Ch 50 caring for pt with muscle skeletal problems

A client with bone cancer is scheduled for a right upper extremity amputation. Which statement by the client's husband indicates an effective coping strategy?

"I'll have to find ways to help my wife focus on positive aspects of her body.

The nurse is instructing a client who has been prescribed calcium citrate (Citracal). Which instruction does the nurse include?

"Take Citracal with food.

The nurse is caring for an older adult client diagnosed with osteomalacia. The nurse anticipates that the health care provider will request which medication?

Ergocalciferol (Calciferol)

The nurse is assessing a client with osteomalacia. Which findings does the nurse expect to observe? (Select all that apply.)

Hypophosphatemia unsteady gait

Which nursing intervention helps to reduce the incidence of osteomyelitis for a client receiving hemodialysis?

Instructing the client to brush teeth after every meal

An older adult client is discharged from the hospital for treatment of osteoporosis. What does the nurse include in client teaching related to the client's home safety?

Keep walkways free of clutter.

The nurse is assessing a client with Ewing's sarcoma. Which finding does the nurse expect to observe?

Leukocytosis

The nurse plans to refer a client diagnosed with osteoporosis to which community resource?

National Osteoporosis Foundation

The nurse is caring for a client with prostate cancer who has bone metastasis. The nurse anticipates that the health care provider will prescribe which medication?

Pamidronate (Aredia)

A client has had a sequestrectomy of the right fibula for osteomyelitis 1 day ago. Which assessment finding requires the nurse to immediately contact the surgeon?

Paresis of right lower extremity

The nurse is caring for a client with bone cancer of the right hip who has undergone radical resection of the tumor and has received a prosthetic implant. Which client statement indicates effective coping after the procedure?

Physical therapy and counseling will help me adjust to my prosthesis."

Which is a priority problem for the older adult client diagnosed with bone cancer?

Potential for injury related to weakness and drug therapy

The nurse suspects that a client may have plantar fasciitis if the client has which assessment finding?

Severe pain in the arch of the foot, especially when getting out of bed

What is the primary role of the nurse when caring for an adult client with muscular dystrophy (MD)?

Supportive care

A mother who is a carrier of muscular dystrophy (MD) has a daughter. The client asks the nurse what the daughter's genetic risk is for having MD. What is the nurse's best response?

There is a 50% chance that your daughter may carry the gene."

Which finding does the nurse expect to observe in a client with suspected common chronic osteomyelitis?

Ulceration of the skin

The nurse is taking the history of an adult female client. Which factor places the client at risk for osteoporosis?

Working at a desk and playing the piano for a hobby

The nurse admits a client diagnosed with Paget's disease. The nurse anticipates that the client will have which condition?

enlarged thick skull

Which risk factor is shared by clients who have osteoporosis or osteomalacia?

high alcohol intake

Which is the best way to decrease the risk for osteoporosis in a client who has just been determined to be at high risk for the disease?

walk 30 min three times a week