Q Collection Ortho + Kaplan
A nurse is assessing a client who reports a throbbing, burning sensation in the right foot. The client states that the pain is worst during the day but notes that the pain is relieved with rest. The nurse should recognize the signs and symptoms of what health problem? A. Morton neuroma B. Pes cavus C. Hallux valgus D. Onychocryptosis
A
What areas of the body may be examined when bone densitometry is done? Select all that apply. A. hip B. spine C. wrist D. knee
A, B, C
A nurse is providing care for a client who has a recent diagnosis of Paget disease. When planning this client's nursing care, interventions should address what? Select all that apply. A. Impaired physical mobility B. Acute pain C. Disturbed auditory sensory perception D. Risk for injury E. Risk for unstable blood glucose
A, B, C, D
The nurse teaches the client which intervention to avoid hip dislocation after replacement surgery? A. Keep the knees together at all times B. Never cross the affected leg when seated C. Avoid placing a pillow between the legs when sleeping D. Bend forward only when seated in a chair
B
A nurse is caring for a client with osteomyelitis. What complication should the nurse consider that the client is at risk to develop? A. Impingement syndrome B. Metastatic bone disease C. Bone abscess formation D. Pathological fractures
C
Which client would the nurse identify as having the greatest risk for osteoporosis? A. A 40-year-old overweight African American woman B. A 16-year-old male with a history of asthma C. A small-framed, thin 45-year-old white woman D. A 20-year-old male athlete with repeated injuries
C
Which is a circulatory indicator of peripheral neurovascular dysfunction? A. Weakness B. Paresthesia C. Cool skin D. Paralysis
C
A client's left leg is in skeletal traction with a Thomas leg splint and Pearson attachment. Which intervention should the nurse include in this client's care plan? A. Apply the traction straps snugly. B. Assess the client's level of consciousness. C. Remove the traction at least every 8 hours. D. Teach the client how to prevent problems caused by immobility.
D
The nurse provides care for an older client after a total hip replacement due to degenerative joint disease. the nurse intervenes if which observation is made?
The client is sitting on a chair with no arms
A client with Paget's disease comes to the hospital and reports difficulty urinating. The emergency department health care provider consults urology. What should the nurse suspect is the most likely cause of the client's urination problem? A. Renal calculi B. Urinary tract infection (UTI) C. Benign prostatic hyperplasia D. Dehydration
A
A client with a right leg fracture is returning to the orthopedist to have the cast removed. During cast removal, it is important for the nurse to assure: A. the client that he or she won't be cut. B. that the cast cutter blade is sharp. C. that pedal pulses are present. D. All options are correct.
A
A client with suspected osteomalacia has a fractured tibia and fibula. What test would give a definitive diagnosis of osteomalacia? A. A bone biopsy B. Demineralization of the bone C. Increased and decreased areas of bone metabolism D .Elevated levels of alkaline phosphatase
A
A nurse is caring for a client with a cast on the left arm after sustaining a fracture. Which assessment finding is most significant for this client? A. Fingers on the left hand are swollen and cool B. Presence of a normal popliteal pulse C. Cast edges are rough, with skin irritation present D. Minimal pain in the left arm
A
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? A. Hypercalcemia B. Hypocalcemia C. Hypokalemia D. Hyperkalemia
A
A nurse is providing care for a client whose pattern of laboratory testing reveals long-standing hypocalcemia. What other laboratory result is most consistent with this finding? A. An elevated parathyroid hormone level B. An increased calcitonin level C. An elevated potassium level D. A decreased vitamin D level
A
The health care provider is preparing to bivalve the client's cast. Which supplies should the nurse assemble? A. Elastic compression bandages B. Gauze bandages and tape C. Sterile saline and basin D. Stockinette and cotton padding
A
Upon reporting to work and receiving report, a nurse has been assigned to provide care for three clients. Each of the clients has called out to the nurses' station requesting assistance. Which client should the nurse see first? A. A 32-year-old male, who had a plaster cast applied to his leg 2 hours ago, who complains that the cast feels as if it's getting tighter B. A 56-year-old male, who had an arthroscopy of his left knee 3 hours ago, who is asking to be discharged C. A 60-year-old female, who is in traction to manage chronic muscle spasms, who is requesting assistance to order her evening meal D. The order doesn't matter; all clients are of equal priority
A
Identify descriptors of the pathophysiologic process seen in osteomalacia. Select all that apply. A. There is a deficiency of activated vitamin D (calcitriol). B. Calcium and phosphate are not moved to the bones. C. The bone mass is structurally weaker, and bone deformities occur. D. Excessive osteoclastic activity causes the bones to become soft and bowed initially; later, the bones thicken but are not well formed, making the bones weak and prone to fracture.
