Exam 12 : Chapter 68

A patient with osteoporosis shows an understanding of appropriate self-care when they state a. "I should remove trip hazards such as throw rugs in my house to make it safer." b. "I am not using the cane my HCP recommended. I don't want to look that old!" c. "I can continue to go downhill skiing as long as I'm care- ful and don't ever fall." d. "I need to take up running to help strengthen my bones. Walking is just not enough."

a. "I should remove trip hazards such as throw rugs in my house to make it safer."

Which persons are at high risk for chronic low back pain? (select all that apply) a. A 63-year-old man who is a long-distance truck driver b. A 30-year-old nurse who works on an orthopedic unit and smokes c. A 55-year-old construction worker who is 6 ft, 2 in and weighs 250 lb d. A 44-year-old female chef with prior compression frac- ture of the spine e. A28-year-oldfemaleyogainstructorwhois5ft,6inand weighs 130 lb

a. A 63-year-old man who is a long-distance truck driver b. A 30-year-old nurse who works on an orthopedic unit and smokes c. A 55-year-old construction worker who is 6 ft, 2 in and weighs 250 lb d. A 44-year-old female chef with prior compression frac- ture of the spine

A patient with acute osteomyelitis is being discharged on antibiotic therapy. What would the nurse include in the teaching plan? (select all that apply) a. It is important to finish all the antibiotics even if you feel better. b. You will need to schedule periodic through bone scans and ESR testing. c. If the infection comes back, you must contact the HCP to schedule surgery. d. Signs such as fever and night sweats may be present but are usually not severe. e. Contact the HCP if signs of infection such as pain and swelling at the site occur.

a. It is important to finish all the antibiotics even if you feel better. b. You will need to schedule periodic through bone scans and ESR testing. d. Signs such as fever and night sweats may be present but are usually not severe. e. Contact the HCP if signs of infection such as pain and swelling at the site occur.

A patient with history of colon cancer is diagnosed with rib fractures, and the HCP orders a bone scan. The nurse deter- mines the patient understands teaching about the purpose of the procedure when they state a. "The bone scan will cure my rib fractures." b. "The bone scan will see if my colon cancer may have spread." c. "My colon cancer was cured so I really don't think this is necessary." d. "The results of the bone scan will only just confirm that I have a rib fracture."

b. "The bone scan will see if my colon cancer may have spread."

A patient who ran his first marathon had heel pain that would not resolve and was diagnosed with calcaneus stress fracture. The nurse will teach the patient to (select all that apply) a. resume running in 1 week. b. rest and refrain from running. c. wear a shoe heel pad when ambulating. d. walk barefoot to decrease pressure on the heel. e. apply ice to the heel and take NSAIDs as directed by HCP.

b. rest and refrain from running. c. wear a shoe heel pad when ambulating. e. apply ice to the heel and take NSAIDs as directed by HCP.

When caring for a patient after lumbar spinal surgery, the nurse would immediately report which finding to the HCP? a. The patient reports mild low back pain. b. The patient has a single episode of emesis. c. The patient is nauseated and has not voided in 4 hours. d. The patient has loss of sensation to the perineum, buttocks, inner thighs, and back of the legs.

d. The patient has loss of sensation to the perineum, buttocks, inner thighs, and back of the legs.

The nurse provides counseling to a family of a patient with Duchenne muscular dystrophy with the knowledge that a. patients are usually female. b. all daughters of a carrier will be carriers. c. genetic testing can help determine treatment. d. only males can pass the gene to their offspring.

d. only males can pass the gene to their offspring.