Week 4: Mobility EAQ

A client newly diagnosed with multiple sclerosis asks the nurse if it will be painful. Which response should the nurse give the client first?

"Pain is a common symptom of this condition."

Aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis. The nurse understands that the drug is being used primarily for which of its properties?

Antiinflammatory

Which diagnostic test is used for the direct visualization of ligaments, menisci, and articular surfaces of joints?

Arthroscopy

A 14-month-old child is admitted to the pediatric hospital with a fractured right femur. The child is placed in Bryant traction. When the parents see the child for the first time in traction, they are surprised to see both legs in traction and ask why. What information should the nurse share about Bryant traction?

As a means of ensuring countertraction, both legs are placed in traction, and the buttocks are suspended off the bed.

A client has surgery for an incarcerated hernia. The healthcare provider returns the incarcerated tissue to the abdominal cavity and uses a mesh to reinforce the muscle wall. What specific instructions should be included in the discharge instructions?

Avoid lifting heavy items.

Which radiographic test is used to view the entire skeleton?

Bone scan

Which structure protects a client's internal organs, supports blood cell production, and stores minerals?

Bones

Which type of bone tumor is commonly seen in elderly clients?

Chondrosarcoma

Which musculoskeletal system change is associated in older adult clients?

Decreased in height

A client is undergoing diagnostic testing to determine if the client has myasthenia gravis. The nurse understands that the test that is most specific for determining the presence of this disease is what?

Edrophonium chloride test

Which diagnostic scan is used to detect diffuse or localized muscle weakness?

Electromyography

A nurse provides discharge teaching to a client who had a total hip replacement. The client states that the plan is to go swimming at the community pool the day after discharge. How should the nurse respond?

Explain that the incision should not be immersed in water until it has healed.

The school nurse is attending to a student athlete who reports muscle pain after a practice session. Which should the nurse identify as a cause of this pain when providing instruction to the student?

Lactic acid

A client with hemiparesis is reluctant to use a cane. How does the nurse explain the cane's purpose to the client?

Maintain balance to improve stability

After surgery for a fractured hip, a client states, "I don't remember when I have ever been so uncomfortable." What should the nurse's initial response be?

Perform a complete pain assessment.

A nurse is caring for a client with a below-the-knee amputation. What should the nurse encourage the client to do to prepare the residual limb for a prosthesis?

Press the end of the residual limb against a pillow periodically.

Which estrogen antagonist is specifically used to prevent and treat osteoporosis in postmenopausal women?

Raloxifene

A client with rheumatoid arthritis asks the nurse why it is necessary to inject hydrocortisone into the knee joint. What reason should the nurse include in a response to this question?

Reduce inflammation

A client has a diskectomy and fusion for a herniated nucleus pulposus. When getting out of the bed for the first time since surgery, the client reports feeling faint and lightheaded. What should the nurses assisting with the ambulation have the client do?

Sit on the edge of the bed so they can hold the client upright.

The primary healthcare provider prescribes one unit of packed red blood cells to be administered to the client who suffered a hip fracture. Several minutes after the start of the infusion, the client reports itching. Upon further assessment, the nurse observes hives on the client's chest. Which action should the nurse take next?

Stop the transfusion immediately.

The client is admitted to the emergency department after a fall from a roof. After determining that the client sustained a head injury, the nurse observes clear fluid coming from the client's left ear. What will the nurse do next?

Test the drainage from the client's ear with glucose reagent strip

Why is Phalen's test performed in a client?

To detect carpal tunnel syndrome

A client newly diagnosed with type 1 diabetes is taught to exercise on a regular basis. What is the primary reason for instruction on exercise?

To improve the cellular uptake of glucose

A nurse is assessing an infant for developmental dysplasia of the hip. How does the nurse identify the Ortolani sign?

audible click on hip manipulation

Which disorder of the foot is caused by continual pressure over bony prominences?

corn