MS2 Week 9 chapter practice questions - Musculoskeletal
A type of therapeutic exercise, performed by the client, in which the muscle alternately contracts and relaxes is a) Isometric b) Passive c) Active-assistive d) Resistive
a) Isometric
A patient with a cervical disc herniation in the acute phase is complaining of numbness and tingling of his arms.what are the priority interventions for the nurse to perform? SATA a) Provide NSAID therapy b) Have the patient wear a cervical collar daily c) Encourage exercise to strengthen the legs d) Assist the patient in isometric exercises of the arms e) Encourage weight lifting to strengthen them
a) Provide NSAID therapy b) Have the patient wear a cervical collar daily
The nurse is working with a physical therapist to create a multidisciplinary plan of care for a client in a rehab unit. The therapist suggests that the client would benefit from the use of light weights during shoulder exercises. The nurse incorporates this into the plan of care as which type of exercise? a) Resistive b) Passive c) Isometric d) Active-assistance
a) Resistive
What is the term for a lateral curving of the spine? a) Scoliosis b) Epiphysis c) Lordosis d) Diaphysis
a) Scoliosis
The nurse teaches the patient diagnosed with Huntington disease that it is transmitted as which type of genetic disorder? a) Autosomal dominant b) X-linked c) Autosomal recessive d) None of the above
a) Autosomal dominant
Which type of scale is used to systematically assess and quantify a clients risk for pressure ulcer? a) Braden scale b) Barthel index c) FIM d) PULSES profile
a) Braden scale
Which hormone inhibits bone resorption and increases the deposit of calcium in the bone? a) Calcitonin b) Vitamin D c) Growth hormone d) Sex hormones
a) Calcitonin
A patient has undergone a cervical discectomy. What interventions are essential to teach the patient? SATA a) Call health care provider if the area is red or irritated b) Cover the incision with dry dressing c) Do not remove dressing until your next visit d) Avoid twisting or flexing your neck e) Sit as much as possible, standing can cause pain f) Keep staples or sutures clean and dry
a) Call health care provider if the area is red or irritated b) Cover the incision with dry dressing c) Do not remove dressing until your next visit d) Avoid twisting or flexing your neck f) Keep staples or sutures clean and dry
Which group is at the greatest risk for osteoporosis? a) Caucasian women b) African american women c) Men d) Asian women
a) Caucasian women
Which are clinical manifestations of a fracture? a) Crepitus b) Pain c) Deformity d) shortening e) Loss of function f) Lengthening
a) Crepitus b) Pain c) Deformity d) shortening e) Loss of function
The homecare nurse is evaluating the musculoskeletal system of a geriatric client whose previous assessment was within normal limits. The nurse initiates a call to the health care provider and/or emergency services when which change is found? a) Decreased right sided muscle strength b) Decreased agility c) Increased joint stiffness d) Decreased flexibility
a) Decreased right sided muscle strength
Fracture healing occurs in four areas, including the a) External soft tissue b) Bursae c) Fascia d) Cartilage
a) External soft tissue
Which term refers to a fracture in which one side of a bone is broken and the other side is bent? a) Greenstick b) Avulsion c) Oblique d) Spiral
a) Greenstick
a patient with herpes simplex virus (HSV) encephalitis is receiving acyclovir (Zovirax). the nurse monitors blood chemistry test results and urinary output for a) renal complications related to acyclovir therapy b) signs of improvement in the patients condition c) signs of relapse d) signs and symptoms of cardiac insufficiency
a) renal complications related to acyclovir therapy
Which of the following are the most commonly reported clinical manifestations of MS? SATA a. Pain b. Depression c. numbness d. Spasticity e. Fatigue f. aphasia
a. Pain b. Depression c. numbness d. Spasticity e. Fatigue
which of the following is the priority nursing intervention for a patient in myasthenic crisis? a. assessing respiratory effort b. preparing for plasmapheresis c. administering intravenous immunoglobulin (IVIG) per orders d. ensuring adequate nutritional support
a. assessing respiratory effort
the nurse is preparing the patient for an acetylcholinesterase inhibitor test to rule out Myasthenia gravis. which of the following is the priority nursing action? a. ensure atropine is readily available b. assess facial weakness 5 minutes after injection c. document the results d. administer edrophonium chloride (Tensilon) per orders
a. ensure atropine is readily available
The initial sign of skin pressure is erythema, which normally resolves in less than a) 15 minutes b) 1 hour c) 45 minutes d) 30 minutes
b) 1 hour
Which common problem of the upper extremity results from entrapment of the median nerve at the wrist? a) Dupuytren's contracture b) Carpal tunnel syndrome c) Impingement syndrome d) Ganglion
b) Carpal tunnel syndrome
Which term refers to a flexion deformity caused by a slowly progressive contracture of the palmar fascia? a) Callus b) Dupuytren contracture c) Hammertoe d) Hallux valgus
b) Dupuytren contracture
Bell's palsy is a disorder of which cranial nerve? a) vestibulocochlear (VIII) b) facial (VII) c) Trigeminal (V) d) Vagus (X)
b) facial (VII)
which of the following is the most common cause of acute encephalitis in the US? a) western equine bacteria b) herpes simplex virus (HSV) c) st. louis virus d) western nile virus
b) herpes simplex virus (HSV)
myasthenia gravis occurs when antibodies attach which receptor sites? a. Serotonin b. Acetylcholine c. dopamine d. GABA
b. Acetylcholine
Which body movement involves moving toward the midline? a) Eversion b) Abduction c) Adduction d) Pronation
c) Adduction
The nurse notes that the clients left great toe deviates laterally. This finding would be recognized as which condition? a) Flatfoot b) Hammertoe c) Hallux valgus d) Pes cavus
c) Hallux valgus
Which factor may contribute to compartment syndrome? a) Venous thromboembolism b) Macular lesion c) Hemorrhage d) Disuse syndrome
c) Hemorrhage
Which of the following diseases is a chronic, progressive, hereditary disease of the nervous system that results in progressive involuntary dancelike movements and dementia? a) Parkinson's disease b) Creutzfeldt-Jakob disease c) Huntington disease d) Multiple sclerosis
c) Huntington disease
A client with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. The wound appearance has not improved. What action would the nurse anticipate to promote healing? a) Wound irrigation b) Vitamin supplements c) Surgical debridement d) Wound packing
c) Surgical debridement
Which nerve is assessed when the nurse asks the client to spread all fingers? a) Peroneal b) Radial c) Ulnar d) Median
c) Ulnar
a frontal lobe brain abscess produces which manifestations? a) Nystagmus b) localized headache c) seizures d) ataxia
c) seizures
the primary north american vector transmitting arthropod-borne virus encephalitis is the a) Horse b) Tick c) Flea d) mosquito
d) mosquito
which of the following nursing interventions is appropriate for a patient with double vision in the right eye due to MS? a. administer eye drops as needed b. place needed items on the right side c. exercise the right eye 2x per day (BID) d. apply an eye patch to the right eye