A, B, C
A nurse is assessing a client who is receiving traction. The nurse's assessment confirms that the client is able to perform plantar flexion. What conclusion can the nurse draw from this finding? A. The leg that was assessed is free from DVT. B. The client's tibial nerve is functional. C. Circulation to the distal extremity is adequate. .D The client does not have peripheral neurovascular dysfunction.
B
Which classic symptom will the nurse assess for to detect the development of plantar fasciitis? A. Shortened height B. Morning heel pain C. Elevated temperature D. Shortening of affected leg
B
Which cleansing solution is the most effective for use in completing pin site care? A. Betadine B. Chlorhexidine C. Hydrogen peroxide D. Alcohol
B
Which of the following are usually the first choice in the treatment of rheumatoid arthritis (RA)? A. Nonsteroidal anti-inflammatory drugs (NSAIDs) B. Disease-modifying antirheumatic drugs (DMARDs) C. Tumor necrosis factor (TNF) blockers D. Glucocorticoids
B
A client is evaluated for a diagnosis of Paget's disease. Which laboratory value would the nurse find to confirm the diagnosis? A. Calcium of 9.2 mg/dL (2.3 mmol/L) B. Urinary creatinine of 0.95 mg/dL (83.98 mmol/L) C. Alkaline phosphate of 165 IU/L (2750 mmol/L) D. Magnesium level of 2 mg/dL (0.82 mmol/L)
C
A client is reporting pain in her casted leg. The nurse has administered analgesics and elevated the limb. Thirty minutes after administering the analgesics, the client states the pain is unrelieved. The nurse should identify the warning signs of what complication? A. Subcutaneous emphysema B. Skin breakdown C. Compartment syndrome D. Disuse syndrome
C
A client's cast is removed. The client is worried because the skin appears mottled and is covered with a yellowish crust. What advice should the nurse give the client to address the skin problem? A. Consult a skin specialist. B. Scrub the area vigorously to remove the crust. C. Apply lotions and take warm baths or soaks. D. Avoid exposure to direct sunlight.
C
A nurse is teaching a young woman about osteoporosis prevention. What should the nurse include in the client teaching? A. Avoid trauma to the affected bone. B. Encourage the use of a firm mattress. C. Consume at least 1000 mg of calcium daily. D. Keep the serum uric acid level within the normal range.
C
During which stage or phase of bone healing after fracture does callus formation occur? A. Remodeling B. Inflammation C. Reparative D. Revascularization
C
Which statement is accurate regarding care of a plaster cast? A. The cast must be covered with a blanket to keep it moist during the first 24 hours. B. The cast will dry in about 12 hours. C. The cast can be dented while it is damp. D. A dry plaster cast is dull and gray.
C
A health care provider diagnoses primary osteoporosis in a client who has lost bone mass. For which client is primary osteoporosis most common? A. elderly man B. young child C. young menstruating woman D. elderly postmenopausal woman
D
A nurse is performing discharge teaching for an elderly client diagnosed with osteoporosis. Which statement about home safety should the nurse include? A. "Most falls among the elderly occur outside the home. Clients should confine themselves to their homes as much as practical." B. "Most accidental injuries among the elderly are automobile-related. Elderly clients should have vision testing every 6 months while they're still driving." C. "Because of the increase in home burglaries involving the elderly, these clients should have burglar bars on every window in the home." D. "Most falls among the elderly occur in the home. These clients should remove throw rugs and install bathroom grab bars."
D
Lifestyle risk factors for osteoporosis include A. lack of aerobic exercise. B. a low-protein, high-fat diet. C. an estrogen deficiency or menopause. D. lack of exposure to sunshine.
