345 Test 3 Practice Problems
An older adult patient had a hip replacement. When should the patient begin with assisted ambulation with a walker? 1 week 24 hours 72 hours 2 to 3 weeks
24 hours
The nurse is caring for a patient with a total hip replacement. How should the nurse allow the patient to turn? From the prone to the supine position only, and the patient must keep the affected hip extended and abducted To the operative side if the affected hip remains extended 45 degrees onto the unoperated side if the affected hip is kept abducted To any comfortable position as long as the affected leg is extended
45 degrees onto the unoperated side if the affected hip is kept abducted
Which of the following is a common complication of an electrical burn injury? Localized edema Cardiac dysrhythmias Loss of mobility Absent bowel sounds
Cardiac dysrhythmias
Which of the following patient populations have the highest risk for developing testicular cancer? African American Caucasian American Asian American Mexican American
Caucasian American
Which group is at the greatest risk for osteoporosis? Men Asian women African American women Caucasian women
Caucasian women
A client is diagnosed with a fracture of a diarthrosis joint. What is an example of this type of joint? Elbow Symphysis pubis Fifth thoracic vertebrae Skull
Elbow
The nurse is assisting with the collection of a Tzanck smear. What is the suspected diagnosis of the patient? Fungal infection Herpes zoster Seborrheic dermatosis Psoriasis
Herpes zoster
Which type of cast encloses the trunk and a lower extremity? Long-leg Body cast Short-leg Hip spica
Hip spica
A client's fracture was reduced by surgically exposing the bone and realigning it. What type of treatment does the nurse identity this as? Buck's traction Internal fixation Skeletal traction Open reduction
Open reduction
A client with metastatic bone cancer sustained a left hip fracture without injury. What type of fracture does the nurse understand occurs without trauma or fall? Compound fracture Impacted fracture Transverse fracture Pathologic fracture
Pathologic fracture
Which of the following is the final stage of fracture repair? Remodeling Angiogenesis Cartilage removal Cartilage calcification
Remodeling
Nursing students are reviewing information about various types of skin lesions. The students demonstrate understanding of the information when they identify which of the following as a vascular lesion? Spider angioma Pustule Cyst Erosion
Spider angioma
A client has an edematous glans penis, pain, and an extremely constricted foreskin. What treatment would the physician likely prescribe? narcotic analgesics increased hygienic measures circumcision scrotal support
circumcision
True or false you never adjust the clamps on the external fixation device
true
Sprain is worse or better than a strain
worse
A patient has unrelieved pain 30 minutes after getting pain medication. Should you call doctor?
yes unrelieved pain should be reported 30 min after administering
A group of students are reviewing information about osteoporosis in preparation for a class discussion. The students demonstrate a need for additional review when they state which of the following as a risk factor? Prolonged corticosteroid use Prolonged immobility Excess caffeine intake Hypothyroidism
Hypothyroidism
The nurse is monitoring a patient who sustained a fracture of the left hip. The nurse should be aware that which kind of shock can be a complication of this type of injury? Cardiogenic Hypovolemic Neurogenic Septic
Hypovolemic
Which of the following is the effect of protein catabolism in a client with severe burns? It compromises dexterity and mobility. It compromises wound healing and immunocompetence. It maximizes the risk of sodium retention and hypotension. It maximizes the risk of impaired ventilation.
It compromises wound healing and immunocompetence.
The nurse teaches the client which intervention to avoid hip dislocation after replacement surgery? Bend forward only when seated in a chair Avoid placing a pillow between the legs when sleeping Never cross the affected leg when seated Keep the knees together at all times
Never cross the affected leg when seated
The nurse assesses a client after total right hip arthroplasty and observes a shortening of the extremity. The client reports severe pain in the right side of the groin. What is the priority action of the nurse? Bend the knee and rotate the knee internally. Externally rotate the extremity. Apply Buck's traction. Notify the health care provider.
Notify the health care provider.
A client is brought to the emergency department after injuring the right arm in a bicycle accident. The orthopedic surgeon tells the nurse that the client has a greenstick fracture of the arm. What does this mean? The fracture results from an underlying bone disorder. Bone fragments are separated at the fracture line. One side of the bone is broken and the other side is bent. The fracture line extends through the entire bone substance.
One side of the bone is broken and the other side is bent.
When describing the functions of the skin to a group of nursing students, which skin layer would the instructor include as having the capacity to absorb water? Stratum corneum Stratum lucidum Stratum germinativum Stratum granulosum
Stratum corneum
An adult is swinging a small child by the arms, and the child screams and grabs his left arm. It is determined in the emergency department that the radial head is partially dislocated. What is this partially dislocated radial head documented as? Sprain Subluxation Compartment syndrome Volkmann's contracture
Subluxation
A nurse practitioner assesses a patient's movement in his left hand after a cast is removed. The nurse asks the patient to turn his wrist so the palm of his hand is facing up. This movement is known as: Eversion. Supination. Extension. Pronation.
Supination
A patient is having low back pain. What position can the nurse suggest to relieve this discomfort? Supine, with the bed flat and a firm mattress in place High-Fowler's to allow for maximum hip flexion Supine, with the knees slightly flexed and the head of the bed elevated 30 degrees Prone, with a pillow under the shoulders
Supine, with the knees slightly flexed and the head of the bed elevated 30 degrees
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? Green vegetables Red meat Vitamin D-fortified milk Bananas
Vitamin D-fortified milk
Which may occur if a client experiences compartment syndrome in an upper extremity? Callus Whiplash injury Volkmann's contracture Subluxation
Volkmann's contracture
The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action? Reduce stress Increase fiber in the diet Decrease the intake of vitamin A and D Walk or perform weight-bearing exercises outdoors
Walk or perform weight-bearing exercises outdoors
The nurse is checking the traction apparatus for a client in skin traction. Which finding would require the nurse to intervene? Body aligned opposite to line of traction pull Ropes freely moving over pulleys Pulleys without evidence of the obstruction Weights hanging and touching the floor
Weights hanging and touching the floor
A client tells the health care provider about shoulder pain that is present even without any strenuous movement. The health care provider identifies a sac filled with synovial fluid. What condition will the nurse educate the client about? osteoarthritis of the shoulder a fracture of the clavicle ankylosing spondylitis bursitis
bursitis
A client has a cast applied to the leg for treatment of a tibia fracture and also has a wound on the leg that requires dressing changes due to drainage. For what should the nurse prepare the client? Removal of the cast Insertion of an external fixator Cutting a cast window Cutting of a bivalve cast
Cutting a cast window
When assessing a client with partial-thickness burns over 60% of the body, which finding should the nurse report immediately? Moderate to severe pain Hoarseness of the voice Urine output of 70 ml the first hour Complaints of intense thirst
Hoarseness of the voice
A nurse performs a neurovascular assessment on a client 2 weeks after a wrist cast had been removed. The nurse documents in the client's chart that there is normal sensation in the ulnar nerve. What finger assessment test will the nurse perform on this client? Prick the distal fat pad on the small finger. Prick the skin midway between the thumb and second finger. Prick the top or distal surface of the index finger. Prick the top of the middle finger.
