Pathophysiology test 3 disorders of skeleton ch 49

Which information is important for the nurse to teach the female client about the development of osteoporosis?

"Estrogen deficiency contributes to the development of osteoporosis."

A nurse is evaluating the progress of a client with chronic fatigue syndrome. Which statement by the client indicates successful symptom management?

"My schedule includes yoga and a weekly club meeting."

The nursing instructor is teaching about osteoporosis and tells students that reduced physical activity can contribute to the loss of bone mass. What does the nurse tell the students is the rationale for this?

"Reduced physical activity increases the rate of bone loss, as mechanical forces are important stimuli for normal bone remodeling."

A client who has been admitted for a pelvic fracture is diagnosed with osteoporosis. The client states, "How could I not have known I had this?" What is the nurse's best response?

"This is typically a silent disorder without symptoms until something like this happens."

A physician is providing care for several clients on a hospital-based medical ward. Which client is most likely to experience chronic fatigue?

51-year-old woman admitted for exacerbation of her multiple sclerosis.

An older adult is being evaluated for chronic fatigue. Which assessment data by the nurse would support the diagnosis?

Inability to concentrate; awakens after a few hours of sleep and cannot return to sleep

Which of the following should the nurse teach about secondary osteoporosis?

It is secondary to many conditions.

While getting up out of bed for the first time after surgery, a client reports feeling dizzy and faint. Which condition is the client most likely experiencing?

Orthostatic intolerance

The primary care provider has positioned an infant in the supine position with both knees flexed and applied gentle downward pressure to both knees. The knee and thigh have been abducted while an upward and medial pressure was applied to the proximal thigh. What examination technique has been performed on this infant?

Ortolani maneuver

An older adult client is admitted for the treatment of pneumonia. The nurse notes the home medications include nasal calcitonin, vitamin D, and calcium chloride. Which disease process is this client likely treating with these medications?

Osteoporosis

How will the nurse teach the client to utilize metabolic equivalents when starting an exercise routine?

The client should understand that activities with higher metabolic equivalents have higher workloads.

A postmenopausal client questions the nurse about the diagnosis of osteoporosis. Which statement describes the pathology of osteoporosis?

The process of bone renewal after menopause is slowed in relation to the occurrence of bone breakdown.

A nurse is providing a client with preoperative education. The nurse knows that which teaching point should be included in the instruction regarding deep breathing and coughing exercises?

The resistance of your bed limits your lung expansion.

Which chronic disorders have been associated with chronic fatigue? Select all that apply.

anemia cardiac disease MS arthritis

The nurse is providing care for an adult client whose current medication regimen includes calcitonin and a bisphosphonate. The nurse should recognize the likely need for:

bone density testing on a scheduled basis.

A nursing student who is studying about disorders of the skeletal system is heard making the following statement, "Many skeletal disorders of early infancy are caused by intrauterine positions and need to be surgically fixed." Is this statement true or false?

false

A daughter is concerned because her elderly parent has been diagnosed with osteomalacia. The daughter asks the nurse why this happened. The best response would be that:

intestinal absorption slows as natural aging occurs.

The nurse caring for a child with a deficiency of vitamin D knows that the deficiency places the child at risk for:

rickets

A major complication of prolonged bed rest is an increased risk of kidney stones. The nurse knows that this is most likely related to:

saturation of urine with calcium salts.

The nurse is providing teaching for parents of a 2-week-old infant just diagnosed with clubfoot. The nurse includes that the first treatment option is:

serial manipulations and casting.