D
Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which bone disorder? A. Osteomalacia B. Osteoporosis C. Osteomyelitis D. Osteitis deformans
D
The nurse is assigned to care for a client who has had a total knee arthroplasty yesterday. What type of pharmacologic therapy does the nurse anticipate administering to this client to prevent complications related to the surgery? A. Antidysrhythmic therapy B. Antianginal therapy C. Antineoplastic therapy D. Anticoagulation therapy
D
The nurse teaching the client with a cast about home care includes which instruction? A. Cover the cast with plastic or rubber B. Keep the cast below heart level C. Fix a broken cast by applying tape D. Dry a wet fiberglass cast thoroughly to avoid skin problems
D
The nurse's musculoskeletal assessment of a client reveals involuntary twitching of muscle groups. How would the nurse document this observation in the client's chart? A. Tetany B. Atony C. Clonus D. Fasciculations
D
A nurse assesses a client in the health care provider's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)? A. Facial erythema, pericarditis, pleuritis, fever, and weight loss B. Photosensitivity, polyarthralgia, and painful mucous membrane ulcers C. Weight gain, hypervigilance, hypothermia, and edema of the legs D. Hypothermia, weight gain, lethargy, and edema of the arms
A
Which of the following are clinical manifestations of impingement syndrome? Select all that apply. A. Pain B. Shoulder tenderness C. Limited movement D. Muscle spasms E. Atrophy
A, B, C, D ,E
A provider asks the nurse to teach a client with low back pain how to sit in order to minimize pressure on the spine. Which teaching points would the nurse include? Select all that apply. A. Sit in a straight-backed chair with arm rests. B. Use a firm pillow placed behind the thoracic vertebrae to straighten the small of the back. C. Avoid hip extension. D. Place feet flat on the floor. E. Sit with the buttocks "tucked under."
A, C, D, E
A client is scheduled to have an x-ray examination of the shoulder in which the synovial fluid will be aspirated and sent to the laboratory for analysis. This will be followed by administration of a contrast medium and x-rays. What procedure will the nurse prepare the client for? A. Arthroscopy B. Arthrocentesis C. Arthrogram D. Bone densitometry
C
Which client is most likely to develop systemic lupus erythematosus (SLE)? A. A 25-year-old White male B. A 25-year-old Jewish female C. A 27-year-old Black female D. A 35-year-old Hispanic male
C
Which of the following are common primary sites of tumors that metastasize to the bone? Select all that apply. A. Kidney B. Prostate C. Lung D. Breast E. Ovary
A, B, C, D, E
A client with an arm cast reports pain. What nursing interventions should the nurse provide in order to reduce the incidence of complications? Select all that apply. A. Assess the fingers for color and temperature. B. Administer a prescribed analgesic to promote comfort and allay anxiety. C. Assess for a pressure sore D. Determine the exact site of the pain. E. Cut the cast with a cast saw
A, C, D
During a routine physical examination on an older female client, a nurse notes that the client is 5 feet, 3/8 inches (1.6 m) tall. The client states, "How is that possible? I was always 5 feet and 1/2? (1.7 m) tall." Which statement is the best response by the nurse? A. "After age 40, height may show a gradual decrease as a result of spinal compression" B. "After menopause, the body's bone density declines, resulting in a gradual loss of height." C. "There may be some slight discrepancy between the measuring tools used." D. "The posture begins to stoop after middle age."
B
Which assessment findings would the nurse expect to find in the client with osteomyelitis? Column A Column B Column C Column D
B
Six weeks after an above-the-knee amputation (AKA), a client returns to the outpatient office for a routine postoperative checkup. During the nurse's assessment, the client reports symptoms of phantom pain. What should the nurse tell the client to do to reduce the discomfort of the phantom pain? A. Apply intermittent hot compresses to the area of the amputation. B. Avoid activity until the pain subsides. C. Take opioid analgesics as prescribed. D. Elevate the level of the amputation site.
