ATI MS Unit 10 and Pharm Unit 8

A nurse is collecting data on a client who has osteoarthritis of the knees and fingers. Which of the following clinical manifestations should the nurse expect to find? (select all that apply)

-Heberden's nodes -enlarged joint size -limp when walking

A nurse is reinforcing to teaching a client on how to manage an external fixation devise upon discharge. Which of the following statements by the client indicates an understanding of safe management?

-I will clean the pins twice a day -i will use a separate cotton swab for each pin -I will report loosening of the pins to my doctor

A nurse is performing health screenings of clients at a health fair. Which of the following clients are at risk for osteoporosis? (select all that apply)

-a 40-year-old client who takes prednisone for asthma -A 45-year-old client who takes phenytoin (Dilantin) for seizures -a 65-year-old client who has a sedentary lifestyle -a 70-year-old client who has smoked foe 50 years

A nurse is providing information to a client who has osteoarthritis of the hip and knee. Which of the following information should the nurse include in the information? (select all that apply)

-apply heat to joints to alleviate pain -ice inflamed joints following activity -install an elevated toilet seat -complete high-energy activities in the morning

A nurse is reviewing discharge teaching with a client who had a total hip arthroplasty. Which of the following should the nurse include in the teaching? (select all that apply)

-clean the incision daily with soap and water -sit in a straight-back armchair -use a raised toilet seat

A nurse is caring for a client following a below-the-elbow amputation. Which of the following are appropriate actions by the nurse? (select all that apply)

-encourage dependent positioning of the residual limb -inspect for presence and amount of drainage -monitor for feelings of body image changes.

A nurse contributing to the preoperative teaching plan for a client who is to have a total hip arthroplasty. Which of the following should the nurse include in the teaching plan? (select all that apply)

-encouraging complete autologous blood donation -using an abductor pillow when turning -performing isometric exercises

A nurse is reinforcing teaching to a client who is taking raloxifene (Evista) to prevent postmenopausal osteoporsis. The nurse should advise the client that which of the following are adverse effects of this medication? (select all that apply)

-hot flashes -swelling or redness is calf -shortness of breath

A nurse is contributing to the plan of care for a client who is postoperative following an arthroscopy of the knee. Which of the following should the nurse include in the plan of care? (select all that apply)

-inspect color and temperature of the extremity -elevate the extremity -administer opioid medication -check pulses and sensation in the foot

A nurse is assisting with care of a client who is to have an electromyography (EMG). Which of the following should the nurse expect to be included in the plan of care?(select all that apply)

-inspect the clients -apply ice to insertion site -determine whether the client takes a muscle relaxant

A nurse is reviewing preoperative teaching with a client who is to under go an arthroscopy to repair injury tot a shoulder. Which of the following statements by the nurse are appropriate? (select all that apply)

-inspect your incision daily for signs of infection -perform isometric exercises as directed

A nurse is collecting data on a client who had an external fixation device applied 2 hr ago for a fracture of the left tibia and fibula. Which of the following findings indicate compartment syndrome? (select all that apply)

-intense pain when the left foot is passively moved -hard, swollen muscle in the leg -burning and tingling of the distal left foot -minimal pain relief following a second dose of opiod medication

A nurse is admitting an older adult client who has suspected osteoporosis. Which of following is an expected clinical finding? (select all that apply)

-loss in height of 2 in (5.1 cm) -body mass index (BMI) of 21 -kyphotic curve at upper thoracic spine -history of lactose intolerance

A nurse is assisting with the care of a client on the orthopedic unit following a total knee arthroplasty. Which of the following actions by the nurse are appropriate?

-maintain continuous passive motion devise -palpate dorsalis pedis pulses -elevate heels off bed

A nurse is collecting data from a client who is to undergo a right knee arthoplasty. Which of the following are expected findings? (select all that apply)

-pain when bearing weight -joint crepitus -swelling of the affected joint -limited joint motion

A nurse is providing instructions on home safety for an older adult client who has osteoporosis. Which of the following information should the nurse include in the teaching? (select all that apply)

-remove throw rugs in walkways -use prescribed assistive devices -remove clutter from the environment -maintain lighting of doorway areas

A nurse is collecting data from an older adult client who has arteriosclerosis and is scheduled for a possible right lower extremity amputaion. Which of the following are expected findings in the affected extremity? (select all that apply)

-skin cool to touch from mid-calf to the toes -lower leg appears dusky when the client is sitting -lack of hair on lower leg -blackened areas on several toes

A nurse is preparing to administer auranofin (Ridaura) for a client who has rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this medication? (select all that apply)

-stomatitis -bruising -pruritis

A nurse is caring for a client who has osteoporosis and a new prescription for alendronate (Fosamax). Which of the following instructions should the nurse provide for the client?