d. apply an eye patch to the right eye
a patient is newly diagnosed with relapsing-remitting MS (RRMS). which instruction should the nurse provide? a. you will have a steady and gradual decline in function b. you should take your medications only during times of relapse c. your type of MS is the least common, making it difficult to manage d. you must avoid stress and extreme fatigue, because these can trigger a relapse
d. you must avoid stress and extreme fatigue, because these can trigger a relapse
A client is placed in traction for a femur fracture. The nurse would document which expected outcomes of traction? SATA a) Minimization of muscle spasms b) Reduction of deformity c) Decreased pedal pulse d) Full range of motion to extremity e) Increased ability to bear weight f) Realignment of the fracture
a) Minimization of muscle spasms b) Reduction of deformity f) Realignment of the fracture
Which is a strategy for lowering risk for osteoporosis? a) Smoking cessation b) Diet low in calcium and vitamin D c) Increased age d) Low initial bone mass
a) Smoking cessation
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? a) Raloxifene b) Teriparatide c) Alendronate d) Denosumab
c) Alendronate
Which of the following medication classifications should be avoided in the treatment of brain tumors? a) Osmotic diuretics b) Anticonvulsants c) Anticoagulants d) Corticosteroids
c) Anticoagulants
Which nursing action would help prevent DVT in a client who has had an orthopedic surgery? a) Instruct about exercise, as prescribed b) Instruct about using client-controlled analgesia, if prescribed c) Apply anti embolism stockings d) Apply cold packs
c) Apply anti embolism stockings
Through which activity does a client learn to continuously contract excretory sphincters and control voiding cues? a) Habit training b) Bladder training c) Biofeedback d) Kegel exercises
c) Biofeedback
A client experienced an open fracture to the left femur during a horse-riding accident. For which complication is this client at highest risk for? a) Complex regional pain syndrome b) Malunion c) Infection d) Depression
c) Infection
Which nerve is being assessed when the nurses asks the client to dorsiflex the ankle and extend the toes? a) Median b) Radial c) Peroneal d) Ulnar
c) Peroneal
Corticosteroids are used in the management of brain tumors to a) Identify precise location of the tumor b) Facilitate regeneration of neurons c) Reduce cerebral edema d) Prevent extension of the tumor
c) Reduce cerebral edema
Which of the following is a rapid, jerky, involuntary and purposeless movement of the extremities or facial muscles? a) Akathisia b) Paresthesia c) Dyskinesia d) Chorea
d) Chorea
medical management of arthropod-borne (arboviral) encephalitis is aimed at a) controlling seizures and increased intracranial pressure b) maintaining hemodynamic stability and adequate cardiac output c) preventing muscular atrophy d) preventing renal insufficiency
a) controlling seizures and increased intracranial pressure
The nurse is conducting a community education program on hip fracture risk. The nurse evaluates that the participants understand the program when the participants determine that client at highest risk for a hip fracture is a(n) a) Toddler just starting to walk b) 80-year old man recently widowed c) High school athlete d) 30-year old pregnant woman
b) 80-year old man recently widowed
The nurse is evaluating the lab values of a client whose nursing diagnosis is "risk for impaired skin integrity." which of the following values places the client at greatest risk? a) Hemoglobin 10.5 b) Albumin 1.5 c) Potassium 3.0 d) Hematocrit 43.5
b) Albumin 1.5
Which is a hallmark sign of compartment syndrome? a) Edema b) Pain c) Weeping skin surfaces d) Motor weakness
b) Pain
When it is advisable for the nurse to apply heat to a sprain or a contusion? a) Only after a week b) Do not apply at all c) After 2 days d) Immediately
c) After 2 days
Which of the following anticholinergic agents are used to control tremor and rigidity in Parkinson's disease? a) Bromocriptine mesylate (Parlodel) b) Amantadine (Symmetrel) c) Benztropine (Cogentin) d) Levodopa (Larodopa)
c) Benztropine (Cogentin)
Which is a circulatory indicator of peripheral neurovascular dysfunction? a) Paralysis b) Paresthesia c) Weakness d) Cool skin
d) Cool skin
Which would be contraindicated as a component of self-care activities for the client with a cast? a) Elevate the casted extremity to heart level frequently b) Cushioning rough edges of the cast with tape c) Do not attempt to scratch the skin under a cast d) Cover the cast with plastic to insulate it
d) Cover the cast with plastic to insulate it
Which of the following is a known risk factor for brain tumors? a) Cellular telephones b) Use of hair dyes c) Head trauma d) Ionizing radiation
d) Ionizing radiation
Rotation of the forearm so that the palm of the hand is down is termed a) Eversion b) Supination c) Inversion d) Pronation
d) Pronation
Which type of fracture occurs when a bone fragment is driven into another bone fragment? a) Impacted b) Transverse c) Spiral d) Oblique
a) Impacted
An example of a flat bone is the a) Sternum b) Metacarpals c) Femur d) Vertebra
a) Sternum
When an infection is bloodborne, the manifestations include which symptom? a) Bradycardia b) Chills c) Hypothermia d) Hyperactivity
b) Chills
The ED nurse teaches clients with sports injuries to remember the acronym PRICE. This acronym stands for which combination of treatments? a) Pressure, rotation, immersion, compression, elevation b) Protection, rest, ice, compression, elevation c) Protection, rest, ice, circulation, examination d) Pressure, rotation, ice, compression, examination
b) Protection, rest, ice, compression, elevation
Serum albumin is an indicator of which type of deficiency? a) Phosphorus b) Protein c) Calcium d) Potassium
b) Protein
Which term refers to the shaft of the long bone? a) Scoliosis b) Epiphysis c) Diaphysis d) Lordosis
c) Diaphysis
During which stage of pressure ulcer development does the ulcer extend into the subcutaneous tissue? a) Stage IV b) Stage I c) Stage III d) Stage II
c) Stage III
the initial symptoms of nvCJD include which of the following? a) akathisia and dysphagia b) memory and cognitive impairment c) diplopia and bradykinesia d) anxiety, depression, and behavioral changes
d) anxiety, depression, and behavioral changes
A client in the ED is being treated for a wrist fracture. The client asks why a splint is being applied instead of a cast. What is the best response by the nurse? a) A splint is applied when more swelling is expected at the site of injury b) You would have to stay here much longer because it takes a cast longer to dry c) Not all fractures require a cast d) It is best if an orthopedic doctor applies the cast
a) A splint is applied when more swelling is expected at the site of injury
Which term refers to moving away from midline? a) Abduction b) Eversion c) Adduction d) Inversion
a) Abduction
Chapter 70 (management of patient with oncologic or degenerative neuro disorders) Which of the following is the most common type of brain neoplasm? a) Glioma b) Neuroma c) Angioma d) Meningioma