C
A client is in Buck's traction after fracturing his right hip. The nurse should include which action in the care plan? A. Removing the weights once every shift B. Maintaining the bed in the knee gatch position C. Keeping the client in semi-Fowler's position D. Maintaining correct body alignment
D
A client sustained a stable fracture of the cervical spine and is having skeletal traction applied. What type of traction does the nurse educate the client about? A. Kirschner wires B. Thomas splint C. Steinmann pins D. Crutchfield tongs
D
Which are true about Lyme disease? Select all that apply. A. If untreated, the disease moves through three stages. B. Early stage symptoms may include a red macule or papule at the site of the tick bite, a characteristic bullseye rash with round rings around the center, headache, neck stiffness, pain, fever, chills, malaise, nausea, vomiting, and sore throat. C. Cardiac and neurologic symptoms occur mid-stage, followed by arthritis and joint problems. D. Nephrotic syndromes occur in the later stages.
A, B, C
The nurse is providing instructions to the client following application of a fiberglass cast. Which statement by the client indicates further education is needed? A. "Under no circumstances should I get my cast wet." B. "The cast should not come in contact with other plastics." C. "I should avoid touching the cast while it is wet." D. "The cast will be hot while it is drying."
A
Two days after surgery to amputate the left lower leg, a client reports pain in the missing extremity. Which action by the nurse is most appropriate? A. Administer medication, as ordered, for the reported discomfort. B. Contact the health care provider. C. Initiate a consult with a psychologist. D. Do nothing because it isn't possible to have pain in a missing limb.
A
Which would be an inappropriate initial pain relief measure for the client with a cast? A. Application of cold packs B. Application of a new cast C. Administration of analgesics D. Elevation of the involved part
B
A client with a musculoskeletal injury is instructed to increase dietary calcium. Which statement by the nurse is appropriate? A. "You need to increase the amount of red meat in your diet." B. "You need to increase the amount of non-citrus fruits in your diet." C. "You need to increase the amount of vitamin D in your diet." D. "You need to increase the amount of phosphorus in your diet."
C
A nurse is caring for a client placed in traction to treat a fractured femur. Which nursing intervention has the highest priority? A. Assessing the extremity for neurovascular integrity B. Keeping the client from sliding to the foot of the bed C. Keeping the ropes over the center of the pulley D. Ensuring that the weights hang free at all times
A
The nurse is assessing a client who has had rheumatoid arthritis for several years. What clinical manifestation will the nurse expect to find in a client? A. small joint involvement B. obesity C. Bouchard's nodes D. asymmetric joint involvement
A
What areas of the body may be examined when bone densitometry is done? Select all that apply. A. ribs B. ulna C. femur D. eyes
A
Which would be contraindicated as a component of self-care activities for the client with a cast? A. Cover the cast with plastic to insulate it B. Cushioning rough edges of the cast with tape C. Elevate the casted extremity to heart level frequently D. Do not attempt to scratch the skin under a cast
A
A nurse is caring for a client who is being assessed following complaints of severe and persistent low back pain. The client is scheduled for diagnostic testing in the morning. Which of the following are appropriate diagnostic tests for assessing low back pain? Select all that apply. A. Computed tomography (CT) B. Angiography C. Magnetic resonance imaging (MRI) D. Ultrasound E. X-ray
A, C, D, E
Hypercalcemia is a dangerous complication of bone cancer. Therefore, nursing assessment includes evaluation of symptoms that require immediate treatment. Which of the following are signs/symptoms that are indictors of an elevated serum calcium? Select all that apply. A. Muscle weakness B. Tachycardia C. Anorexia and constipation D. Prolonged ST segment E. Shortened QT interval F. Lack of muscle coordination
A, C, E, F
Which of the following would the nurse use to determine that a client is exhibiting signs and symptoms of chronic osteomyelitis? A. High fever B. Persistent draining sinus C. Rapid pulse D. Tenderness over the affected area
B
Which is a strategy for lowering risk for osteoporosis? A. Low initial bone mass B. Diet low in calcium and vitamin D C. Smoking cessation D. Increased age
C
The nurse provides care for a client after an amputation with an immediate prosthetic fitting. the nurse includes which activity in the client's plan of care?
Provide cast care on the affected extremity
Which nerve is assessed when the nurse asks the client to spread all fingers? A. Ulnar B. Peroneal C. Radial D. Median
A
The nurse is caring for the client with chronic osteomyelitis of the jaw with a draining wound. Which client goal is a priority for the client? Select all that apply. A. The client will experience a tolerable level of pain. B. The client will demonstrate wound care. C. The client will maintain adequate nutritional intake. D. The client will remain free from injury. E. The client will maintain effective airway clearance.