Prick the distal fat pad on the small finger.
severe pain after cast is applied
sensation - pain
patient complains of intense pressure after a cast is applied
sensation - pressure
a patient complains of numbness and tingling after a cast is applied
sensation -paresthesia
Which client would the nurse identify as being at highest risk for the development of testicular cancer? A 75-year-old white male with erectile dysfunction A 45-year-old white male with a history of hypertension A 39-year-old African American male who is HIV-negative A 25-year-old male with a history of cryptorchidism
A 25-year-old male with a history of cryptorchidism
Which client is most likely to develop prostate cancer according to a nurse working at a health screening at the local mall? A 56-year-old African American man A 17-year-old Caucasian man A 35-year-old African American man
A 56-year-old African American man
Skull sutures are an example of which type of joint? Diarthrosis Amphiarthrosis Synarthrosis Aponeuroses
Synarthrosis
bisphosphonates
sit upright for 30 min
During a routine physical examination on an older female client, a nurse notes that the client is 5 feet, 3/8 inches (1.6 m) tall. The client states, "How is that possible? I was always 5 feet and 1/2? (1.7 m) tall." Which statement is the best response by the nurse? "After menopause, the body's bone density declines, resulting in a gradual loss of height." "There may be some slight discrepancy between the measuring tools used." "The posture begins to stoop after middle age." "After age 40, height may show a gradual decrease as a result of spinal compression"
"After menopause, the body's bone density declines, resulting in a gradual loss of height."
Following a total knee replacement, the surgeon orders a continuous passive motion (CPM) device. The client asks about the purpose of this treatment. What is the best response by the nurse? "CPM prevents injury by limiting flexion of the knee." "CPM strengthens the muscles of the leg." "CPM increases range of motion of the joint." "CPM delivers analgesic agents directly into the joint."
"CPM increases range of motion of the joint."
A nurse is teaching a client who was recently diagnosed with carpal tunnel syndrome. Which statement should the nurse include? "This condition is associated with various sports." "Surgery is the only sure way to manage this condition." "Ergonomic changes can be incorporated into your workday to reduce stress on your wrist." "Using arm splints will prevent hyperflexion of the wrist."
"Ergonomic changes can be incorporated into your workday to reduce stress on your wrist."
The nurse has educated a patient with low back pain about techniques to relieve the back pain and prevent further complications. What statement by the patient shows understanding of the education the nurse provided? "I will lie prone with my legs slightly elevated." "I will avoid prolonged sitting or walking." "Instead of turning around to grasp an object, I will twist at the waist." "I will bend at the waist when I am lifting objects from the floor."
"I will avoid prolonged sitting or walking."
The nurse is providing instructions to the client who is being prepared for skeletal traction. Which statement by the client indicates teaching was effective? "Metal pins will go through my skin to the bone." "I will wear a boot with weights attached." "A belt will go around my pelvis and weights will be attached." "The traction can be removed once a day so I can shower."
"Metal pins will go through my skin to the bone."
On a visit to the family health care provider, a client is diagnosed with a bunion on the lateral side of the great toe at the metatarsophalangeal joint. Which statement should the nurse include in the teaching session? "Some bunions are congenital; others are caused by wearing shoes that are too short or narrow." "Bunions are congenital and can't be prevented." "Bunions are caused by a metabolic condition called gout." "Bunions may result from wearing shoes that are too big, causing friction when the shoes slip back and forth."
"Some bunions are congenital; others are caused by wearing shoes that are too short or narrow."
A client is scheduled for a transurethral resection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met? "I'll have to stay in the hospital for about 3 to 4 days after the surgery." "I'll have a small incision on my lower abdomen after the procedure." "The surgeon is going to insert a scope through my urethra to remove a portion of the gland." "The surgeon is going to remove the entire prostate gland."
"The surgeon is going to insert a scope through my urethra to remove a portion of the gland."
A client is having prostate-specific antigen (PSA) testing done. Which result would the nurse identify as abnormal? 3.2 nanograms/milliliter 3.8 nanograms/milliliter 2.7 nanograms/milliliter 4.6 nanograms/milliliter
4.6 nanograms/milliliter
How often should you inspect the traction pin site for signs of inflammation and evidence of infection 12 hours 10 hours 8 hours 6 hours
8 hours
The client displays manifestations of compartment syndrome. What treatment will the nurse expect the client to be scheduled for? An open reduction A total knee replacement A fasciotomy A total hip replacement
A fasciotomy
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 oral antibiotics as ordered Administering large doses of I.V. antibiotics as ordered Instructing the client to ambulate twice daily Withholding all oral intake
Administering large doses of I.V. antibiotics as ordered
A client is experiencing muscle weakness in the upper extremities. The client raises an arm above the head but then loses the ability to maintain the position. Muscular dystrophy is suspected. Which diagnostic test would evaluate muscle weakness or deterioration? An electromyography A magnetic resonance imaging (MRI) An arthroscopy A serum calcium test
An electromyography
A client is scheduled to have an x-ray examination of the shoulder in which the synovial fluid will be aspirated and sent to the laboratory for analysis. This will be followed by administration of a contrast medium and x-rays. What procedure will the nurse prepare the client for? Bone densitometry Arthrogram Arthroscopy Arthrocentesis
Arthrogram
The nurse is providing care to a client following a knee arthroscopy. What would the nurse expect to include in the client's plan of care? Administering the prescribed analgesic. Applying warm packs to the insertion site. Maintaining the client's NPO status. Keeping the affected knee flexed.
Ask the client to plantar flex the toes.
Which action would be most important postoperatively for a client who has had a knee or hip replacement? Using a continuous passive motion (CPM) machine. Assisting in early ambulation. Encouraging expressions of anxiety. Providing crutches to the client.
Assisting in early ambulation.
