NU 307: Week 9 Practice Questions Chapters 38 and 41

c. constipation related to vertebral fracture

A client has been admitted to the hospital with a spontaneous vertebral fracture related to osteoporosis. Which of the following nursing diagnoses must be addressed in the plan of care? a. risk for aspiration related to vertebral fracture b. impaired swallowing related to vertebral fracture c. constipation related to vertebral fracture d. decreased cardiac output related to vertebral fracture

a. "OA is considered a noninflammatory joint disease. RA is characterized by inflamed, swollen joints."

A client is undergoing diagnostic testing to determine the etiology of recent joint pain. The client asks the nurse about the difference between osteoarthritis (OA) and rheumatoid arthritis (RA). What is the best response by the nurse? a. "OA is considered a noninflammatory joint disease. RA is characterized by inflamed, swollen joints." b. "OA and RA are very similar. OA affects the smaller joints such as the finger, and RA affects the larger, weight-bearing joints like the knees" C. "OA originates with an infection. RA is a result of your body's cells attacking one another." d. "OA is associated with impaired immune function; RA is a consequence of physical damage."

b. the client's body mass index is 34 (obese)

A nurse is assessing a client for risk factors known to contribute to osteoarthritis. What assessment finding should the nurse interpret as a risk factor? a. the client has a 30 pack-year smoking history b. the client's body mass index is 34 (obese) c. the client has primary hypertension d. the client is 58 years old

d. Most CAM therapies lack sufficient evidence to support them

A nurse is assessing a client with rheumatoid arthritis. The client expresses his intent to pursue complementary and alternative therapies. What fact should underlie the nurse's response to the client? a. new evidence shows CAM to be as effective as medical treatment b. CAM therapies negate many of the benefits of medications c. CAM therapies typically do more harm than good d. most CAM therapies lack sufficient evidence to support them

d. the client will express satisfaction with her ability to perform ADLs

A nurse is caring for a 78-year-old client with a history of osteoarthritis (OA). When planning the client's care, what goal should the nurse prioritize? a. the client will recover from OA within 6 months b. the client will adhere to the prescribed plan of care c. the client will deny signs or symptoms of OA d. the client will express satisfaction with her ability to perform ADLs

b. intermittent application of heat tot he client's back

A nurse is caring for a client who is being treated in the hospital for a spontaneous vertebral fracture related to osteoporosis. The nurse should address the nursing diagnosis of Acute Pain Related to Fracture by implementing what intervention? a. maintenance of high Fowler positioning whenever possible b. intermittent application of heat to the client's back c. use of a pressure-reducing mattress d. passive range of motion exercises

c. joint stiffness, especially in the morning

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? a. cool joints with decreased range of motion b. signs of systemic infection c. joint stiffness, especially in the morning d. visible atrophy of the knee and shoulder joints

slow discontinuation of corticosteroid therapy can halt the progression of the osteoporosis

A nurse is providing a class on osteoporosis at the local seniors' center. Which of the following statements related to osteoporosis is most accurate? a. osteoporosis is categorized as a disease of the elderly b. a nonmodifiable risk factor for osteoporosis is a person's level of activity c. secondary osteoporosis occurs in women after menopause d. slow discontinuation of corticosteroid therapy can halt the progression of the osteoporosis

"I have this ringing in my ears that just won't go away."

A nurse is working with a client with rheumatic disease who is being treated with salicylate therapy. What statement would indicate that the client is experiencing adverse effects of this drug? a. "I have this ringing in my ears that just won't go away." b. "I feel so foggy in the mornings and it takes me so long to wake up." c. "When I eat a meal that's high in fat, I get really nauseous." d. "I seem to have lost my appetite, which is unusual for me."

a. bone fracture

An elderly female with osteoporosis has been hospitalized. Prior to discharge, when teaching the client, the nurse should include formation about which major complication of osteoporosis? a. bone fracture b. loss of estrogen c. negative calcium balance d. Dowager hump