A, B, C
A physician prescribes raloxifene to a hospitalized client. The client's history includes a right hip fracture, hysterectomy, deep vein thrombosis, and hypertension. Which action by the nurse demonstrates safe nursing care? A. Administering the raloxifene in the evening B. Holding the raloxifene and notifying the physician C. Administering the raloxifene with food or milk D. Having the patient sit upright for 30-60 minutes following administration
B
After a traumatic back injury, a client requires skeletal traction. Which intervention takes priority? A. Monitoring the client for skin breakdown B. Maintaining traction continuously to ensure its effectiveness C. Supporting the traction weights with a chair or table to prevent accidental slippage D. Restricting the client's fluid and fiber intake to reduce the movement required for bedpan use
B
The nurse is planning an education program for women of childbearing years. What does the nurse recognize as the primary prevention of osteoporosis? A. Engaging in non-weight-bearing exercises daily B. Ensuring adequate calcium and vitamin D intake C. Undergoing assessment of serum calcium levels every year D. Having a DXA beginning at age 35 years
B
To help minimize calcium loss from a hospitalized client's bones, the nurse should: A. reposition the client every 2 hours. B. encourage the client to walk in the hall. C. provide the client dairy products at frequent intervals. D. provide supplemental feedings between meals.
B
A client undergoes an arthroscopy at the outpatient clinic. After the procedure, the nurse provides discharge teaching. Which response by the client indicates the need for further teaching? A. "Elevating my leg will reduce swelling after the procedure." B. "My physician may prescribe pain pills after the procedure." C. "I should use my heating pad this evening to reduce some of the pain in my knee." D. "I may notice some bruising or swelling in my knee."
C
Which is a benefit of a continuous passive motion (CPM) device when applied after knee surgery? A. It provides active range of motion. B. It promotes healing by increasing circulation and movement of the knee joint. C. It promotes healing by immobilizing the knee joint. D. It prevents infection and controls edema and bleeding.
C
Which nursing action would help prevent deep vein thrombosis in a client who has had an orthopedic surgery? A. Instruct about using client-controlled analgesia, if prescribed B. Instruct about exercise, as prescribed C. Apply antiembolism stockings D. Apply cold packs
C
An older female client who had a total hip replacement is to be discharged because her healing is almost complete. What would be most important for this client? A. Advising the client to avoid red meat. B. Urging her to keep the affected limb in an elevated position. C. Educating the client about the effects of menopause. D. Exploring factors related to the client's home environment.
D
Which is an inaccurate principle of traction? A. The weights are not removed unless intermittent treatment is prescribed. B. The weights must hang freely. C. The client must be in good alignment in the center of the bed. D. Skeletal traction is interrupted to turn and reposition the client.
D
Which orthopedic surgery is done to correct and align a fracture after surgical dissection and exposure of the fracture? A. Arthrodesis B. Joint arthroplasty C. Total joint arthroplasty D. Open reduction
D
A continuous passive motion (CPM) machine is used to promote healing and flexibility in the knee and hip joint and increase circulation to the operative area. What is true about the use of CPM? Select all that apply. A. The physician orders the amount of extension and flexion produced by the machine. B. The physician orders the frequency of use of the machine. C. The amount of flexion for clients with hip replacements should never exceed 60 degrees in the CPM machine. D. The amount of flexion for clients with hip replacements should never exceed 30 degrees in the CPM machine.
A, B, D
The nurse makes a home health care visit to a client with a fractured right femur. the nurse assesses the client's ability to safely use crutches. the nurse intervenes if which observation is made?
Before sitting in a chair, the client stands on the unaffected leg and transfers both crutches to the hand opposite the unaffected leg
Which assessment findings would the nurse expect in the client with osteomalacia? Column A Column B Column C Column D
B
A nurse provides health teaching to the family of an older adult client who has trouble walking independently. The nurse reviews age-related changes to the musculoskeletal system with the family. Which of the following statements would the nurse include in the teaching? Select all that apply. A. Tendons become more elastic. B. Intervertebral discs become thin. C. Muscles atrophy. D. Muscle fibrosis increases. E. Collagen increases
B, C, D, E
The nurse in the outpatient clinic instructs a client receiving probenecid. It is most important for the nurse to make which statement?