Which of the following disorders results in widespread hemorrhage andmicrothrombosis with ischemia? Disseminated intravascular coagulation (DIC) Fat embolism syndrome (FES) Complex regional pain syndrome (CRPS) Avascular necrosis (AVN)
Avascular necrosis (AVN)
A client with a severe electrical burn injury is treated in the burn unit. Which laboratory result would cause the nurse the most concern? K+: 5.0 mEq/L Na+: 145 mEq/L Ca: 9 mg/dL BUN: 28 mg/dL
BUN: 28 mg/dL
Which hormone inhibits bone resorption and increases the deposit of calcium in the bone? Calcitonin Growth hormone Vitamin D Sex hormones
Calcitonin
Which of the following inhibits bone resorption and promotes bone formation? Estrogen Corticosteroids Parathyroid hormone Calcitonin
Calcitonin
A nurse provides health information to a postmenopausal woman who has been diagnosed with osteopenia. What mineral would the nurse recommend for this client? Phosphorus Calcium Fluoride Magnesium
Calcium
A client who is undergoing skeletal traction reports pressure on bony areas. Which action would be most appropriate to provide comfort for the client? Applying warm compresses. Assisting with range-of-motion and isometric exercises. Changing the client's position within prescribed limits. Administering prescribed analgesics.
Changing the client's position within prescribed limits.
When an infection is bloodborne, the manifestations include which symptom? Chills Hypothermia Hyperactivity Bradycardia
Chills
Which would be contraindicated as a component of self-care activities for the client with a cast? Do not attempt to scratch the skin under a cast Cover the cast with plastic to insulate it Elevate the casted extremity to heart level frequently Cushioning rough edges of the cast with tape
Cover the cast with plastic to insulate it
Which age-related change affects the male reproductive system? Testes become soft Decreased plasma testosterone levels Increased prostate secretion Increased patency
Decreased plasma testosterone levels
After teaching a group of students about the structure of the skin, the nursing instructor determines that the teaching was successful when the group identifies which of the following as the true skin? Epidermis Papillary layer Dermis Stratum corneum
Dermis
Which term refers to the shaft of the long bone? Scoliosis Diaphysis Lordosis Epiphysis
Diaphysis
When describing malignant bone tumors to a group of students, which of the following would the instructor cite as the usual location? Femur-hip area Distal femur around the knee Wrist-hand junction Proximal humerus
Distal femur around the knee
Which term refers to a flexion deformity caused by a slowly progressive contracture of the palmar fascia? Hammertoe Callus Hallux valgus Dupuytren's contracture
Dupuytren's contracture
A client is diagnosed with a fracture of a diarthrosis joint. What is an example of this type of joint? Skull Fifth thoracic vertebrae Symphysis pubis Elbow
Elbow
The nurse is differentiating between a macule and a papule when evaluating a client's skin lesion. The nurse determines that the lesion is a papule when which characteristic is noted? Greater than 1 cm in diameter Circumscribed border Flat with skin color change Elevated and palpable
Elevated and palpable
The client is scheduled for a meniscectomy of the right knee. The nurse would plan postoperative care based on what surgical procedure? Excision of damaged joint fibrocartilage Replacement of one of the articular surfaces of a joint Replacement of knee with artificial joint Incision and diversion of the muscle fascia
Excision of damaged joint fibrocartilage
A patient has a burn injury that has destroyed all of the dermis and extends into the subcutaneous tissue, involving the muscle. This type of burn injury would be documented as which of the following? Deep partial-thickness Superficial partial-thickness Superficial Full-thickness
Full-thickness
Radiographic evaluation of a client's fracture reveals that a bone fragment has been driven into another bone fragment. The nurse identifies this as which type of fracture? Compression Comminuted Greenstick Impacted
Impacted
Which type of fracture involves a break through only part of the cross-section of the bone? Incomplete Comminuted Open Oblique
Incomplete
Which of the following is an example of a hinge joint? Knee Joint at base of thumb Hip Carpal bones in the wrist
Knee
Which of the following is the most common site of joint effusion? Elbow Shoulder Knee Hip
Knee
The nurse is performing an assessment on an older adult patient and observes the patient has an increased forward curvature of the thoracic spine. What does the nurse understand this common finding is known as? Osteoporosis Scoliosis Kyphosis Lordosis
Kyphosis
A client visits an orthopedic specialist because of pain beginning in the low back and radiating behind the right thigh and down below the right knee. The doctor suspects a diagnosis of sciatica. The nurse knows that the origin of the pain is between which intervertebral disks? L1, L2, and L4 C3, C4, and L1 L2, L3, and L5 L4, L5, and S1
L4, L5, and S1
A client is seen in the orthopedic clinic for complaints of severe pain in the left hip. After a series of diagnostic tests, the client is diagnosed with severe degenerative joint disease of the left hip and suggested to have the hip reconstructed. What procedure will the nurse schedule the client for? Left hip arthroplasty Closed reduction of the left hip. Open reduction and internal fixation of the left hip. Left hip arthroscopy
Left hip arthroplasty
Assessment of a client reveals signs and symptoms of Paget's disease. Which of the following would be most likely? Upright gait Long bone bowing Skull narrowing Lordosis
Long bone bowing
The client presents with an exaggeration of the lumbar spine curve. How does the nurse interpret this finding?
Lordosis
Which area of the spinal column is subject to the greatest mechanical stress and degenerative changes? Thoracic Lower lumbar Cervical Upper lumbar
Lower lumbar
The client with a newly applied cast reports severe unrelenting pain. What is the nurse's best response? Administer a dose of morphine sulfate. Reposition the extremity for comfort and apply heat. Loosen the edges of the cast and elevate the leg. Make the client NPO and notify the health care provider.
Make the client NPO and notify the health care provider.
Which of the following is the most common cause of hair loss? Male pattern baldness Chemotherapy Radiation Nutritional deficiency
Male pattern baldness
Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction? Age Medication use Undescended testicle Sexual history
Medication use
After a person experiences a closure of the epiphyses, which statement is true? The bone grows in length but not thickness. The bone increases in thickness and is remodeled. Both bone length and thickness continue to increase. No further increase in bone length occurs.
No further increase in bone length occurs.