a) Glioma
A client is exhibiting diminished range of motion, loss of flexibility, stiffness, and loss of height. The history and physical findings are associated with age-related changes of which area? a) Joints b) Muscles c) Ligaments d) Bones
a) Joints
Which client is most likely to have compartment syndrome after sustaining a fracture? SATA a) The client with elevated pressure within the muscles b) The client using ice to control pain in the extremity c) The client with hemorrhage in the site of injury d) The client who sustained a clavicle fracture e) The client with a plaster cast applied immediately after injury
a) The client with elevated pressure within the muscles c) The client with hemorrhage in the site of injury e) The client with a plaster cast applied immediately after injury
Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing BMD? a) Teriparatide (Forteo) b) Calcitonin (Miacalcin) c) Raloxifene (Evista) d) Vitamin D
b) Calcitonin (Miacalcin)
The patients with a brain tumor may be at increased risk for aspiration. The most important nursing intervention includes which of the following? a) Frequent reorientation b) Evaluation of gag reflex and ability to swallow c) Assistance with self-care d) Monitoring vital signs
b) Evaluation of gag reflex and ability to swallow
A client with a fractured ankle is having a fiberglass cast applied. The client starts yelling "my leg is burning, take it off". What action by the nurse is most appropriate? a) Call for assistance to hold the client in the required position under the cast has dried b) Explain that the sensation being felt is normal and will not burn the client c) Administer antianxiety and pain medication d) Remove the cast immediately, notifying the physician
b) Explain that the sensation being felt is normal and will not burn the client
Which aspect should a nurse include in the teaching plan for a client with osteomalacia? a) Avoid green, leafy vegetables b) Include calcium, phosphorus, and vitamin D supplements c) Avoid any activity or exercise d) Avoid dairy products
b) Include calcium, phosphorus, and vitamin D supplements
In which stage is a pressure ulcer considered a partial-thickness wound? a) Stage III b) Stage II c) Stage I d) Stage IV
b) Stage II
During which stage of pressure ulcer development does the ulcer extend into the underlying structures, including the muscle and possibly the bone? a) Stage I b) Stage IV c) Stage II d) Stage III
b) Stage IV
a patient with fungal encephalitis receiving IV amphotericin B complains of fever, chills, and body aches. what action by the nurse is appropriate? a. stop the infusion immediately b. administer diphenhydramine (Benadryl) and acetaminophen (Tylenol) per orders c. assess lab values for renal insufficiency d. notify the physician and prepare for a lumbar puncture to obtain CSF cultures.
b. administer diphenhydramine (Benadryl) and acetaminophen (Tylenol) per orders
Which term refers to a grating or crackling sound or sensation? a) Fasciculation b) Callus c) Crepitus d) Clonus
c) Crepitus
Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which bone disorder? a) Osteomalacia b) Osteomyelitis c) Osteitis deformans/ Paget disease d) Osteoporosis
c) Osteitis deformans/ Paget disease
Which condition is a metabolic bone disease characterized by inadequate mineralization of bone? a) Osteoporosis b) Osteoarthritis c) Osteomalacia d) Osteomyelitis
c) Osteomalacia
Which laboratory study indicates the rate of bone turnover? a) Urine calcium b) Sternum phosphorus c) Serum osteocalcin d) Serum calcium
c) Serum osteocalcin
Morton neuroma is exhibited by which clinical manifestation? a) High arm and a fixed equinus deformity b) Inflammation of the foot-supporting fascia c) Swelling of the third (lateral) branch of the median plantar nerve d) Longitudinal arch of the foot is diminished
c) Swelling of the third (lateral) branch of the median plantar nerve
which of the following is a component of the nursing management of the patient with variant Creutzfeldt-Jakob disease (vCJD) a. preparing for organ donation b. administering amphotericin B c. providing supporting care d. initiating isolation procedures
c. providing supporting care
The nurse is reading the admission note for a client with a bone fracture that requires surgery. The notes indicates the presence of crepitus. The nurse interprets this as being a) A closed fracture b) Bleeding c) Ecchymosis d) A crackling sound
d) A crackling sound
Which term refers to a blunt force injury to soft tissue? a) Strain b) Fracture c) Dislocation d) Contusion
d) Contusion
which of the following is a rare, transmissible, progressive fatal disease of the CNS characterized by spongiform degeneration of the gray matter of the brain? a) huntington disease b) parkinson's disease c) multiple sclerosis d) Creutzfeldt-Jakob disease
d) Creutzfeldt-Jakob disease
Which factors inhibits fracture healing? a) Age of 35 years b) Immobilization of the fracture c) Increased vitamin D and calcium in the diet d) History of diabetes
d) History of diabetes
A physician prescribes raloxifene to a hospitalized client. The client's history includes a right hip fracture, hysterectomy, DVT, and HTN. Which action by the nurse demonstrates safe nursing care? a) Administering the raloxifene with food or milk b) Administering the raloxifene in the evening c) Having the patient sit upright for 30-60 minutes following administration d) Holding the raloxifene and notifying the physician
d) Holding the raloxifene and notifying the physician
Which term refers to muscle tension being unchanged with muscle shortening and joint motion? a) Isometric contraction b) Contracture c) Fasciculation d) Isotonic contraction
d) Isotonic contraction
Chapter 42 (management of patients with musculoskeletal trauma) Which term refers to an injury to ligaments and other soft tissues surrounding a joint? a) Strain b) Subluxation c) Dislocation d) Sprain
d) Sprain
Half of all spinal cord injuries are related to a) Work related injuries b) Motorcycle accidents c) Genetic predisposition d) Substance abuse
d) Substance abuse
Skull sutures are an example of which type of joint? a) Amphiarthrosis b) Aponeuroses c) Diarthrosis d) Synarthrosis
d) Synarthrosis
Which statement is accurate regarding care of a plaster cast? a) The cast will dry in about 12 hours b) The cast must be covered with a blanket to keep it moist during the first 24 hours c) A dry plaster cast is dull and gray d) The cast can be dented while it is damp
d) The cast can be dented while it is damp
A client is being discharged home with a long arm cast. What education should the nurse include to prevent disuse syndrome in the arm? a) Abduction and adduction of the shoulder b) Proper use of a sling c) Repositioning the arm in the cast d) Use of isometric exercises
d) Use of isometric exercises
Chapter 69 (management of patients with neurologic infections/auto disorders/neuropathies) which of the following is a chronic, degenerative, progressive disease of the CNS characterized by the occurrence of small patches of demyelination in the brain and spinal cord? a) parkinson's disease b) huntington disease c) Creutzfeldt-Jakob disease d) multiple sclerosis
d) multiple sclerosis
