Ch 42- Musculoskeletal (med surg)

The nurse recognizes that the client with osteomyelitis is at risk for: Impingement syndrome Bone abscess formation Metastatic bone disease Pathological fractures

BONE ABSCESS

Of the following, which is not a risk factor for osteoporosis? Being male Being postmenopausal Family history Small-framed, thin White or Asian women

Being male. Duh. Being male is not considered a risk factor. The following are some of the risk factors for osteoporosis: being a small-framed, thin White or Asian women; being postmenopausal; family history; inactivity; chronic low calcium intake; and excessive caffeine or tobacco use.

Clinical manifestations of osteomyelitis

Clinical manifestations of osteomyelitis include signs and symptoms of sepsis and localized infection.

A nurse is teaching a client who was recently diagnosed with carpal tunnel syndrome. Which statement should the nurse include? "Using arm splints will prevent hyperflexion of the wrist." "This condition is associated with various sports." "Ergonomic changes can be incorporated into your workday to reduce stress on your wrist." "Surgery is the only sure way to manage this condition."

Ergonomic changes can be incorporated into your workday to reduce stress on your wrist." Explanation: Ergonomic changes, such as adjusting keyboard height, can help clients with carpal tunnel syndrome avoid hyperextension of the wrist. This condition is associated with repetitive tasks such as clerical work, not sports. The condition may be managed with medications, yoga, acupuncture, and wrist (not arm) splints.

Which of the following is the most common and most fatal primary malignant bone tumor?

Osteogenic sarcoma (osteosarcoma)

Which of the following is the most common and most fatal primary malignant bone tumor? Rhabdomyoma Osteogenic sarcoma (osteosarcoma) Enchondroma Osteochondroma

Osteogenic sarcoma (osteosarcoma)

Goal of treatment of metastatic bone cancer

Pain relief and improvement of quality of life j

The nurse is educating the patient with low back pain about the proper way to lift objects. What muscle should the nurse encourage the patient to maximize? Gastrocnemius (Calf) Rectus abdominis (Booty) Quadriceps Latissimus dorsi (Lats)

QUADZ

A client with osteoporosis is prescribed a selective estrogen receptor modifier (SERM) as treatment. The nurse would identify which drug as belonging to this class?

Raloxifene Explanation: An example of a selective estrogen receptor modifier (SERM) is raloxifene (Evista).

A client with low back pain is being seen in the clinic. In planning care, which teaching point should the nurse include? Avoid twisting and flexion activities. Use the large muscles of the leg when lifting items. Sleep on the stomach to alleviate pressure on the back. A soft mattress is most supportive by conforming to the body.

Use legs!!!

A patient diagnosed with carpal tunnel syndrome (CTS) asks the nurse about numbness in the fingers and pain in the wrist. In responding to the patient, how would the nurse best describe CTS? "CTS is a neuropathy that is characterized by pannus formation in the shoulder." "CTS is a neuropathy that is characterized by flexion contracture of the fourth and fifth fingers." "CTS is a neuropathy that is characterized by bursitis and tendinitis." "CTS is a neuropathy that is characterized by compression of the median nerve at the wrist." SUBMIT ANSWER

"CTS is a neuropathy that is characterized by compression of the median nerve at the wrist."

OSTEOPOROSIS - Risk

Risk-lowering strategies for osteoporosis include walking or exercising outdoors, performing a regular weight-bearing exercise regimen, increasing dietary calcium and vitamin D intake, smoking cessation, and consuming alcohol and caffeine consumption in moderation. Small-framed, nonobese Caucasian women are at greatest risk for osteoporosis. Asian women of slight build are at risk for low peak BMD. African American women, who have a greater bone mass that Caucasian women, are less susceptible to osteoporosis. Men have a greater peak bone mass and do not experience sudden estrogen reduction. Clients with osteoporosis become shorter over time.

Treatment for chronic osteomyelitis

Surgical debridement + antibiotics for 3-6 weeks In chronic osteomyelitis, antibiotics are adjunctive therapy to surgical debridement.