Which orthopedic surgery is done to correct and align a fracture after surgical dissection and exposure of the fracture? Open reduction Joint arthroplasty Total joint arthroplasty Arthrodesis
Open reduction
An instructor is describing the process of bone development. Which of the following would the instructor describe as being responsible for the process of ossification? Osteoclasts Cortical bone Cancellous bone Osteoblasts
Osteoblasts
Which of the following is the most common and most fatal primary malignant bone tumor? Rhabdomyoma Enchondroma Osteogenic sarcoma (osteosarcoma) Osteochondroma
Osteogenic sarcoma (osteosarcoma)
Which is a hallmark sign of compartment syndrome? Weeping skin surfaces Motor weakness Pain Edema
Pain
The nurse is caring for a patient who sustained a major burn. What serious gastrointestinal disturbance should the nurse monitor for that frequently occurs with a major burn? Ulcerative colitis Paralytic ileus Diverticulitis Hematemesis
Paralytic ileus
A patient comes to the clinic and informs the nurse of numbness, tingling, and a burning sensation in the arm from the elbow down to the fingers. What type of symptom would this be documented as? Effusion Atonia Flaccidity Paresthesia
Paresthesia
Elderly clients who fall are most at risk for which injuries? Cervical spine fractures Pelvic fractures Humerus fractures Wrist fractures
Pelvic fractures
Which condition is associated with the buildup of fibrous plaques in the sheath of the corpus cavernosum, causing curvature of the penis when it is erect? Priapism Bowen's disease Peyronie's disease Phimosis
Peyronie's disease
Which of the following presents with an onset of heel pain with the first steps of the morning? Plantar fasciitis Hallux valgus Ganglion Morton's neuroma
Plantar fasciitis
Following a burn injury, the nurse determines which area is the priority for nursing assessment? Nutrition Pulmonary system Cardiovascular system Pain
Pulmonary system
The nurse is caring for a client who experienced a crushing injury of the lower extremities. Which of the following symptoms is essential to be reported to the physician? Pain Pulselessness Coolness Ischemia
Pulselessness
A nurse is aware that after a burn injury and respiratory difficulties have been managed, the next most urgent need is to: Measure hourly urinary output. Replace lost fluids and electrolytes. Prevent renal shutdown. Monitor cardiac status.
Replace lost fluids and electrolytes.
What is a cast? Bandage used to support a body part Rigid external immobilizing device molded to contours of body Device designed specifically to support and immobilize a body part in a desired position Externally applied device to support the body or a body part, control movement, and prevent injury
Rigid external immobilizing device molded to contours of body
A client who has sustained burns to the anterior chest and upper extremities is brought to the burn center. During the initial stage of assessment, which nursing diagnosis is primary? Alteration in Tissue Perfusion Risk for Infection Acute Pain Risk for Impaired Gas Exchange
Risk for Impaired Gas Exchange
The nurse participates in a health fair about fire safety. When clothes catch fire, which intervention helps to minimize the risk of further injury to an affected person at a scene of a fire? Cover the client with a wet cloth. Roll the client in a blanket. Place the client with the head positioned slightly below the rest of the body. Avoid immediate IV fluid therapy.
Roll the client in a blanket.
Which of the following musculoskeletal injuries is manifested by acromioclavicular joint pain? Heterotopic ossification Epicondylitis Rotator cuff tears Acute compartment syndrome
Rotator cuff tears
What laboratory value observed by the nurse is unexpected during the fluid remobilization phase of a major burn? Serum potassium level of 3.2 mEq/L Serum sodium level of 140 mEq/L Hematocrit level of 45% A pH of 7.20, PaO2 of 38 mm Hg, and bicarbonate level of 15 mEq/L
Serum sodium level of 140 mEq/L
Which principle applies to the client in traction? Knots in the ropes should touch the pulley. Weights should rest on the bed. Weights are removed routinely. Skeletal traction is never interrupted.
Skeletal traction is never interrupted.
A group of students are studying for an examination on joints. The students demonstrate understanding of the material when they identify which of the following as an example of a synarthrodial joint? At the hip In the fingers Skull at the temporal and occipital bones Between the vertebrae
Skull at the temporal and occipital bones
A client reports pain in the right knee, stating, "My knee got twisted when I was going down the stairs." The client was diagnosed with an injury to the ligaments and tendons of the right knee. Which terminology, documented by the nurse, best reflects the injury? Dislocation Subluxation Strain Sprain
Sprain
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 Wound irrigation Vitamin supplements Wound packing
Surgical debridement
Morton neuroma is exhibited by which clinical manifestation? Longitudinal arch of the foot is diminished High arm and a fixed equinus deformity Inflammation of the foot-supporting fascia Swelling of the third (lateral) branch of the median plantar nerve
Swelling of the third (lateral) branch of the median plantar nerve
The nurse working in the orthopedic surgeon's office is asked to schedule a shoulder arthrography. The nurse determines that the surgeon suspects which finding? Injury to the radial nerve Decreased bone density Fracture of the clavicle Tear in the joint capsule
Tear in the joint capsule
A client has been treated for migraine headaches for several months and comes to the clinic stating he is getting no better. The nurse is talking with the client and hears an audible click when the client is moving his jaw. What does the nurse suspect may be happening? Loose teeth Dislocated jaw Temporomandibular disorder Trigeminal neuralgia
Temporomandibular disorder
A client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. The nurse understands that this injury involves which structure? Cartilage Joint Ligament Tendon
Tendon
A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make? Testicular cancer is a highly curable type of cancer. Testicular cancer is more common in older men. Testicular cancer is very difficult to diagnose. Testicular cancer is the number one cause of cancer deaths in males.
Testicular cancer is a highly curable type of cancer.
A nurse is teaching a client about preventing osteoporosis. Which teaching point is correct? To prevent fractures, the client should avoid strenuous exercise. Obtaining the recommended daily allowance of calcium requires taking a calcium supplement. The recommended daily allowance of calcium may be found in a wide variety of foods. Obtaining an X-ray of the bones every 3 years is recommended to detect bone loss.
The recommended daily allowance of calcium may be found in a wide variety of foods.
A client has severe osteoarthritis in the left hip and is having surgery to replace both articular surfaces of the hip. What type of surgical procedure will the nurse prepare the client for? Total arthroplasty Hemiarthroplasty Arthrodesis Osteotomy
Total arthroplasty
Which therapy uses low-level radiofrequencies to produce localized heat that destroys prostate tissue? Microwave thermotherapy Saw palmetto Transurethral needle ablation Resection
Transurethral needle ablation
What does the nurse tell the patient is the best way to decrease the risk of developing penile cancer? Use good genital hygiene. Avoid sexual intercourse with multiple partners. Use a condom when having sexual intercourse. Perform self-examinations.
Use good genital hygiene.
A client underwent a transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. Which nursing intervention is appropriate? Prepare to remove the catheter. Use sterile technique when irrigating the catheter. Restrict fluids to prevent the client's bladder from becoming distended. Tell the client to try to urinate around the catheter to remove blood clots.
Use sterile technique when irrigating the catheter.
Which of the following would be most important to include in a teaching plan for a client who has had a vasectomy? Applying warm compresses to the scrotum for the first 24 hours Resuming sexual activity in 24 to 48 hours Taking a prescribed opioid analgesic for pain relief Using a reliable method of contraception for several weeks.