which of the following reflects basic nursing measures in the care of the patient with viral encephalitis? a) administering narcotic analgesics b) monitoring cardiac output c) administering amphotericin B d) providing comfort measures
d) providing comfort measures
Which statement describes paresthesia? a) Abnormal sensations b) Absence of muscle movement suggesting nerve damage c) Absence of muscle tone d) Involuntary twitch of muscle fibers
a) Abnormal sensations
Which interventions should a nurse implement as part of initial pain relief for the client with a cast? SATA a) Administer analgesics b) Provide passive ROM c) Elevate the involved part d) Apply cold packs e) Apply a new cast
a) Administer analgesics c) Elevate the involved part d) Apply cold packs
A client with a long arm cast continues to complain of unrelieved throbbing pain even after receiving opioid pain medication. Which is the priority action by the nurse? a) Assess for complications b) Assess for previous opioid drug use c) Reposition the client for comfort d) Teach relaxation techniques
a) Assess for complications
During which stage or phase of bone healing after fracture does callus formation occur? a) Remodeling b) Reparative c) Revascularization d) Inflammation
b) Reparative
The nurse is caring for a client scheduled to have an MRI. the nurse contacts the health care provider to cancel the MRI when the nurse reads which element in the clients medical history? a) Tumor removal b) Skin graft c) Colostomy d) Cochlear implant
d) Cochlear implant
Which would be an inappropriate initial pain relief measure for the client with a cast? a) Application of a new cast b) Application of cold packs c) Elevation of the involved part d) Administration of analgesics
a) Application of a new cast
A client with a right-below-the-knee amputation is being transferred from the PACU to a med-surg unit. What is the highest priority nursing intervention by the receiving nurse? a) Ensure that a large tourniquet is in the room b) Document the receiving report from the transferring nurse c) Review the physicians orders for type and frequency of pain medication d) Delegate the gathering of enough pillows for proper positioning and comfort.
a) Ensure that a large tourniquet is in the room
Which factors inhibit fracture healing? a) Local malignancy b) Bone loss c) Extensive local trauma d) Vitamin D e) Exercise f) Minimum bone fragment contact
a) Local malignancy b) Bone loss c) Extensive local trauma
Which should be included in the teaching plan for a client diagnosed with plantar fasciitis? a) Management of plantar fasciitis includes stretching exercises b) The pain of plantar fasciitis diminishes with warm water soaks c) Plantar fasciitis presents as acute-onset pain localized to the ball of the foot that occurs when pressure is placed on it and diminishes when pressure is released d) Complications of plantar fasciitis includes neuromuscular damage and decreased ankle range of motion
a) Management of plantar fasciitis includes stretching exercises
A patient with a herniated lumbar disc has asked about nonsurgical strategies to help with mobility. What strategies will the nurse teach the patient? SATA a) Muscle relaxants b) NSAIDS c) Hydrotherapy d) Weight reduction e) Positive feedback and attitude f) Physical therapy
a) Muscle relaxants b) NSAIDS d) Weight reduction f) Physical therapy
Which of the following diseases is associated with decreased levels of dopamine due to destruction of pigmented neuronal cells in the substantia nigra in the basal ganglia of the brain? a) Parkinson's disease b) Creutzfeldt-Jakob disease c) Huntington disease d) Multiple sclerosis
a) Parkinson's disease
Which actions by the nurse demonstrate an understanding of caring for a client in traction? SATA a) Placing a trapeze on the bed b) Assessing the clients alignment in the bed c) Ensuring that the weights are hanging freely d) Removing skeletal traction to turn and reposition the client e) Frequently assessing pain level
a) Placing a trapeze on the bed b) Assessing the clients alignment in the bed c) Ensuring that the weights are hanging freely e) Frequently assessing pain level
A 75-year old client had surgery for a left hip fracture yesterday. When completing the plan of care, the nurse should include assessment for which complications? SATA a) Pneumonia b) Delirium c) Skin breakdown d) Necrosis of the humerus e) Sepsis
a) Pneumonia b) Delirium c) Skin breakdown e) Sepsis
Which nursing intervention will best help the patient with Huntington disease to increase nutrition? SATA a) Relaxation techniques b) Increasing high carb foods c) Phenothiazine (Chlorpromazine) prior to meals d) Eliminating foods high in fat e) A pureed diet
a) Relaxation techniques c) Phenothiazine (Chlorpromazine) prior to meals
After a fracture, during which stage of bone healing is devitalized tissue removed and new bone reorganized into its former structural arrangement? a) Remodeling b) Revascularization c) Reparative d) Inflammation
a) Remodeling
A client diagnosed with osteoporosis is being discharged home. Which priority education should the nurse provide? a) Remove all small rugs from the home b) Participate in weight-bearing exercises c) Increase calcium and vitamin D in the diet d) Classify medications
a) Remove all small rugs from the home
The nurse preceptor is critiquing a new nurse's plan of care for a client with urinary incontinence. The preceptor suggests a review of nursing interventions for urinary incontinence when which instruction appears on the plan of care? a) Restrict clients fluids b) Initiate a toileting schedule c) Encourage cranberry juice d) Encourage kegel exercises
a) Restrict clients fluids
Most cases of bone infection and osteomyelitis are caused by which microorganism? a) Staphylococcus aureus b) Pseudomonas species c) Escherichia coli d) Proteus species
a) Staphylococcus aureus
Which of the following statements describes the patho of post-polio syndrome? a) The exact cause is unknown, but aging or muscle overuse is suspected b) The exact cause is unknown, but latent poliovirus is suspected c) Polt-polio syndrome is caused by an autoimmune response d) Post-polio syndrome is caused by a long-term intake of a low protein, high fat diet in polio survivors
a) The exact cause is unknown, but aging or muscle overuse is suspected
A client diagnosed with a right ulnar fracture asks why the cast needs to go all the way up the arm. What is the best response by the nurse? a) The joint above the fracture and below the fracture must be immobilized b) The method allows for the fastest healing time and the greatest mobility c) This allowed for the strength in the arm to remain consistent d) When a spica cast is ordered, the arm must be immobilized
a) The joint above the fracture and below the fracture must be immobilized
which diagnostic test is used for early diagnosis of HSV-1 encephalitis? a) polymerase chain reaction (PCR) b) electroencephalography (EEG) c) MRI d) lumbar puncutre
a) polymerase chain reaction (PCR)
which well-recognized sign of meningitis is exhibited when the patient's neck is flexed and flexion of the knees and hips is produced? a) positive brudzinski sign b) nuchal rigidity c) photophobia d) positive kerning's sign
a) positive brudzinski sign
