PNI
A person with a waddling gait, the nurse should suspect is occurring with this client
osteomalacia
Nursing consideration for a person who is on prolonged bed rest?
turn more frequent to prevent skin breakdown
The nurse is assessing a client who reports severe knee pain after a fall. Which question does the nurse ask to determine the radiation of the pain?
"Does the pain move to another area from your knee?"
The nurse educated a client on Paget's disease. Which statement by the client indicates good understanding of causative factors?
"I may have a genetic predisposition"
A client is prescribed alendronate. Which statement indicates that the client understands teaching about this drug?
"I should take this drug with a full glass of water"
A nurse educator is teaching a module on proper body mechanics during employee orientation. Which of the following statements by a newly hired nurse indicates the need for further teaching?
"My line of gravity should fall outside my base of support"
Which statement by the patient of a child indicates the need for further teaching?
"Now that my kid is 2, she can sit in the front seat"
A nurse enters a client's room and finds that the wastebasket is on fire. The nurse immediately assists the client out of the room. What is the next nursing action?
Activate the fire alarm
What medication can make a person more susceptible to falls?
Alprazolam- XANAX
Anti embolic stockings (TED hose) are offered for the client on bed rest following surgery. The nurse explains to the client that the primary purpose for the TEDs is to:
Apply external pressure
A nurse who is teaching a group of adults age 20-40 years old about safety is going to ensure that which topic is a priority?
Automobile accidents/MVA
When the nurse walks into the patient's room, she notices fire coming from the patient's trash can. Rank the following actions in the order they should be performed by the nurse. A. Activate the fire alarm. B. Move the patient out of the room. C. Close all doors and windows. D. Put out the fire using the proper extinguisher.
B, A, C, D
Which statement is right regarding safety needs?
Carbon monoxide levels should be monitored in home setting.
A patient is brought to the ER after inhaling mercury. The nurse should be alert for which acute adverse effects associated with mercury inhalation?
Chest pain Pneumonitis Inflammation of the mouth
The nurse notes that the electrical cord on an IV pump is cracked. Which action by the nurse is best?
Clearly label the pump and send it for repair
Which client does the nurse assess first at the start of the nursing shift?
Client who reports increased pain and swelling after an arthroscopy
A client is experiencing an acute attack of gout. The nurse should be prepared to provide which of the following medications as prescribed?
Colchicine
The nurse is preparing to administer medications to a patient with rheumatoid arthritis (RA). The nurse explains to the patient that the goal of medication treatments for RA is to:
Control inflammation
A client has been on prolonged bed rest, and the RN is observing for signs associated with immobility. In assessment of the client, the RN is alert to a(n):
Decreased peristalsis
An immobilized client is suspected of having atelectasis. This is assessed by the nurse upon auscultation as:
Diminished breath sounds
The nurse suspects a 3-year old child who is coughing vigorously has aspirated a small object. Which actions should the nurse take first?
Encourage the child to continue coughing
Nurse knows that the student nurse understands the concept of mobility when she states "patient with impaired bed mobility... "
Have an increased risk for pressure ulcers
Physical manifestations in a person with osteoarthritis
Heberden's nodes
The nurse is instructing a client diagnosed with osteoarthritis. Which of the following statements indicates that the client understand these instructions?
I will need to lose weight; my doctors says 20 pounds.
Person with osteomyelitis, the nurse knows the teaching is effective when patient says
I will need to stay active and get up and move as much as I can I will need to take my full course of prescribed antibiotics I should increase calcium in my diet and drink fluids
What nursing intervention has the greatest likelihood of minimizing the risk of injury for a client who frequently gets out of bed at night to go to the bathroom?
Illuminating the pathway to the bathroom
A client expresses fear of loss of function, the nurses best response is
It is normal to feel this way
Forward curvature of the thoracic spine
Kyphosis
A patient has received a radiation implant. The patient is weak and needs help even to turn in bed. Which action should the nurse take when caring for this patient?
Limit the amount of time spent with the patient
A person tells the nurse that he has been having increased difficulty walking and has reduced ROM in both arms, what is the nurse suspecting of this person?
Loss of elasticity of the ligaments and tendons
An elderly client tells the nurse that he has been having increasing difficulty walking and he has reduced range of motion in both hips. The nurse suspects that which of the following is occurring with this client?
Loss of elasticity of the ligaments and tendons
A client is seeking medical attention for pain in the knee that occurred during a recent sports activity. The nurse realizes that client will most likely have which of the following diagnostic tests?
MRI
When encouraging a fitness program for older adults, what must the nurse consider?
Older adults at risk for falling should do activities that maintain or improve balance
Which factor(s) in the patients medical history place(s) him at risk for falling? (Select all that apply)
Orthostatic hypotension Dizziness
The nurse is teaching a group of community members at the senior center about osteoporosis. Which of the following clinical manifestations should the nurse instruct as not being related to this disorder?
Pain
What is not related to osteoporosis?
Pain
What is the most commonly reported incident in hospitals?
Patient falls
A person susceptibility to osteomalacia is related to what risk factor?
Phosphate level of 1 mg/dl
The Joint Commission's national Speak Up campaign encourages patients to become active and informed participants on the healthcare team. The goal is to:
Prevent healthcare errors
What would the most appropriate goal for a frail, elderly patient with a nursing diagnosis of risk of injury after hip surgery?
Remain free from injury or falls throughout hospital stay
7 rights of medication administration
Right drug, right dose, right patient, right route, right time, right reason, right documentation
Foods to about on a low purine diet
Scallops, alcohol, bacon
Which of the following actions represents proper body mechanics for nurses providing care as well as teaching patients about safe body movements? (Select all that apply)
Stand with the body in alignment and erect posture Use a wide base of support with your feed at shoulder width Keep objects close to your body when carrying them
A patient in the emergency department is angry, yelling, cursing, and waving his arms when the nurse comes to the treatment cubicle. Which action(s) by the nurse (are) advisable?
Stay between the patient and the door; keep the door open
What would the nurse identify as a safety hazard in an infant?
Suffocation in the crib
A client is diagnosed with osteoarthritis. The nurse would NOT expect to find which of the following during the assessment?
Symmetrical joint involvement
A home health nurse is reviewing the medication list of an older adult client who reports falling a couple of times over the past week. Which of the following actions should the nurse plan to include in the care plan? (Select all that apply)
Teach about balance and strengthening exercises Providing information about home safety checks Locking beds and wheelchairs during transfers Placing a bedside table within the clients reach
A nurse is complete long a physical assessment on a client who has osteoarthritis. Which of the following manifestations may the nurse expect to find?
The clients current weight bearing status
Why is it important to use an assistive device over using a draw sheet to move a patient up in bed?
To avoid shearing the clients skin
What test is done to determine is patient has a strain or fracture?
X-ray
The nurse recognizes that the leading cause of death for the otherwise healthy 1 year old is:
accidental injury
proper intervention for a patient who requires an ice bag to reduce the swelling and pain of an ankle injury
apply the bag for no more than 30 min at a time
What person does the nurse assess more carefully for risk of developing primary osteoporosis
client who drink 6 cups of coffee daily
To promote respiratory function in the immobilized client, the nurse should
encourage deep breathing and coughing every hour while awake