Using a reliable method of contraception for several weeks.
While assessing a patient at the clinic the nurse notes patchy, milky white spots. The nurse knows that this finding is a symptom of what? Addison's disease Jaundice Vitiligo Sjogren's syndrome
Vitiligo
The nurse prepares to perform a neuromuscular assessment on a patient with closed multiple fractures of the right humerus. Which technique does the nurse use? Inspect the abdomen for tenderness and bowel sounds auscultate lung sounds assess level of consciousness and ability to follow commands assess sensation of the right upper extremity
assess sensation of the right upper extremity
A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the functions of the three lumens include: continuous inflow and outflow of irrigation solution. intermittent flow of irrigation solution and prevention of hemorrhage. intermittent inflow and continuous outflow of irrigation solution. continuous inflow and intermittent outflow of irrigation solution.
continuous inflow and outflow of irrigation solution.
The type of fracture described as having one side of the bone broken and the other side bent would be: transverse. spiral. oblique. greenstick.
greenstick
unable to move fingers after cast is applied
movement
A fracture is considered pathologic when it presents as one side of the bone being broken and the other side being bent. results in a fragment of bone being pulled away by a ligament or tendon and its attachment. involves damage to the skin or mucous membranes. occurs through an area of diseased bone.
occurs through an area of diseased bone.
A variety of complications can occur after a leg amputation. Which is not a possibility in the immediate postoperative period? hemorrhage hematoma infection osteomyelitis
osteomyelitis
Which cancer ranks second as the cause of death in American men? testicular penis prostate skin
prostate
Which antimicrobials is not commonly used to treat burns? mafenide (Sulfamylon) silver nitrate (AgNO3) 0.5% solution silver sulfadiazine (Silvadene) tetracycline
tetracycline
A client undergoes a total hip replacement. Which statement made by the client indicates to the nurse that the client requires further teaching? "The occupational therapist is showing me how to use a sock puller to help me get dressed." "I need to remember not to cross my legs. It's such a habit." "I'll need to keep several pillows between my legs at night." "I don't know if I'll be able to get off that low toilet seat at home by myself."
"I don't know if I'll be able to get off that low toilet seat at home by myself."
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? "Elevating my leg will reduce swelling after the procedure." "My physician may prescribe pain pills after the procedure." "I may notice some bruising or swelling in my knee." "I should use my heating pad this evening to reduce some of the pain in my knee."
"I should use my heating pad this evening to reduce some of the pain in my knee."
When using the Palmer method to estimate the extent of the burn injury, the nurse determines the palm is equal to which percentage of total body surface area? 1 2 4 3
1
The patient has an IV infusing at 100 ml/hr and CBI infusing at 150 ml/hr over and 8 hour shift. You have emptied 1700 ml from the Foley catheter. What is the patient's actual urine output?
150 x 8 = 1200 1700-1200 = 500 actual urine output
A client is brought to the emergency department with partial-thickness and full-thickness burns on the left arm, left anterior leg, and anterior trunk. Using the Rule of Nines, what is the total body surface area that has been burned? 30% 36% 18% 27%
36%
Which client would the nurse identify as having the greatest risk for osteoporosis? A 20-year-old male athlete with repeated injuries A 16-year-old male with a history of asthma A small-framed, thin 45-year-old white woman A 40-year-old overweight African American woman
A small-framed, thin 45-year-old white woman
A patient has been diagnosed with osteomalacia. What common symptoms does the nurse recognize that correlate with the diagnosis? Muscle weakness and spasms Bone fractures and kyphosis Bone pain and tenderness Softened and compressed vertebrae
Bone pain and tenderness
A group of students is studying for a test on traction. The students demonstrate understanding of the types of traction when they identify which of the following as an example of skin traction? Thomas splint Crutchfield tongs Buck's Balanced suspension
Buck's
Which is an indicator of neurovascular compromise? Pain upon active stretch Warm skin temperature Capillary refill of more than 3 seconds Diminished pain
Capillary refill of more than 3 seconds
Which complication is common for victims of electrical burns? Infection Cardiac dysrhythmia Hypovolemic shock Inhalation injury
Cardiac dysrhythmia
An x-ray demonstrates a fracture in which a bone has splintered into several pieces. Which type of fracture is this? Comminuted Impacted Depressed Compound
Comminuted
A client sustains a fractured right humerus in an automobile accident. The arm is edematous, the client states that he cannot feel or move his fingers, and the nurse does not feel a pulse. What condition should the nurse be concerned about that requires emergency measures? Dislocation Subluxation Compartment syndrome Muscle spasms
Compartment syndrome
Which term describes the transfer of heat from the body to a cooler object in contact with it? Evaporation Lichenification Conduction Radiation
Conduction
Which of the following is a term used to describe a soft tissue injury produced by a blunt force? Contusion Sprain Hematoma Strain
Contusion
Which of the following is a term used to describe a soft tissue injury produced by a blunt force? Contusion Strain Hematoma Sprain
Contusion
The nurse is caring for a client who sustained rib fractures in an automobile accident. What symptoms does the nurse recognize as a complication of rib fractures and should immediately be reported to the physician? Client complains of pain in the affected rib area when taking a deep breath Crackles in the lung bases Blood pressure of 140/90 mm Hg Heart rate of 94 beats/minute
Crackles in the lung bases
Which term refers to a failure of one or both or both of the testes to descend into the scrotum? Phimosis Hydrocele Cryptorchidism Varicocele
Cryptorchidism
The nurse provides health teaching points to an adolescent about his skin. She reviews facts about hair growth and shaving. Which of the following sites has the slowest rate of growth? Thighs Eyebrows Axillae Scalp
Eyebrows
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? Atrophied Flaccid Atonic Hypertonic
Hypertonic
A patient has a serum bilirubin concentration of 3 mg/100 mL. What does the nurse observe when performing a skin assessment on this patient? Pallor Jaundice Cherry red face Bronzed appearance
Jaundice
A client has undergone an external fixation. Which actions would be the priority for this client? Monitoring the client's urine output. Monitoring the client's blood pressure. Planning the client's diet. Maintaining pin care.
Maintaining pin care.
The nurse is preparing to perform a Wood's light examination. Which of the following would be most important for the nurse to do? Obtain samples of the lesion by scraping. Apply a special dye to the area. Protect the patient from the light. Make sure that the room is darkened.
Make sure that the room is darkened.
Consuming a diet high in which of the following has been found to increase the risk for prostate cancer? Carbohydrates Whole grains Green leafy vegetables Red meats
Red meats
A client has just undergone arthrography. What is the most important instruction for the nurse to include in the teaching plan? Avoid sunlight or harsh, dry climate. Gently massage joints with any crackling or clicking joint noises. Avoid intake of dairy products. Report joint crackling or clicking noises occurring after the second day.
