MS Exam 3
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 Biphosphates end in "-ronate"
Which term refers to a flexion deformity caused by a slowly progressive contracture of the palmar fascia?
Dupuytren's Contracture
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?
Vitamin D milk
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?
avoid prolonged sitting or walking
A client with suspected osteomalacia has a fractured tibia and fibula. What test would give a definitive diagnosis of osteomalacia?
bone biopsy
A patient has been diagnosed with osteomalacia. What common symptoms does the nurse recognize that correlate with the diagnosis?
bone pain and tenderness
Which medication directly inhibits osteoclasts
calcitonin
Assessment of a client reveals signs and symptoms of Paget's disease. Which of the following would be most likely?
long bone bowing
A client is informed of having a benign bone tumor but that this type of tumor that may become malignant. The nurse knows that this is characteristic of which type of tumor?
osteoclastoma
Which condition is a metabolic bone disease characterized by inadequate mineralization of bone?
osteomalacia
A nurse is planning discharge teaching regarding exercise for a client at risk for osteoporosis. Which exercise would the nurse be most likely to suggest?
walking
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?
L4, L5, and S1
A patient had hand surgery to correct a Dupuytren's contracture. What nursing intervention is a priority postoperatively?
Performing hourly neurovascular assessments for the first 24 hours
The client diagnosed with osteosarcoma is scheduled for a surgical amputation. Which nursing diagnosis would be a priority for this client compared with other surgical clients?
disturbed body image
A client has Paget's disease. An appropriate nursing diagnosis for this client is:
fall risk
The nurse notes that the client's left great toe deviates laterally. This finding would be recognized as
hallux valgus
During a routine physical examination of a client, the nurse observes a flexion deformity of the proximal interphalangeal (PIP) joint of two toes on the right foot. How would the nurse document this finding?
hammer toe
A nurse is caring for a client with bone metastasis from a primary breast cancer. The client reports muscle weakness and nausea and is voiding large amounts frequently. The telemetry monitor is observed showing premature ventricular contractions. What should the nurse suspect based on the clinical manifestations?
hypercalcemia
The nurse is providing teaching to a client with a mild case of bunions. Which suggestion would be most important for the nurse to give this client?
proper footwear
Which should be included in the teaching plan for a client diagnosed with plantar fasciitis?
stretching exercises
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?
raloxifene
A nurse is performing discharge teaching for an elderly client with osteoporosis. Which instruction about a calcium supplement should the nurse include?
take with meals or orange juice
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?
"After menopause, the body's bone density declines, resulting in a gradual loss of height."
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."
A patient is diagnosed with osteogenic sarcoma. What laboratory studies should the nurse monitor for the presence of elevation?
ALP (alkaline phosphatase)
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 nurse is caring for a client with eczema. Which medication would be prescribed when an allergy is a factor causing the skin disorder?
Chlorpheniramine (antihistamine)
The nurse is assessing the feet of a patient and observes an overgrowth of the horny layer of the epidermis. What does the nurse recognize this condition as?
Corn
Which group is at the greatest risk for osteoporosis?
European American women
A nurse is planning discharge instructions for the client with osteomyelitis. What instructions should the nurse include in the discharge teaching?
IV antibiotics for 2 to 6 weeks
A nurse is caring for a client following foot surgery. Which nursing intervention is most important for the nurse to include in the nursing care plan?
Neurovascular assessments every hour
A nurse is teaching a client about preventing osteoporosis. Which teaching point is correct?
The recommended daily allowance of calcium may be found in a wide variety of foods.
Which of the following are common primary sites of tumors that metastasize to the bone? Select all that apply.
all of the above. (lung, prostate, kidney, breast, and ovary)
A client is scheduled for surgery to fuse a joint. The nurse identifies this as which of the following?
arthrodesis
A client with diabetes punctured the foot with a sharp object. Within a week, the client developed osteomyelitis of the foot. The client was admitted for IV antibiotic therapy. How long does the nurse anticipate the client will receive IV antibiotics?
at least 4 weeks
When an infection is bloodborne, the manifestations include which symptom?
chills along with high fever, tachycardia, general malaise
A patient shows the nurse a round, firm nodule on the wrist. The pain is described as aching, with some weakness of the fingers. What treatment does the nurse anticipate assisting with? (Select all that apply.)
corticosteroid injections, surgical excision, aspiration of the cyst
A female client is at risk for developing osteoporosis. Which action will reduce the client's risk?
initiating weight bearing exercise routines
A nurse is caring for a client who's experiencing septic arthritis. This client has a history of immunosuppressive therapy and the immune system is currently depressed. Which assignment is the most appropriate for the nurse caring for this client?
just this one patient in the ICU
A healthcare provider asks a nurse to test a client for Tinel's sign to diagnose carpal tunnel syndrome. What should the nurse do to perform this assessment?
palm up, percuss over median nerve
In chronic osteomyelitis, antibiotics are adjunctive therapy in which situation?
srugical debridement
The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action?
walk or perform weight-bearing exercises
Morton neuroma is exhibited by which clinical manifestation?
Swelling of the third (lateral) branch of the median plantar nerve
What food can the nurse suggest to the client at risk for osteoporosis?
Broccoli (high in Ca)
A nurse is educating a client diagnosed with osteomalacia. Which statement by the nurse is appropriate?
Eval. for underlying cause
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?
Give large amounts IV antibiotics
A nurse is caring for a client following removal of a Morton's neuroma. Which nursing intervention would be most appropriate?
assess the surgical dressing
Which of the following diagnostics are used to evaluate spinal nerve root disorders (radiculopathies)?
electromyogram (electro think nerves)
o help minimize calcium loss from a hospitalized client's bones, the nurse should:
encourage walking down the hall
A client presents to the emergency department with fever, chills, restlessness, and limited movement of a fractured jaw. What complication should the nurse interpret as the findings?
osteomyelitis
A nurse is caring for an older woman with a hip fracture. What are appropriate risk factors for the nurse to consider related to the client's hip fracture? Select all that apply.
presence of anemia, female, osteoporosis
The nurse is assisting a client with removing shoes prior to an examination and observes that the client has a flexion deformity of several toes on both feet of the proximal interphalangeal (PIP) joints. What can the nurse encourage the client to do?
properly fitting shoes
Which term refers to a disease of a nerve root?
radiculopathy
The client with osteoarthritis is seen in the clinic. Which assessment finding indicates the client is having difficulty implementing self-care?
weight gain of 5 lbs
