MUSCULOSKELETAL

A client who is undergoing treatment for osteomyelitis reports bloody, watery diarrhea. The client also has hives and mouth sores. Which medication will the nurse check for in the client's medication administration record?

Cefazolin

A client's leg is placed in Buck extension to immobilize a fracture until surgery can be performed. When planning caring for this client, the nurse considers that Buck extension is which type of traction?

Cutaneous traction

What are the diagnostic abnormalities present in a client with fat embolism syndrome? Select all that apply.

Decreased PaO2 Increased fat cells in urine Decreased hematocrit level

A client is brought to the emergency department triage by private car with an obvious compound fracture of the right lower leg. What is the initial assessment the triage nurse needs to perform?

Distal pulses in the right leg

A client who is to have a total hip arthroplasty with an uncemented prosthesis asks, "When will I be able to get up and walk?" On what information should the nurse base an answer?

Full weight bearing may begin the day after surgery.

The nurse has provided teaching to a client with impaired balance, who uses a walker when ambulating. The nurse observes the client transferring from a sitting to a standing position and using the walker. The nurse evaluates that further teaching is required when the client does what?

Holds both handles of the walker while rising to the standing position

To reduce the risk of recurrent painful gout attacks, the nurse teaches the client to avoid which foods?

Liver Shellfish

A client with rheumatoid arthritis is in the convalescent stage of an exacerbation. The client states, "The only time I am without pain is when I lie perfectly still." Considering the client's statement, what should the nurse encourage the client to do?

Participate in active joint flexion and extension exercises.

A nurse is caring for a client with a fracture of the head of the femur. The primary healthcare provider places the client in Buck extension. What explanation does the nurse give the client for why the traction is being used?

Reduces muscle spasms

A client diagnosed with Paget's disease is prescribed zoledronic acid. Which assessments should be performed before initiating therapy?

Serum creatinine Dental examination

A client is admitted to the hospital with a diagnosis of a fractured hip after a fall. What clinical finding does the nurse expect to identify when assessing the client?

Shortening of the affected extremity

The nurse is caring for a client who has undergone a total hip replacement. The nurse recognizes which clinical manifestations that indicate a pulmonary embolism? Select all that apply.

Sudden chest pain Abrupt onset of shortness of breath

The nurse teaches isometric exercises to a client with a long leg cast. Which client statement about when the exercises should be performed best indicates a positive response to the nurse's teaching?

Ten times each waking hour

A client is ready to walk with crutches after knee surgery. Which crutch-walking technique will the nurse most likely need to reinforce after the client returns from physical therapy?

Three-point

A nurse is assessing a client with the diagnosis of osteoporosis. What part of the client's body should the nurse assess to identify osteoporotic changes?

Vertebral column

A client who has degenerative joint disease of the vertebral column is taught to turn from the back to the side, while keeping the spine straight. In addition to crossing an arm over the chest, what should the nurse instruct the client to do?

"Bend your top knee to the side to which you are turning."

A client is admitted to the hospital with lower back pain and a tentative diagnosis of a herniated nucleus pulposus. When assessing the client's back pain, which question should the nurse ask?

"Do you have any increase in pain during bowel movements?"

A client is on tobramycin therapy. Which assessment findings should be given priority?

Blurred vision Hearing impairment Decreased sense of smell

A client who has been immobile for a prolonged time develops hypercalcemia. Which findings are consistent with this condition?

Bone pain Depressed deep tendon reflexes

An older adult visits the primary healthcare provider because of joint pain. Which change in the joint may result in this condition?

Increased cartilage erosion

A client reports a burning, sharp pain along the sole of the foot that worsens in the morning. Which condition is suspected in the client?

Plantar fasciitis

A nurse is teaching a client with hemiparesis how to ambulate with a cane. What should the nurse instruct the client to do?

Advance the cane simultaneously with the affected extremity.

The nurse finds that a client undergoing treatment for osteomyelitis is showing signs of Achilles tendon rupture. Which medication does the nurse ask the primary healthcare provider to reconsider?

Levofloxacin