Geriatrics Mobility Unit
Following a total knee replacement, the surgeon orders a continuous passive motion (CPM) device. The client asks about the purpose of this treatment. The best response by the nurse is:
"CPM increases range of motion of the joint."
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?
Anticoagulation therapy
Joint aspiration to remove fluid from a joint or get a synovial fluid sample for examination is:
Arthrocentesis
Which of the following diagnostic studies are done to relieve joint pain due to effusion?
Arthrocentesis
Which of the following is the reason why older adults are more prone to skeletal fractures?
Because bone resorption is more rapid than bone formation
After undergoing surgery the previous day for a total knee replacement, a client states that he doesn't feel ready to ambulate yet. What should the nurse do?
Discuss the complications that the client's may experience if he doesn't cooperate with the care plan.
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
A patient has had a stroke and is unable to move the right upper and lower extremity. During assessment the nurse picks up the arm and it is limp and without tone. How would the nurse document this finding?
Flaccidity
What are NSAIDs used for?
Inflammation, Pain, Fever reduction
Which is a benefit of a continuous passive motion (CPM) device when applied after knee surgery?
It promotes healing by increasing circulation and movement of the knee joint.
The nurse is caring for a client who underwent a total hip replacement yesterday. What should the nurse do to prevent dislocation of the new prosthesis?
Protect the affected leg from internal rotation.
The majority of bone infections are caused by which organism?
Staphylococcus aureus
After a bone density test, an older adult female patient tells the nurse, "I don't understand why I have osteoporosis because I eat well and take my calcium." What does the nurse understand is the reason that the patient may have osteoporosis?
The loss is from withdrawal of estrogen and a decrease in activity levels.
Which term refers to moving away from midline?
abduction
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
Fusion of a joint is
arthrodesis
patient is scheduled for a procedure that will allow the physician to visualize the knee joint in order to diagnose the patient's pain. What procedure will the nurse prepare the patient for?
arthroscopy
Which of the following is the most important nursing action that may help clients who undergo a knee or hip replacement?
assist in early ambulation
A patient tells the physician about shoulder pain that is present even without any strenuous movement. The physician identifies a sac filled with synovial fluid. What condition should the nurse educate the patient about?
bursitis
A nurse is reviewing the pathophysiology that may underlie a client's decreased bone density. What hormone should the nurse identify as inhibiting bone resorption and promoting bone formation?
calcitonin
A nurse is performing a musculoskeletal assessment of a client with arthritis. During passive range-of-motion exercises, the nurse hears an audible grating sound. The nurse should document the presence of what assessment finding?
crepitus
A client taking a bisphosphonate should be instructed on the following regarding administration:
drink 6-8oz of water first thing in the morning
The nurse is reporting on the results of client blood work to the oncoming nurse. Upon reviewing the data, it is noted that the client has an elevated uric acid level. Which inflammatory process would the nurse screen for on shift rounds?
gout
Which is a form of arthritis in which uric acid accumulates and is deposited in the joint?
gout
A nurse is performing the health history and physical assessment of a client who has a diagnosis of rheumatoid arthritis (RA). What assessment finding is most consistent with the clinical presentation of RA?
joint stiffness especially in the morning
A nurse is caring for a client who recently underwent a total hip replacement. The nurse should:
limit hip flexion of the client's hip when he sits.
A nurse is caring for an older adult who has been diagnosed with geriatric failure to thrive. The nurse should perform interventions to prevent what complication?
muscle atrophy
When caring for a client with a musculoskeletal injury, which of these assessments is the most important?
neurovascular
The nurse assesses a patient after total right hip arthroplasty and observes a shortening of the extremity, and the patient complains of severe pain in the right side of the groin. What is the priority action of the nurse?
notify physician
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?
paresthesia
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?
pulselesness
A client has a musculoskeletal injury and needs an immobilization device but does not require it to be rigid. Which of the following would be used?
splint
A client with high blood pressure as well as a musculoskeletal disorder is prescribed calcium carbonate as treatment for the musculoskeletal disorder. What patient teaching related to the intake of calcium carbonate, should the nurse give to the client?
take other drugs 1 to 2 hours after taking calcium carbonate