a patient is suspected to have bacterial meningitis. what is the priority nursing intervention? a. administer prescribed antibiotics b. assess the CSF fluid lab results c. encourage fluid intake by mouth (PO) d. prepare patient for a CT scan
a. administer prescribed antibiotics
the initial symptoms of vCJD include which of the following? a. sensory disturbance, limb pain, and behavioral changes b. diplopia and bradykinesia c. akathisia and dysphagia d. muscle rigidity, memory impairment, and cognitive impairment
a. sensory disturbance, limb pain, and behavioral changes
Which of the following is a disease in which there is a loss of motor neurons in the anterior horns of the spinal cord and motor nuclei of the lower brain stem? a) Parkinson's disease (PD) b) Amyotrophic lateral sclerosis (ALS) c) Alzheimer's disease d) Huntington disease
b) Amyotrophic lateral sclerosis (ALS)
Which is a neurovascular problem caused by pressure within a muscle area that increases to such an extent that microcirculation diminishes? a) Fasciculation b) Compartment syndrome c) Remodeling d) Hypertrophy
b) Compartment syndrome
An x-ray demonstrates a fracture in which the fragments of bone are driven inward. This type of fracture is referred to as a) Comminuted b) Depressed c) Compound d) Impacted
b) Depressed
A client with a tibia fracture was placed in an external fixator 24 hours ago. The nurse is completing pin care and notices redness at the pin site and a small amount of serous drainage. What action by the nurse is appropriate? a) Assess the clients hemoglobin and hematocrit b) Document the findings c) Notify the physician d) Prepare for surgical removal of the fixator
b) Document the findings
Which nursing intervention measure is used for a client with a closed reduction extremity fracture? a) Assist with intake of immune-enhancing tube feeding formulas b) Encourage participation in ADL's c) Promote intake of omega-3 fatty acids d) Examine the abdomen for enlarged liver or spleen
b) Encourage participation in ADL's
The client is scheduled for a Meniscetomy of the right knee. The nurse would plan postop care based on what surgical procedure? a) Removal of a body part b) Excision of damaged joint fibrocartilage c) Incision and diversion of the muscle fascia d) Replacement of one of the articular surfaces of a joint
b) Excision of damaged joint fibrocartilage
Dupuytren contracture causes flexion of which area(s)? a) Ring finger b) Fourth and fifth fingers c) Thumb d) Index and middle fingers
b) Fourth and fifth fingers
Which term refers to a break in the continuity of a bone? a) Dislocation b) Fracture c) Subluxation d) Malunion
b) Fracture
The nurse is completing an initial assessment on an elderly client. When asked about urinary patterns, the client states "I can never get to the bathroom in time." the nurse documents this as which type of incontinence? a) Stress incontinence b) Functional incontinence c) Urge incontinence d) Reflex incontinence
b) Functional incontinence
A client has been prescribed alendronate for the prevention of osteoporosis. Which is the highest priority nursing intervention associated with the administration of the medication? a) Assess for the use of corticosteroids b) Have the client sit upright for at least 30 minutes following administration c) Encourage the client to get yearly dental exams d) Ensure adequate intake of vitamin D in the diet
b) Have the client sit upright for at least 30 minutes following administration
Which type of case encloses the trunk and a lower extremity a) Short-leg b) Hip-spica c) Body cast d) Long-leg
b) Hip-spica
The nurse is educating a client on home care following removal of a ganglion cyst from the right wrist. Which statement by the client demonstrates that the nurses teaching has been effective? a) If my hand becomes numb and cool i will elevate it above my heart b) I will leave the dressing on until i follow up with my doctor as scheduled c) If my pain is not relieved i will use a heat pack and take some more medication d) I will notify by doctor of i develop redness and purulent drainage for 2 days
b) I will leave the dressing on until i follow up with my doctor as scheduled
Pulselessness, a very late sign of compartment syndrome, may signify a) Venous congestion b) Lack of distal tissue perfusion c) Nerve involvement d) Diminished arterial perfusion
b) Lack of distal tissue perfusion
Bone density testing in patients with post-polio syndrome has demonstrated a) Calcification of long bones b) Low bone mass and osteoporosis c) Osteoarthritis d) No significant findings
b) Low bone mass and osteoporosis
The nurse teaches the patient with post polio syndrome that bone density testing will be completed to assist with identifying what potential complication? a) Calcification of long bones b) Low bone mass and osteoporosis c) Osteoarthritis d) Pathologic fractures
b) Low bone mass and osteoporosis
An unresponsive client had a plaster cast applied to the right lower leg 8 hours ago. When moving the client, the nurse notices an indentation on the posterior lower portion of the cast. What is the best action by the nurse? a) Remove the cast immediately b) Notify the physician c) Document the findings d) Assess for pedal pulses and mobility of toes
b) Notify the physician
The nurse is performing passive range of option exercises with a client on a rehab unit. The nurse takes the clients right hand and touches the thumb to each finger. Later, the nurse documents this range of option activity as a) Palmar flexion b) Opposition c) Inversion d) Supination
b) Opposition
The nurse is caring for a client with huntington disease. What intervention is a priority for safe care? a) Range of motion exercises b) Protecting the patient from falls c) Assessing serum cholesterol d) Measuring electrolytes
b) Protecting the patient from falls
A client with a traumatic amputation of the right lower leg is refusing to look at the leg. Which action by the nurse is most appropriate? a) Request a referral to occupational therapy b) Provide feedback on the clients strengths and available resources c) Provide wound care without discussing the amputation d) Encourage the client to perform ROM exercises to the right leg
b) Provide feedback on the clients strengths and available resources
Which type of incontinence is associated with weakened perineal muscles that permit the leakage of urine when intra-abdominal pressure is increased? a) Functional incontinence b) Stress incontinence c) Urge incontinence d) Reflex (neurologic) incontinence
b) Stress incontinence
To prevent foot drop, the client is positioned a) In a side-lying position b) To keep the feet at right angles to the leg c) In a sitting position with legs hanging off the side of the bed d) In a semi-sitting position in bed
b) To keep the feet at right angles to the leg
A nurse is educating a client diagnosed with osteomalacia. Which statement by the nurse is appropriate? a) You will need to avoid foods high in phosphorus and vitamin D b) You may need to be evaluated for an underlying cause, such as renal failure c) You will need to decrease the amount of dairy products you consume d) You will need to engage in vigorous exercise three times a week for 30 minutes
b) You may need to be evaluated for an underlying cause, such as renal failure