Report joint crackling or clicking noises occurring after the second day.
A client arrives in the emergency department with a suspected bone fracture of the right arm. How does the nurse expect the client to describe the pain? A dull, deep, boring ache Sharp and piercing Similar to "muscle cramps" Sore and aching
Sharp and piercing
The emergency room nurse is reporting the location of a fracture to the client's primary care physician. When stating the location of the fracture on the long shaft of the femur, the nurse would be most correct to state which terminology locating the fractured site? The fracture is ventrally located. The fracture is on the diaphysis. The fracture is on the tuberosity. The fracture is on the epiphyses.
The fracture is on the diaphysis.
After surgery to treat a hip fracture, a client returns from the postanesthesia care unit to the medical-surgical unit. Postoperatively, how should the nurse position the client? With the affected hip flexed acutely With the leg on the affected side adducted With the affected hip rotated externally With the leg on the affected side abducted
With the leg on the affected side abducted
The nurse is assessing the skin of a client with tinea pedis and notes a linear crack. The nurse documents this as ulcer. fissure. erosion. scale.
fissure
A client who was injured while playing basketball reports an extremely painful elbow, which is very edematous. What type of injury has the client experienced? contusion sprain strain All options are correct.
sprain
The nurse is conducting the admission assessment for a client who is to undergo an arthrogram. What is the priority question the nurse should ask? "When did you last urinate?" "When did you last eat?" "Are you claustrophobic?" "Do you have any allergies?"
"Do you have any allergies?"
A client diagnosed with a right ulnar fracture asks why the cast needs to go all the way up the arm. What is the best response by the nurse? "This allows for the strength in the arm to remain consistent." "The method allows for the fastest healing time and the greatest mobility." "The joint above the fracture and below the fracture must be immobilized." "When a spica cast is ordered, the arm must be immobilized."
"The joint above the fracture and below the fracture must be immobilized."
A 55-year-old Asian man has a PSA level of 4.8 ng/mL. Based on the client's PSA level, which assessment question does the nurse need to ask? "How often do you include foods high in purines in your diet?" "Will you remember to schedule your next PSA test in 1 year?" "When was the last time you experienced ejaculation?" "Do you wear boxers or briefs?"
"When was the last time you experienced ejaculation?"
A sample consensus formula for fluid replacement recommends that an isotonic solution be administered in the first 24 hours of a burn in the range of 2 to 4 mL/kg/% of burn with 50% of the total given in the first 8 hours postburn. A 176 lb (80 kg) man with a 30% burn should receive a minimum of how much fluid replacement in the first 8 hours? 4,800 mL 1,200 mL 3,600 mL 2,400 mL
2,400 mL
Which statement describes paresthesia? Involuntary twitch of muscle fibers Absence of muscle movement suggesting nerve damage Abnormal sensations Absence of muscle tone
Abnormal sensations
Two days after surgery to amputate the left lower leg, a client reports pain in the missing extremity. Which action by the nurse is most appropriate? Do nothing because it isn't possible to have pain in a missing limb. Initiate a consult with a psychologist. Administer medication, as ordered, for the reported discomfort. Contact the health care provider.
Administer medication, as ordered, for the reported discomfort.
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 Teriparatide Raloxifene Denosumab
Alendronate
A client with a long arm cast continues to complain of unrelieved throbbing pain even after receiving opioid pain medication. Which is the priority action by the nurse? Teach relaxation techniques. Reposition the client for comfort. Assess for previous opioid drug use. Assess for complications.
Assess for complications.
A client who has sustained a fracture reports an increase in pain and decreased function of the affected extremity. What will the nurse suspect? Infection Pulmonary embolism Hypovolemic shock Avascular necrosis
Fat embolism syndrome
After a fracture, during which stage or phase of bone healing is devitalized tissue removed and new bone reorganized into its former structural arrangement? Inflammation Revascularization Remodeling Reparative
Remodeling
The client states to the nurse that he is very anxious about having prostate cancer ever since his prostate-specific antigen (PSA) test came back elevated. The client asks, "Which diagnostic test produces definitive results if cancer is present?" The nurse is most correct to state which of the following? Tissue biopsy Tumor marker studies Digital rectal exam Transrectal ultrasonography
Tissue biopsy
Which is the most common type of prostate surgery? Transurethral resection of the prostate Retropubic prostatectomy Suprapubic prostatectomy Perineal prostatectomy
Transurethral resection of the prostate
The nurse is reading the physician's report of an elderly client's physical examination. The client demonstrates xanthelasma, which refers to which symptom? Liver spots Dark discoloration of the skin Bright red moles Yellowish waxy deposits on the eyelids
Yellowish waxy deposits on the eyelids
There are a variety of problems that can become complications after a fracture. Which is described as a condition that occurs from interruption of the blood supply to the fracture fragments after which the bone tissue dies, most commonly in the femoral head? pulmonary embolism shock avascular necrosis fat embolism
avascular necrosis
What is a contusion
blunt force injury to soft tissue
The nurse working in the emergency department receives a call from the x-ray department communicating that the client the nurse is caring for has a fracture in the shaft of the tibia. The nurse tells the physician that the client's fracture is in the diaphysis. epiphysis. lordosis. scoliosis.
diaphysis
Bursitis
inflammation of bursa sac (fluid filled sac in a joint)
A nurse is planning discharge instructions for the client with osteomyelitis. What instructions should the nurse include in the discharge teaching? "You will receive IV antibiotics for 3 to 6 weeks." "You need to perform weight-bearing exercises twice a week." "Use your continuous passive motion machine for 2 hours each day." "You need to limit the amount of protein and calcium in your diet."
"You will receive IV antibiotics for 3 to 6 weeks."
Which nursing action would help prevent deep vein thrombosis in a client who has had an orthopedic surgery? Instruct about using client-controlled analgesia, if prescribed Apply antiembolism stockings Instruct about exercise, as prescribed Apply cold packs
Apply antiembolism stockings
A client's cast is removed. The client is worried because the skin appears mottled and is covered with a yellowish crust. What advice should the nurse give the client to address the skin problem? Consult a skin specialist. Scrub the area vigorously to remove the crust. Apply lotions and take warm baths or soaks. Avoid exposure to direct sunlight.
Apply lotions and take warm baths or soaks.
What food can the nurse suggest to the client at risk for osteoporosis? Carrots Bananas Broccoli Chicken
Broccoli
An important nursing assessment, post fracture, is to evaluate neurovascular status. Therefore, the nurse should check for: Crepitus. Shortening and deformity. Capillary refill. Swelling and discoloration.