-take medication in the morning before eating -drink a full glass of water with each tablet -avoid lying down after taking this medication

A nurse is reviewing information with a client scheduled for a dual x-ray absorptiometry (DXA) scan. Which of the following should the nurse include? (select all that apply)

-the hip and spine are the usual areas to be scanned -bone pain can indicate a need for a scan -at age 40 years, a baseline scan is recommended

A nurse is reinforcing teaching with a client who is scheduled for a bone scan. Which of the following statements by the nurse is appropriate?

A radioactive substance will be injected before the procedure

A nurse is caring for a client who has a prescription for cyclosporine (Sandimmune) to treat rheumatoid arthritis. Which of the following medications taken concurrently with cyclosporine is a risk for cyclosporine toxicity?

Erythromycin (Erythrocin)

A nurse is reinforcing teaching with a client who has rheumatoid arthritis and is beginning a prescription for methotrexate. Which of the following statements by the client indicates understanding of the teaching?

I'll let the doctor know if i develop sores in my mouth while taking this medication.

A nurse is reviewing medications with a client who has a new diagnosis of rheumatoid arthritis. The nurse should instruct the client that which of the following medications will relieve arthritis pain and inflammation but will not stop the disease from progressing?

Indomethacin (Indocin)

A nurse is caring for a client who had an above-the-knee amputation and who reports having sharp, stabbing type of phantom pain. Which of the following is an appropriate action by the nurse?

administer an antiepilptic medication

A nurse is reinforcing teaching with a client who has a new presciption for calcitonin-salmon (Miacalcin) for postmenopausal osteoporsis. Which of the following should the nurse instruct the client regarding self-administration of this medication?

alternate nostrils each time calcitonin-salmon is inhaled

A nurse is reinforcing teaching to a client who had a wound debridement for osteomyelitis. Which of the following information should the nurse include in the teaching?

antibiotic therapy should continue for 3 months

A nurse is reviewing the health record of a client who is to undergo total joint arthroplasty. The nurse should recognize which of the following findings as a contraindication to this prcedure?

bronchitis 2 weeks

A nurse is planning care for a client who has a right hip fracture. Which of the following immobilization devices should the nurse anticipate in the plan of care?

buck's traction

A nurse is caring for a young adult client whose serum calcium is 8.8 mg/dL. Which of the following medications should the nurse anticipate administering to this client?

calcium carbonate (Tums)

A nurse is reinforcing information with a client who is scheduled for lower extremity angiography. The nurse should instruct the client that which of the following is the purpose of angiography?

examine the blood vessels for areas of impaired circulation

A nurse is preparing a client who is to receive hyaluronic acid (Synvisc) injection for osteoarthritis. Which of the following statements by the nurse is appropriate?

hyaluronic acid is made from the combs of chickens

A nurse is providing information about capsaicin (Capsin) cream to a client who reports continuous knee pain from osteoarthritis. Which of the following information should the nurse include in the discussion?

inspect for skin irritation and cuts prior to application

A nurse is collecting data on a client who has a casted compund fracture of the right forearm. Which of the following findings is an early indication of neurovascular comprmise?

paresthesia

A nurse is providing care for a client who had a vertebroplasty of the thoracic spine. Which of the following is an appropriate action by the nurse?

place the client in a supine position

A nurse is contributing to the a plan of care for a client following a below-the-knee amputation 24hr ago. Which of the following should the nurse include in the plan of care to prevent the client from developing flexion contractions?

position the client prone several times each day

A nurse is caring for a client who has a new prescription for calcitonin-salmon for osteoporosis. Which of the following tests should the nurse tell the client to expect before beginning this medication?

skin test for allergy to the medication

A nurse is caring for a client who is beginning a new prescription for adalimumab (Humira) for rheumatoid arthritis. Based on the route of administration off adalimumab, which of the following should the nurse plan to monitor?

the client's subcutaneous site for redness following injection

A nurse is providing dietary teaching about calcium-rich foods should the nurse include in the instructions?

white beans