a patient with fungal encephalitis receiving amphotericin B complains of fever, chills, and body aches. the nurse knows that these symptoms a) indicate renal toxicity and a worsening of the patient's condition b) may be controlled by the administration of diphenhydramine (Benadryl) and acetaminophen (tylenol) approx. 30 minutes prior to administration of amphotericin c) indicate the need for immediate blood and cerebrospinal fluid (CSF) cultures d) are primarily associated with infection with Coccidioides immitis and aspergillus
b) may be controlled by the administration of diphenhydramine (Benadryl) and acetaminophen (tylenol) approx. 30 minutes prior to administration of amphotericin
which of the following is the most common clinical manifestation of multiple sclerosis? a. Ataxia b. Fatigue c. spasticity d. pain
b. Fatigue
the diagnosis of multiple sclerosis is based upon which of the following tests? a. neuropsychological testing b. MRI c. evoked potential studies d. CSF electrophoresis
b. MRI
a nurse is caring for a patient diagnosed with GBS. the patient states "it's getting harder to take a deep breath". Which of the following actions by the nurse is most appropriate? a. explain the progression of the syndrome b. call the physician and prepare for intubation c. encourage patient to cough d. assess lung sounds
b. call the physician and prepare for intubation
the parents of a patient intubated due to the progression of GBS ask if their child will die. what is the best response by the nurse? a. its too early to give a prognosis b. there are no guarantees. but a large portion of people with GBS survive c. once GBS progresses to the diaphragm there is a significant decrease in surviving d. don't worry, your child will be fine
b. there are no guarantees. but a large portion of people with GBS survive
Chapter 10 (principles and practices of rehabilitation) To help prevent the development of an external rotation deformity of the hip in a client who must remain in bed for any period of time, the most appropriate nursing action would be to use a) A hip-abductor pillow b) Pillows under the lower legs c) A trochanter roll extending from the crest of the ilium to the midthigh d) A footboard
c) A trochanter roll extending from the crest of the ilium to the midthigh
A client is transported to the ED for a femur fracture following a MVC. what action by the nurse is the highest priority? a) Assess the diameter of the thigh every 15 minutes b) Administer pain medication per orders c) Assess vital signs and level of consciousness d) Assess pedal pulses
c) Assess vital signs and level of consciousness
The nurse is performing a musculoskeletal assessment of a client in a nursing home who had a stroke 2 years ago and who has right-sided hemiplegia. The nurse notes that the girth of the clients right calf is 2 inches less in diameter than the left calf. The nurse attributes the decreased girth to a) Increased use of left calf muscle b) Edema in left lower extremity c) Atrophy of right calf muscle d) Bruising in right lower extremity
c) Atrophy of right calf muscle
Which is an indicator of neurovascular compromise? a) Diminished pain b) Pain upon active stretch c) Capillary refill of more than 3 seconds d) Warm skin temperature
c) Capillary refill of more than 3 seconds
In a client with a dislocation, the nurse should initially perform neurovascular assessments a minimum of every 15 minutes until stable. Which complication does the assessment help the nurse to monitor? a) Ganglion cysts b) GI bleeding c) Compartment syndrome d) Carpal tunnel syndrome
c) Compartment syndrome
Which type of fracture is one in which the skin or mucous membrane extends to the fractured bone? a) Complete b) Simple c) Compound d) Incomplete
c) Compound
Which is an inappropriate use of traction? a) Immobilize a fracture b) Reduce deformity c) Decrease space between opposing structures d) Minimize muscle
c) Decrease space between opposing structures
A client with a recent left-above knee amputation states "I can feel pain in my left toes". Which is the best response by the nurse? a) Pain meditation usually does not help this type of pain b) Your left toes have been amputated c) Describe the pain and rate it on a pain scale d) The pain is really from the nerves in the upper leg
c) Describe the pain and rate it on a pain scale
Colles fracture occurs in which area? a) Humeral shaft b) Clavicle c) Distal radius d) Elbow
c) Distal radius
Which is an indicator of orthostatic hypotension? a) Dry skin b) Hypertension c) Dizziness d) Bradycardia
c) Dizziness
What is the best action by the nurse to achieve optimal outcomes when caring for a client with a musculoskeletal disorder who is using a cast? a) Assess for neurovascular compromise b) Provide effective pain control c) Educate the client on cast care and complications d) Prepare the client for cast application
c) Educate the client on cast care and complications
A patient with post polio syndrome displays fatigue and decreased muscle strength. What is the best statement for the nurse to make to the patient? a) These symptoms are not related to your past diagnosis b) This will pass, you need to relax c) Intravenous immunoglobulin infusion may help you d) Once you sleep, you should be fine
c) Intravenous immunoglobulin infusion may help you
Which is a benefit of a continuous passive motion (CPM) device when applied after knee surgery? a) It promotes healing by immobilizing the knee joint b) It provides active range of motion c) It promotes healing by increasing circulation and movement of the knee joint d) It prevents infection and controls edema and bleeding
c) It promotes healing by increasing circulation and movement of the knee joint
Lifestyle risk factors for osteoporosis include a) A low protein-high fat diet b) Lack of aerobic exercise c) Lack of exposure to sunshine d) An estrogen deficiency or menopause
c) Lack of exposure to sunshine
A client who was in a motor vehicle crash is diagnosed with a stable T7 spinal fracture with no neurologic deficits. Which nursing intervention should the nurse implement? a) Withhold opioid pain medication to prevent ileus b) Sit the client upright in a padded chair for meals c) Maintain bed rest with the HOB at 20 degrees d) Maintain NPO status for surgical repair
c) Maintain bed rest with the HOB at 20 degrees
Which term refers to the failure of fragments of a fractured bone to heal together? a) Dislocation b) Malunion c) Nonunion d) Subluxation
c) Nonunion
Which orthopedic surgery is done to correct and align a fracture after surgical dissection and exposure of the fracture? a) Total joint arthroplasty b) Joint arthroplasty c) Open reduction d) Arthrodesis
c) Open reduction
Which of the following terms is used to describe edema of the optic nerve? a) Lymphedema b) Scotoma c) Papilledema d) Angioneurotic edema
c) Papilledema
The nurse teaches the patient with which disorder his or her disease is due to decreased levels of dopamine in the basal ganglia of the brain? a) Multiple sclerosis b) Huntington disease c) Parkinson's disease d) Creutzfeldt-Jakob disease
c) Parkinson's disease
