotics
Morton neuroma is exhibited by which clinical manifestation?
Swelling of the third (lateral) branch of the median plantar nerve. CORRECT?
A client has been treated for migraine headaches for several months and comes to the clinicreporting no improvement. The nurse is talking with the client and hears an audible click when the client is moving the jaw. What does the nurse suspect may be happening?
Temporomandibular disorder
A nurse is caring for a client following removal of a Morton's neuroma. Which nursing intervention would be most appropriate?
The recommended daily allowance of calcium may be found in a wide variety of foods.
A nurse is teaching a client about preventing osteoporosis. Which teaching point is correct?
The recommended daily allowance of calcium may be found in a wide variety of foods.
Dupuytren's contracture
Thickening and shrinking of the fascia of the palm with fingers being drawn into a flexed position
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
greenstick fracture
bending and incomplete break of a bone; most often seen in children
communted fracture
bone breaks into many fragments
hip, wrist, spine
bone densitometry
A nurse is caring for an elderly female client with osteoporosis. When teaching the client, the nurse should include information about which major complication?
bone fracture
ligaments
bone to bone
contusion
bruise
Ecchymotic
bruising
Which of the following inhibits bone resorption and promotes bone formation?
caclitonin
Which of the following inhibits bone resorption and promotes bone formation?
calcitonin
The nurse is asked to explain to the client the age-related processes that contribute to bone loss and osteoporosis. What is the nurse's best response?
decrease in estrogen
A client comes to the emergency department complaining of pain in the right leg. When obtaining the history, the nurse learns that the client has a history of obesity and hypertension. Based on this information the nurse anticipates the client having which musculoskeletal disorder?
degenerative joint disease
Radiculopathy
disease of the nerve roots
Which group is at the greatest risk for osteoporosis?
european american women
effusion
fluid build up around joint
Bursitis
inflammation of a bursa
Osteomyelitis
inflammation of bone and bone marrow
compartment syndrome
involves the compression of nerves and blood vessels due to swelling within the enclosed space created by the fascia that separates groups of muscles
sprain
ligaments and soft tissue injury: twisting or hyperextension
Assessment of a client reveals signs and symptoms of Paget's disease. Which of the following would be most likely?
long bone bowing: cellular remodeling and deformity
After a person experiences a closure of the epiphyses, which statement is true?
no further lengthening occur
A client with carpal tunnel syndrome has had limited improvement with the use of a wrist splint. The nurse knows that which procedure will show the greatest improvement in treatment for this client?
open nerve release
Which of the following is the most common and most fatal primary malignant bone tumor?
osteosarcoma
contusion
pain, swelling, bruising
Teriparatide
parathyroid hormone analog
tomography
process of recording slices (anatomical cross section) - must remain very still
artherocentesis
puncture of a joint with a needle to withdraw fluid
traction for a femur fracture: expected outcomes
reduction of deformity, minimize muscle spasms, realignment of fracture
A client has Paget's disease. An appropriate nursing diagnosis for this client is:
risk for falls
strain
sTrain stress, stretching
A client with a musculoskeletal 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?
vitamin D fortified milk
