Brunner Ch 68
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 recognizes that the client with osteomyelitis is at risk for:
Bone abscess formation
A client seeks medical attention for a ganglion. Which statement about this musculoskeletal mass is true?
Dorsiflexion exacerbates signs and symptoms of a ganglion.
The nurse is caring for the client with chronic osteomyelitis of the jaw with a draining wound. Which nursing diagnosis is appropriate for the client? Select all that apply.
• Acute pain • Disturbed body image • Imbalanced nutrition: less than body requirements
A female client is at risk for developing osteoporosis. Which action will reduce the client's risk?
Initiating weight-bearing exercise routines
The nurse is caring for the client following removal of a Morton's neuroma. Which of the following nursing interventions would be inappropriate?
Perform N/V assessment of the hand
In chronic osteomyelitis, antibiotics are adjunctive therapy in which of the following situations?
Surgical debridement
When performing a physical assessment of a client, the client reports numbness, tingling, and pain when the nurse percusses lightly over the median nerve. The nurse recognizes that this finding is consistent with:
Carpal tunnel syndrome
Which common problem of the upper extremity results from entrapment of the median nerve at the wrist?
Carpal tunnel syndrome
Which of the following is a flexion deformity caused by a slowly progressive contracture of the palmar fascia?
Dupuytren's contracture
During a routine physical examination of a client, the nurse observes a flexion deformity of the promixal interphalangeal (PIP) joint of two toes on the right foot. The nurse documents this finding as which of the following?
Hammer toe
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?
Hypothyroidism
Which assessment findings would the nurse expect in a client diagnosed with osteomyelitis?
Leukocytosis and localized bone pain
A nurse is caring for a client who's experiencing septic arthritis. This client has a history of immunosuppressive therapy and his immune system is currently depressed. Which assignment is the most appropriate for the nurse caring for this client?
The nurse is caring for this client on the intensive care unit.
A nurse is teaching a female client about preventing osteoporosis. Which teaching point is correct?
The recommended daily allowance of calcium may be found in a wide variety of foods.
Instructions for the patient with low back pain include that when lifting the patient should
avoid overreaching.
The nurse is reviewing the medication administration record of the client. Which of the following medications would lead the nurse to suspect that the client is at risk for osteoporosis?
raloxifene (Evista)
Which of the following clinical manifestations would the nurse expect to find in a client who has Paget's disease?
Bowing of the legs
A home care nurse assesses for disease complications in a client with bone cancer. Which laboratory value may indicate the presence of a disease complication?
Calcium level of 11.6 mg/dl
A male patient with a musculoskeletal injury is instructed to alter his diet. The objective of this diet alteration is to facilitate the absorption of calcium from food and supplements. Considering the food intake objective, which of the following food items should the nurse encourage the patient to include in the diet?
Vitamin D fortified milk
The nurse notes that the patient's left great toe deviates laterally. This finding would be recognized as which of the following?
Hallux valgus
Which of the following is a metabolic bone disease that is characterized by inadequate mineralization of bone?
Osteomalacia
Morton's neuroma is exhibited by which of the following clinical manifestations?
Swelling of the third (lateral) branch of the median plantar nerve