"drink 6-8 glasses of water each day"
ESR normal range
0-20
A client has had an electromyography. What is an appropriate nursing intervention following this diagnostic procedure? A. Apply warm compresses. B. Apply a compression dressing. C. Monitor the client for infection. D. Monitor the client for anaphylaxis.
A
Phosphorus normal range
2.5-4.5
A client has low back pain and the healthcare provider needs to rule out the presence of a tumor. Which diagnostic procedure would the nurse anticipate to be ordered for the client? A. Bone scan B. Computed tomography C. Magnetic resonance imaging D. Electromyogram
A
An older adult client is diagnosed with a fractured femur. the nurse recognizes which observation is an early sign of fat embolism
AMS
Alkaline Phosphatase normal range
30-120
Calcium normal range
8.5-10.6
A client has undergone a leg amputation. What teachings should the nurse offer such a client to prevent abduction deformity? Select all that apply. A. Advise the client to use a trochanter roll. B. Advise the client to adduct the stump so it presses against the other leg when the client is lying on the stomach. C. Advise the client to use antiembolism stockings on both legs. D. Advise the client to place pillows between the legs.
A, B
Which of the following are the major hormonal regulators of calcium homeostasis? Select all that apply. A. Parathormone B. Calcitonin C. Thyroid D. Cortisol .E Growth hormone
A, B
Total hip arthroplasty is scheduled for a patient with degenerative joint disease of the left femoral head. It is MOST important for the nurse to place the patient's left leg in which of the following position?
Abducted with toes pointing upward
The nurse provides care for a client in Buck traction. which is the most important nursing action to maintain effective traction
Allow weights to hang freely at all times
A nurse notices a client lying on the floor at the bottom of the stairs. The client is alert and oriented and denies pain other than in the arm, which is swollen and appears deformed. After calling for help, what should the nurse do? A. Place the client in a sitting position. B. Immobilize the client's arm. C. Help the client walk to the nearest nurses' station. D. Raise the client's arm above the heart.
B
3hrs after arriving in the orthopedic unit, a client reports a hot feeling under the cast. which action dose the nurse take first?
Assesses the circulation in the casted extremity and changes the client's position
Which nursing intervention is most appropriate for a client diagnosed with RA and reporting generalized pain?
Assist the client with heat application and ROM exercises
A client reports swelling and severe pain in the right wrist. After examination and radiographs negate a fracture, what would the physician likely prescribe as treatment? A. brace B. splint C. cast D. All options are correct.
B
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? A. Potassium level of 6.3 mEq/L B. Calcium level of 11.6 mg/dl C. Sodium level of 110 mEq/L D. Magnesium level of 0.9 mg/dl
B
A patient has a long leg cast applied. Where does the nurse understand a common pressure problem may occur? A. Dorsalis pedis B. Peroneal nerve C. Popliteal artery D. Posterior tibialis
B
A client with a short arm cast is suspected to have compartment syndrome. What actions should the nurse include in the plan of care? Select all that apply. A. Elevate the arm above the heart. B. Prepare to remove the cast. C. Provide support to the injured extremity. D. Assess neurovascular status every 8 hours. E. Apply ice to extremity.
B, C
Which intervention would the nurse implement with the client in a plaster cast? Select all that apply. A. Protect wet cast by covering with sheet. B. Handle wet cast with palms of hands. C. Notify health care provider, if client reports warmth of the cast. D. Position casted extremity firmly on a hard surface while drying. E. Trim, reshape, and smooth edges of cast.
B. E
A client diagnosed with T1DM is schedules for a right BKA due to a gangrenous toe. the client asks the nurse why the amputation is so extensive. the nurse's response is based on which understanding?