Capillary refill.
Two days after application of a cast to treat a fractured femur, the client reports severe, deep, and constant pain in the leg. What will the nurse suspect? Phlebitis. Infection. Chronic venous insufficiency. Compartment syndrome.
Compartment syndrome.
A patient experiences hypotension, lethargy, and muscle spasms while receiving bladder irrigations after a transurethral resection of the prostate (TURP). What is the first action the nurse should take? Administer a unit of packed red blood cells. Increase the rate of the IV fluids. Prepare the patient for an ECG. Discontinue the irrigations.
Discontinue the irrigations.
A client with a fractured ankle is having a fiberglass cast applied. The client starts yelling, "My leg is burning, take it off." What action by the nurse is most appropriate? Call for assistance to hold the client in the required position until the cast has dried. Explain that the sensation being felt is normal and will not burn the client. Administer antianxiety and pain medication. Remove the cast immediately, notifying the physician.
Explain that the sensation being felt is normal and will not burn the client.
A 68-year-old female client who had a total hip replacement is to be discharged because her healing is almost complete. Which of the following would be most important for this client? Exploring factors related to the client's home environment Educating the client about the effects of menopause Urging her to keep the affected limb in an elevated position Advising the client to avoid red meat
Exploring factors related to the client's home environment
During a routine checkup, a nurse observes the client's skin to be tight and shiny. Which of the following is the correct indication of this sign? Dehydration Fluid retention Protein deficiency Sebum deficiency
Fluid retention
A client is admitted to the emergency room after being hit by a car while riding a bicycle. The client sustained a fracture of the left femur, and the bone is protruding through the skin. What type of fracture does the nurse recognize requires emergency intervention? Greenstick Spiral Compound Oblique
Compound
The nurse is assessing a patient with a primary skin lesion called a macule. What does the nurse understand is a clinical example of this lesion? Psoriasis Impetigo Hives Port-wine stains
Port-wine stains
A client is brought to the emergency department by a softball team member who states the client and another player ran into each other, and the client is having severe pain in the right shoulder. What symptoms of a fractured clavicle does the nurse recognize? Client complains of tingling and numbness in the right shoulder. Client complains of pain in the unaffected shoulder. Right shoulder slopes downward and droops inward. Right shoulder is elevated above the left.
Right shoulder slopes downward and droops inward.
The nurse is caring for a client with a spica cast. What is the nurse's priority intervention? Keep the cast clean and dry. Keep the legs in abduction. Promote elimination with a regular bedpan. Position the client on the affected side.
Keep the cast clean and dry.
A patient is suspected to have prostate cancer related to observed clinical symptoms. What definitive test can the nurse assist with to confirm a diagnosis of prostate cancer? Cystoscopy Prostate biopsy PSA DRE
Prostate biopsy
patient's fingers are cold to the touch compared to non casted fingers
circulation - perishably cold
unable to feel pulse after a cast is applied
circulation - pulses
A client has experienced increasing pain and progressing inflammation of the hands and feet. The rheumatologist has prescribed NSAID use to treat the condition. What client education is most important for the nurse to address with the use of these medications? common adverse effects activity restrictions dietary restrictions loading-dose schedule
common adverse effects
Epiphysis is the bone forming cell - true or false
false Osteoblast is the right answer
An explosion of a fuel tanker has resulted in melting of clothing on the driver and extensive full-body burns. The client is brought into the emergency department alert, denying pain, and joking with the staff. Which is the best interpretation of this behavior? The client has experienced partial-thickness burns. The paramedic administered high doses of opioids during transport. The client has experienced extensive full-thickness burns. The client is in hypovolemic shock.
The client has experienced extensive full-thickness burns.
The nurse is preparing a client to have his cast cut off after having it for 6 weeks to treat a fractured tibia. What should the nurse inform the client prior to the cast being removed? The leg will look moist and will have small bumps that will go away in a few days. The leg strength is enforced by the wearing of the cast. The skin may be covered with a yellowish crust that will shed in a few days. The leg will look as it did prior to the cast being applied.
The skin may be covered with a yellowish crust that will shed in a few days.
Which term refers to yellowish waxy deposits on the upper and lower eyelids? Neurodermatitis Dyschromia Xerosis Xanthelasma
Xanthelasma
During a routine examination of a client's fingernails, the nurse notes a horizontal depression in each nail plate. When documenting this finding, the nurse should use which term? Beau's line Paronychia Clubbing Splinter hemorrhage
Beau's line
A group of students are reviewing information about cast composition in preparation for a discussion on the advantages and disadvantages of each. The students demonstrate understanding of the topic when they cite which of the following as an advantage of a plaster cast? More breathable Better molding to the client Longer-lasting Quicker drying
Better molding to the client
A client with Stage IV prostate cancer is to receive hormone therapy. The nurse would inform the client about possible adverse effects including which of the following? Breast tenderness Enhanced potency Increased libido Deepening of voice
Breast tenderness
Which of the following is to be expected soon after a major burn? Select all that apply. Bradycardia Hypertension Anxiety Hypotension Tachycardia
Hypotension Tachycardia Anxiety
An older adult client slipped on an area rug at home and fractured the left hip. The client is unable to have surgery immediately and is having severe pain. What interventions should the nurse provide for the patient to minimize energy loss in response to pain? Give pain medication to the client after providing care. Administer prescribed pain medication only when the client requests it. Avoid administering too much medication because the client is older. Administer prescribed analgesics around-the-clock.
Administer prescribed analgesics around-the-clock.