Which of the following statements reflect nursing interventions of a patient with post-polio syndrome? a) Planning activities for evening hours rather than morning hours b) Administering antiretroviral agents c) Providing care aimed at slowing the loss of strength and maintaining the physical, psychological and social well being of the patient d) Avoiding the use of heat applications in the treatment of muscle and joint pain
c) Providing care aimed at slowing the loss of strength and maintaining the physical, psychological and social well being of the patient
Which principal applies to the client in traction? a) Knots in the ropes should touch the pulley b) Weights should rest on the bed c) Skeletal traction is never interrupted d) Weights are removed routinely
c) Skeletal traction is never interrupted
Chapter 40 (Musculoskeletal care modalities) Which device is designed specifically to support and immobilize a body part in a desired position? a) Trapeze b) Continuous passive motion (PCM) device c) Splint d) Brace
c) Splint
The nurse is reading the previous shift's documentation of an open area on the client's sacrum. The would is documented as a partial-thickness wound whose etiology is pressure. The nurse anticipates the assessment of the clients sacrum will reveal a pressure ulcer in which stage? a) Stage I b) Stage III c) Stage II d) Stage IV
c) Stage II
In chronic osteomyelitis, antibiotics are adjunctive therapy for which situation? a) Wound packing b) Vitamin supplements c) Surgical debridement d) Wound irrigation
c) Surgical debridement
which of the following is a component of the nursing management of the patient with new variant Creutzfeldt-Jakob disease (nvCJD) a) preparing for organ donation b) administering amphotericin B c) providing supporting care d) initiating isolation procedures
c) providing supporting care
which of the following manifestations is inconsistent with the diagnosis of Guillain-Barr syndrome? a. orthostatic hypotension b. ascending weakness c. cognitive decline d. areflexia
c. cognitive decline
The nurse is evaluating whether a client's walker is the right height for the client. While the client's hands are on the hand grip, the nurse assesses the client's elbows. The nurse determines that the walker is at the right height when the clients elbows are in which position? a) 15-degree flexion b) 0-degree flexion c) 45-degree flexion d) 25-degree flexion
d) 25-degree flexion
Which term means to move away from the midline of the body? a) Adduction b) Extension c) Flexion d) Abduction
d) Abduction
Which is one of the most common causes of death in clients diagnosed with fat emboli syndrome? a) Myocardial infarction b) Stroke c) Pulmonary embolism d) Acute respiratory distress syndrome
d) Acute respiratory distress syndrome
Which is useful in identifying acute or chronic tears of the joint capsule or supporting ligaments of the knee, shoulder, ankle, hip, or wrist? a) Meniscography b) Bone densitometry c) EMG d) Arthrography
d) Arthrography
Instructions for the client with low back pain include that, when lifting, the client should a) Place the load away from the body b) Use a narrow base of support c) Bend the knees and loosen the abdominal muscles d) Avoid overreaching or place the load close to the body
d) Avoid overreaching or place the load close to the body
The nurse is helping a client who experiences frequent constipation select meal choices for the day. Which food should the nurse encourage the client to order? a) Applesauce b) Pop-tarts c) Bananas d) Bran cereal
d) Bran cereal
Which cleansing solution is the most effective for use in completing pin site care? a) Betadine b) Hydrogen peroxide c) Alcohol d) Chlorhexidine
d) Chlorhexidine
What is the term for a rhythmic contraction of a muscle? a) Atrophy b) Crepitus c) Hypertrophy d) Clonus
d) Clonus
An x-ray demonstrates a fracture in which a bone has splintered into several pieces. Which type of fracture is this? a) Compound b) Impacted c) Depressed d) Comminuted
d) Comminuted
When the client who has experienced trauma to an extremity reports severe burning pain, vasomotor changes, and muscle spasms in the injured extremity, the nurse recognizes that the client is likely demonstrating signs of a) A reaction to an internal fixation device b) Avascular necrosis of bone c) Heterotrophic ossification d) Complex regional pain syndrome
d) Complex regional pain syndrome
Which would be consistent as a component of self-care activities for the client with a cast? a) Use a plastic hanger wrapped in gauze to scratch under the cast b) Frequently place the casted extremity in a dependent position c) Cover the cast with plastic to insulate it d) Cushion rough edges of the cast with tape
d) Cushion rough edges of the cast with tape
The nurse teaching the client with a case about home care includes which instruction? a) Keep the cast below heart level b) Fix a broken cast by applying tape c) Cover the cast with plastic or rubber d) Dry a wet fiberglass cast thoroughly to avoid skin problems
d) Dry a wet fiberglass cast thoroughly to avoid skin problems
A client asks the nurse why his residual limb cannot be elevated on a pillow. What is the best response by the nurse? a) You need to turn yourself side to side. If your leg is on a pillow. What is the best response by the nurse? b) I am sorry. We ran out of pillows. I can elevate it on a few blankets. c) Elevating the extremity may increase your chances of compartment syndrome d) Elevating the left might lead to a flexion contracture
d) Elevating the left might lead to a flexion contracture
Which term describes a surgical procedure to release constricting muscle fascia so as to relieve muscle tissue pressure? a) Osteotomy b) Arthrodesis c) Arthroplasty d) Fasciotomy
d) Fasciotomy
Chapter 39 (assessment of musculoskeletal function) Which term refers to mature compact bone structures that form concentric rings of bone matrix? a) Trabecula b) Cancellous bone c) Endosteum d) Lamelle
d) Lamelle
Which description refers to an osteon? a) Bone resorption cell b) Bone-forming cell c) Mature bone cell d) Microscopic functional bone unit
d) Microscopic functional bone unit
The nurse teaches the client which intervention to avoid hip dislocation after replacement surgery? a) Avoid placing a pillow between the legs when sleeping b) Keep the knees together at all times c) Bend forward only when seated in a chair d) Never cross the affected leg when seated
d) Never cross the affected leg when seated
A fracture is considered pathologic when it a) Involves damage to the skin or mucous membranes b) Results in a fragment of bone being pulled away by a ligament or tendon and its attachment c) Presents as one side of the bone being broken and the other side being bent d) Occurs through an area of diseased bone
d) Occurs through an area of diseased bone
Chapter 41 (management of patients with musculoskeletal disorders) Which term refers to a disease of a nerve root? a) Involucrum b) Sequestrum c) Contracture d) Radiculopathy
d) Radiculopathy
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 foods and supplements. Considering the food intake objective, which food item should the nurse encourage the client to include in the diet? a) Bananas b) Green vegetables c) Red meat d) Vitamin D fortified milk
d) Vitamin D fortified milk
The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action? a) Reduce stress b) Decrease the intake of vitamin A and D c) Increase fiber in the diet d) Walk or perform weight-bearing exercises outdoors