BKA results in better circulation and healing
Which cells are involved in bone resorption? A. Chondrocytes B. Osteoblasts C. Osteoclasts D. Osteocytes
C
A 68-year-old female client who had a total hip replacement is to be discharged because her healing is almost complete. Which of the following would be most important for this client? A. Advising the client to avoid red meat B. Urging her to keep the affected limb in an elevated position C. Educating the client about the effects of menopause D. Exploring factors related to the client's home environment
D
A client has a Fiberglass cast on the right arm. Which action should the nurse include in the care plan? A. Keeping the casted arm warm by covering it with a light blanket B. Avoiding handling the cast for 24 hours or until it is dry C. Evaluating pedal and posterior tibial pulses every 2 hours D. Assessing movement and sensation in the fingers of the right hand
D
A deoxypyridinoline (DPD) level has been ordered. How will the nurse prepare for this measurement? A. Obtain a blood specimen. B. Assist the health care provider in C. obtaining a synovial fluid specimen. D. Assist the health care provider in obtaining a bone marrow specimen. E. Obtain a clean-catch urine.
E
The nurse provides care for a client with a newly applied plaster cast to the lower extremity. the nurse takes which action?
Elevates the leg on pillows and leaves the cast open to air
An older client has an open reduction and internal fixation on the left femoral head after a fracture. which action by the nurse is best?
Encourage the client to cough and deep breath q2hr
The nurse teaches a client with a below-the-knee amputation to care for the residual limb at home. the nurse advises the client to take which action?
Expose the residual limb to air
The nurse provides care for a client with degenerative joint disease. the client receives a new prescription for celecoxib. the nurse is most concerned if the client makes which statement?
I am allergic to aspirin
The clinic nurse counsels a client reporting low back pain. which client statement requires a follow-up by the nurse?
I work full time as a package handler for amazon
The nurse teaches a client diagnosed with a fractured left femur that is in a cast. the client asks how to keep the muscles of the legs strong during the time the cast is on the left leg. the best response by the nurse is:
I'll teach you how to do isometric exercises with your left leg
The nurse witnesses a car hit a pedestrian in the parking lot. as the nurse approaches the person, they cry out " I think my leg is broken" which action dose the nurse take 1st?
Inspects the leg for evidence of bleeding
Aspirin is prescribed for a client. the nurse administers this medication with which liquid?
Milk
The home care nurse makes a home visit to a client diagnosed with osteoarthritis. the nurse asks the client's spouse if the client is having any problems. the nurse further assesses if the spouse makes which statement?
My spouse has not been participating in regular activities
The nurse provides care for an older adult client reporting a new onset of bone pain, rapidly increasing in intensity, as well as fatigue and difficultly walking, the client is transported to x-ray and the labs show a high alkaline phosphate level. the nurse prepares to teach the client about which disease process?
Paget's disease
The nurse assesses the client diagnosed with osteoarthritis. the nurse expects to observe which S/S
Pain usually provoked by activity, and stiffness of the joints after periods of rest
The nurse provides care for a client in balanced suspension traction. the client reports pain in the affected extremity and the nurse administers the prescribed medication. one hr later the client states "I don't know why, but the pain isn't getting any better." which action dose the nurse take first?
Performs a neurovascular assessment
The client ask the nurse, "what is the difference between RA and OA?"
RA is a systemic disease and OA is not
A client experiences an acute bout of gouty arthritis. the nurse expects the client's affected foot to have which appearance?
Red
The nurse provides care for a client with RA, which finding assumes the highest priority for the nurse when assessing and planning the client's care?
Slight contracture of the right wrist
The nurse provides care for an older adult client 8 days after an open reduction and internal fixation of the right hip. the nurse intervenes if which observation is made?
The client is not wearing elastic stockings
The nurse prepares the client for a total hip replacement. what information will likely postpone the surgery?
The client reports burning on urination
The nurse provides care for a client immediately following a right below the knee amputation. the nurse is most concerned if which observation is made?
The client reports persistent pain at the operative site
Prednisone 2mg daily is prescribed for a client with RA. which important point does the nurse include when teaching the client about this medication?
The dosage of prednisone must be increased and decreased gradually
The nurse evaluated care given to a client after a left BKA. the nurse intervenes if which observation is made?
The dressing to the surgical site is dated two days prior
A patient has a cast removed after bone healing takes place. What should the nurse instruct the patient to do after removal? (Select all that apply.) A. Apply an emollient lotion to soften the skin. B.Control swelling with elastic bandages, as directed. C. Gradually resume activities and exercise. D. Use friction to remove dead surface skin by rubbing the area with a towel. E. Use a razor to shave the dead skin off.
A, B, C