A client has a Fiberglass cast on the right arm. Which action should the nurse include in the care plan? Avoiding handling the cast for 24 hours or until it is dry Evaluating pedal and posterior tibial pulses every 2 hours Keeping the casted arm warm by covering it with a light blanket Assessing movement and sensation in the fingers of the right hand
Assessing movement and sensation in the fingers of the right hand
A patient has stepped in a hole in the yard, causing an ankle injury. The ankle is edematous and painful to palpation. How long should the nurse inform the patient that the acute inflammatory stage will last? About 72 hours Less than 24 hours At least 1 week Between 24 and 48 hours
Between 24 and 48 hours
A client undergoes open reduction with internal fixation to treat an intertrochanteric fracture of the right hip. The nurse should include which intervention in the postoperative care plan? Maintaining the client in semi-Fowler's position Performing passive range-of-motion (ROM) exercises on the client's legs once each shift Turning the client from side to side every 2 hours Keeping a pillow between the client's legs at all times
Keeping a pillow between the client's legs at all times
The nurse is performing a physical examination of a patient and observes a well-healed old scar on the right shoulder. The scar is hypertrophied, elevated, and irregular without any redness or irritation. The patient states, "I had shoulder surgery about 5 years ago." The nurse documents this finding as which of the following? Cicatrix Nodule Lichenification Keloid
Keloid
Which factor causes wrinkles among older adults? Decrease in melanin Decrease in sebum Loss of subcutaneous tissue Decrease in estrogen production
Loss of subcutaneous tissue
The nurse is preparing a discharge teaching plan for a client who has had a prostatectomy. Which of the following would be appropriate to include? Engaging in strenuous exercise to strengthen abdominal muscles Performing perineal exercises frequently throughout the day Waiting to urinate for 5 to 10 minutes after feeling the initial urge Using a bearing down motion to promote complete bladder emptying when voiding
Performing perineal exercises frequently throughout the day
A nurse is teaching a client about a circumcision. Which external reproductive structure is removed by circumcision? Prepuce Mons pubis Corpora cavernosa Glans
Prepuce
The nurse is caring for a patient who had a total hip replacement. What lethal postoperative complication should the nurse closely monitor for? Atelectasis Pulmonary embolism Urinary tract infection Hypovolemia
Pulmonary embolism
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? Alendronate (Fosamax) Raloxifene (Evista) Tamoxifen (Nolvadex) Calcium gluconate
Raloxifene (Evista)
Which of the following is a true statement regarding the purposes of skin grafts? Increases evaporative fluid loss. Prolongs recovery Reduces scarring and contractures. Increases potential for infection.
Reduces scarring and contractures.
Which statement describes external fixation? The bone is surgically exposed and realigned. The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins. The surgeon secures the bone with metal screws, plates, rods, nails, or pins. A cast or other mode of immobilization is applied. The bone is restored to its normal position by external manipulation.
The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins.
A client comes to the emergency department and reports localized pain and swelling in the lower leg. Ecchymotic areas are noted. History reveals that the client got hit in the leg with a baseball bat. What will the nurse most likely suspect? Contusion Fracture Strain Sprain
Compound
A client presents with blistering wounds caused by an unknown chemical agent. How should the nurse intervene? Wash the wounds with soap and water and apply a barrier cream. Do nothing until the chemical agent is identified. Insert a 20-gauge I.V. catheter and infuse normal saline solution at 150 ml/hour. Irrigate the wounds with water.
Irrigate the wounds with water.
A 78 year old woman has a physiologic chance related to aging in her joints. What would be an appropriate nursing diagnosis related to common changes of aging? Fatigue Risk for falls
Risk for falls
A nurse is teaching a male client who is older than 50 years about prostate cancer. What teaching should be included by the nurse? Have a digital rectal examination. Perform monthly testicular self-examinations, especially after age 50. Have a transrectal ultrasound every 5 years. Have a complete blood count, blood urea nitrogen, and creatinine levels checked yearly.
Have a digital rectal examination.
Which of the following is an appropriate priority nursing diagnosis for the client following an arthrocentesis? Deficient knowledge: procedure Risk for infection Chronic pain Activity intolerance
Risk for infection
A client with psoriasis visits the dermatology clinic. When inspecting the affected areas, the nurse expects to see which type of secondary lesion? Scale Crust Ulcer Scar
Scale
A 10-year-old boy who was brought to the emergency room after a skiing accident is diagnosed with a fracture of the distal end of the femur. Why is this type of fracture significant? Red blood cell production will be temporarily reduced because of the damage to the medullar cavity. Potential growth problems may result from damage to the epiphyseal plate. Periosteal blood vessels will be damaged, thus compromising blood flow to the compact bone. Osteoblast formation will stop during the time needed for fracture healing.
Potential growth problems may result from damage to the epiphyseal plate.
An older adult client's skin has become dry and flaked. Which of the following is the cause of this condition? Reduction in sebum production Reduction in estrogen production Reduction in melanin production Reduction in the elasticity of the skin
Reduction in sebum production
A client is brought to the emergency department after being struck with a baseball bat on the upper arm while diving for a pitched ball. Diagnostic tests reveal that the humerus is not broken but that the client has suffered another type of injury. What type of injury would the physician likely diagnose? strain subluxation sprain contusion
contusion
An older woman's X-rays reveal a diagnosis of osteoporosis. The nurse advises the woman that the radiolucency seen in the bones indicates a minimal level of demineralization of which percentage? 10% 20% 15% 25%
25%
A client received burns to his entire back and left arm. Using the Rule of Nines, the nurse can calculate that he has sustained burns on what percentage of his body? 36% 27% 18% 9%
27%
The nurse is assigned to care for a client who has had a total knee arthroplasty yesterday. What type of pharmacologic therapy does the nurse anticipate administering to this client to prevent complications related to the surgery? Antianginal therapy Antidysrhythmic therapy Antineoplastic therapy Anticoagulation therapy
Anticoagulation therapy
The nurse is obtaining a health history from a 58-year-old client stating that he is having difficulty obtaining an erection during sexual activity. The client asks how an "erectile medication" works and if there are any side effects to the medication. The nurse explains the action of the medication and directions for use and warns of which side effect related to the client's history? Chronic pain with narcotic use Asthma with beta-adrenergic inhaler use Hypotension with nitrate use Arthritis with corticosteroid use
Hypotension with nitrate use
The client returns to the nursing unit following an open reduction with internal fixation of the right hip. Nursing assessment findings include temperature 100.8 degrees Fahrenheit, heart rate 112 beats per minute, respiratory rate 28 breaths per minute, and blood pressure 86/58. There is no urine in the Foley catheter collection bag. The nurse interprets these findings as indicating which complication? Osteomyelitis Hypovolemic shock Urinary retention Atelectasis
Hypovolemic shock
Which is false about magnetic resonance imaging? Credit cards with magnetic strips may be erased Nonremovable cochlear implant devices can become inoperable Transdermal patches that have a thin layer of aluminized back must be covered with gauze Jewelry and hair clips must be removed before the MRI
Transdermal patches that have a thin layer of aluminized back must be covered with gauze You have to remove Transdermal patches with a small layer of aluminized back because they can cause burns
A client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. Before providing preoperative and postoperative instructions to the client, the nurse asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for prostate gland removal? Transurethral resection of the prostate (TURP) Retropubic prostatectomy Transurethral laser incision of the prostate Suprapubic prostatectomy
Transurethral resection of the prostate (TURP)
The nurse is conducting a medication reconciliation with a client admitted with a fracture. What medication predisposes a client for a risk for fractures? furosemide prednisone digoxin metoprolol
prednisone