Advanced MS - Chapter 35
The approximate percentage of total-body calcium present in the bones is
98%
After a bone density test, an older adult female patient tells the nurse, "I don't understand why I have osteoporosis because I eat well and take my calcium." Which is the best response by the nurse?
"The loss is from withdrawal of estrogen and a decrease in activity levels"
A patient tells the nurse, "I was working out and lifting weights and now that I have stopped, I am flabby and my muscles have gone!" Which is the best response by the nurse?
"Your muscles were in a state of hypertrophy from the weight lifting but it will persist only if the exercise is continued"
Approximately _________ mg of calcium daily is essential to maintain adult bone mass
1000-1200
In the human body, there are _______ bones
206
The leading cause of musculoskeletal-related disability in the US is
arthritis
prick the skin midway between the thumb and second finger
radial
A patient tells the health care provider about shoulder pain that is present even without any strenuous movement. The health care provider identifies a sac filled with synovial fluid. Which condition will the nurse educate the patient about?
chronic bursitis
________ describes the grating, crackling sound heard over irregular joint surfaces like the knee
crepitus
A patient had a stroke and is unable to move the right upper and lower extremities. During an assessment, the nurse picks up the arm and finds it limp and without tone. How will the nurse document this finding?
flaccidity
The nurse is performing an assessment on an older adult patient and observes the patient has an increased forward curvature of the thoracic spine. Which does the nurse identify this common finding as?
kyphosis
prick the top or distal surface of the index finger
median
The nurse is performing an assessment for a patient who may have peripheral neurovascular dysfunction. Which signs does the patient present with that indicate circulation is impaired?
pale, cyanotic, or mottled color cool temp of the extremities more than 3-second capillary refill
A patient comes to the clinic and informs the nurse of numbness, tingling, burning sensation in the arm from the elbow down to the fingers. Which type of symptom would this be documented as?
paresthesia
prick the skin midway between the great and second toe
peroneal
A patient has a fracture of the right femur sustained in a motor vehicle crash. Which process of fracture healing does the nurse determine will occur with this patient?
reactive phase, reparative phase, remodeling phase
Red bone marrow is located in the shaft of four long and flat bones: the ________
sternum, ilium, vertebrae, ribs
The nurse assess soft subcutaneous nodules along the line of the tendons in a patient's hand and wrist. Which does this finding indicate to the nurse?
the patient has rheumatoid arthritis
prick the medial and lateral surface of the sole
tibial
prick the distal fat pad of the small finger
ulnar
A patient is having repeated tears of the joint capsule in the shoulder, and the primary provider prescribes an arthrogram. Which intervention will the nurse provide after the procedure is completed?
apply a compression bandage to the area administer a mild analgesic inform the patient that a clicking or crackling noise in the joint may persist for a couple of days
A patient is scheduled for a procedure that will allow the primary provider to visualize the knee joint in order to diagnose the patient's pain. Which procedure will the nurse prepare the patient for?
arthroscopy
The nurse is caring for a pregnant patient with pregnancy-induced hypertension. When assessing the reflexes in the ankle, the nurse observes rhythmic contractions of the muscle when dorsiflexing the foot. What would the nurse document this finding as?
clonus
The major hormonal regulators of calcium homeostasis are
parathyroid hormone, calcitonin
A patient has a fracture treated with open rigid compression plate fixation devices. How will the progress of bone healing be monitored?
perform serial x-rays