d) Walk or perform weight-bearing exercises outdoors
The nurse is educating a group of women on the prevention of osteoporosis. The nurse recognizes the education as being effective when the group members make which statement? a) We need to consume a low-calcium, high-phosphorus diet b) Estrogen deficiency increases bone density c) We need to increase aerobic exercise d) We need an adequate amount of exposure to sunshine
d) We need an adequate amount of exposure to sunshine
a patient is receiving mitoxantrone (Novantrone) for treatment of secondary progressive multiple sclerosis (MS). this patient should be closely monitored for a) Hypoxia b) mood changes and fluid and electrolyte alterations c) renal insufficiency d) leukopenia and cardiac toxicity
d) leukopenia and cardiac toxicity
which drug should be available to counteract the effect of tensilon? a. Prednisone b. Mestinon c. imuran d. atropine
d. atropine
the nurse has been educating a patient newly diagnosed with MS. which of the following statements by the patient indicates an understanding of the education? a. the exercises should be completed quickly to reduce fatigue b. i will take hot tub baths to decrease spasms c. i should participate in non weight bearing exercises d. i will stretch daily as directed by the physical therapist
d. i will stretch daily as directed by the physical therapist
a patient with herpes simplex virus (HSV) encephalitis is receiving acyclovir (Zovirax). to ensure early intervention, the nurse monitors lab values and urine output for which of the following adverse reactions? a. Hepatic b. Musculoskeletal c. integumentary d. renal
d. renal
Which statement reflects the progress of bone healing? a) Serial x-rays are used to monitor the progress of bone healing b) The age of the client influences the rate of fracture healing c) Adequate immobilization is essential until ultrasound shows evidence of bone formation with ossification d) All fracture healing takes place at the same rate no matter the type of bone fractured
a) Serial x-rays are used to monitor the progress of bone healing
a patient has been diagnosed with a frontal lobe brain abscess. which of the following nursing interventions is appropriate? a. assess for facial weakness b. ensure that patient takes nothing by mouth (NPO) c. initiate seizure precautions d. assess visual acuity
c. initiate seizure precautions
Which of the following medications is the most effective agent in the treatment of Parkinson's disease (PD)? a) Bromocriptine mesylate (Parlodel) b) Amantadine (Symmetrel) c) Benztropine (Cogentin) d) Levodopa (Larodopa)
d) Levodopa (Larodopa)
The nurse is conducting a musculoskeletal assessment on a client documented to have rheumatoid arthritis. Which would the nurse anticipate finding when inspecting the clients fingers? a) Soft, subcutaneous nodules along the tendons b) Hard nodules adjacent to the joints c) Hard nodules of bony overgrowth d) Soft nodules along the palmar surface
a) Soft, subcutaneous nodules along the tendons
The nurse assesses subtle personality changes, restlessness, irritability, and confusion in a client who has sustained a fracture. The nurse expects which complication? a) Reflex sympathetic dystrophy syndrome b) Hypovolemic shock c) Fat embolism syndrome d) Compartment syndrome
c) Fat embolism syndrome
The nurse is creating a bowel evacuation program for a paraplegic client. When should the nurse plan to administer a suppository? a) 1 hour before dinner b) Just before breakfast c) 30 minutes after lunch d) Right before bed
b) Just before breakfast
A client with short arm cast is suspected to have compartment syndrome. What actions should the nurse include in the plan of care? SATA a) Assess neurovascular status every 8 hours b) Provide support to the injured extremity c) Elevate the arm above the heart d) Prepare to remove the cast e) Apply ice to extremity
b) Provide support to the injured extremity d) Prepare to remove the cast
A client with spinal cord injury has no awareness of the need to void. This type of incontinence is termed a) Stress incontinence b) Reflex (neurologic) incontinence c) Functional incontinence d) Toilet incontinence
b) Reflex (neurologic) incontinence
What interventions will best help the patient with huntington disease relieve anxiety and increase communication? SATA a) Employ an interpreter b) Use biofeedback c) Always have family present d) Talk as little as possible e) Consult with a speech therapist
b) Use biofeedback e) Consult with a speech therapist
a patient has been brought to the ED with altered LOC, high fever, and purpura rash on the lower extremities. the family states the patient was complaining of neck stiffness earlier in the day. what action should the nurse do first? a. administer prescribed antibiotics b. initiate isolation precautions c. ensure the family receives prophylaxis antibiotic treatment d. apply a cooling blanket
b. initiate isolation precautions
A patient is admitted complaining of low back pain. What will best assist the nurse in determining if the pain is related to a herniated lumbar disc? a) Ask the patient if he can walk b) Ask the patient if he has had a bowel movement c) Have the patient lie on his back and lift his leg, keeping it straight d) Ask the patient if he had pain on ambulation
c) Have the patient lie on his back and lift his leg, keeping it straight
Which of the following is a degenerative neurologic disorder? a) Osteomyelitis b) Paget's disease c) Huntington disease d) Glioma
c) Huntington disease
The nurse is assessing the muscle tone of a client with cerebral palsy. Which description does the nurse determine to be an expected assessment of this clients muscle tone? a) Atonic b) Flaccid c) Hypertonic d) atrophied
c) Hypertonic
What nursing intervention will best assist the patient with chorea? a) Assist the patient with walking hourly b) Administer pain medications every 4 hours c) Monitor the patient on bed rest d) Keep an oral airway at the bedside
c) Monitor the patient on bed rest
With fractures of the femoral neck, the leg is a) Shortened, adducted, and externally rotated b) Abducted and externally rotated c) Shortened, abduction, and internally rotated d) Adducted and internally rotated
a) Shortened, adducted, and externally rotated
Which is an inaccurate principle of traction? a) Skeletal traction is interrupted to turn and reposition the client b) The client must be in good alignment in the center of the bed c) The weights must hand greely d) The weights are not removed unless intermittent treatment is prescribed
a) Skeletal traction is interrupted to turn and reposition the client
Which therapeutic exercise is done by the nurse without assistance from the client? a) Active b) Resistive c) Isometric d) Passive
d) Passive
The nurse is creating a teaching plan about preventing osteoporosis for a 65-year old client. The nurse should include which topics in the teaching plan? SATA a) Daily intake of 800mg of calcium b) Increased consumption of fish c) Increased consumption of low-fat milk d) Daily intake of 1,000 IU vitamin D
b) Increased consumption of fish c) Increased consumption of low-fat milk d) Daily intake of 1,000 IU vitamin D
