med surg 2 test 2

Which of the following statements in not true regarding the preparation of a patient for MRI?

"The patient should avoid alcohol for four hours before the procedure. "

A nurse is planning the care of an older adult patient with osteomalacia. What action should the nurse recommend in order to promote vitamin D synthesis?A) Ensuring adequate exposure to sunlight B) Eating a low-purine diet C) Performing cardiovascular exercise while avoiding weight-bearing exercises D) Taking thyroid supplements as ordered

A) Ensuring adequate exposure to sunlight

A nurse is reviewing a patient's activities of daily living prior to discharge from total hip replacement. The nurse should identify what activity as posing a potential risk for hip dislocation? A) Straining during a bowel movement B) Bending down to put on socks C) Lifting items above shoulder level D) Transferring from a sitting to standing position

B) Bending down to put on socks

Which statement is false about magnetic resonance imaging? A.Credit cards with magnetic strips may be erased B.Nonremovable cochlear implant devices can become inoperable C.Transdermal patches that have a thin layer of aluminized back must be covered withgauze D.Jewelry and hair clips must be removed before the MRI is performed

C .Transdermal patches that have a thin layer of aluminized back must be covered with gauze

A patient presents at a clinic complaining of back pain that goes all the way down the back of the leg to the foot. The nurse should document the presence of what type of pain? A) Bursitis B) Radiculopathy C) Sciatica D) Tendonitis

C) Sciatica

The nurse is caring for a client who states that he is suddenly having severe pain at a leg fracture site. The nurse notes increased swelling in the limb and difficulty palpating a pulse. The nurse suspects that the client may have: Compartment syndrome Fracture blisters Reflex sympathetic dystrophy Hematogenous osteomyelitis

Compartment syndrome

What safety actions does the nurse need to take for a client receiving oxygen therapy who is undergoing magnetic resonance imaging (MRI)?

Ensure that no client care equipment containing metal enters the room where the MRI is located. NO METAL

A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition?

Pain that increases with passive movement

When assessing gait, what features does the nurse inspect? (Select all that apply.) a. Balance b. Ease of stride c. Goniometer readings d. Length of stride e. Steadiness

a, b, d, e

who should have a DEXA bone density test?

· women 65 years of age or older · men aged 70 and older · adults with a fragility fracture (fracture with little or no trauma, such as a fall from standing height) · adults with a disease or condition associated with low bone mass or bone loss · adults taking medications associated with low bone mass or bone loss · adults with lifestyle factors that lead to bone loss, such as smoking and excessive alcohol intake · women during the menopausal transition and men younger than 70 with risk factors for low bone mass including low body weight and prior fracture · women who have lost more than 1.5 inches and men who have lost more than two inches from their tallest height

What are the nursing interventions that we do with an External Fixator? 1. Proper positioning-- prop it up 2. MOnitor Neurovascular status- so monitor for compartment syndrome 3. Pin care to avoid infection-- doctor gives you this, each one is diff 4. Monitor for temperature, WBC and drainage , anything that looks pus, monitor for edema, as these are signs of infection

1, 2, 3, 4

A patient with rheumatoid arthritis (RA) is being seen in the outpatient clinic for a progress check-up. The nurse is reviewing the patient's plan of care and determines that the patient has met a goal of treatment when the patient makes which statement? 1)"I sleep for 10 hours at night." 2)"I have increased pain in my joints all the time now." 3)"I have delegated many household chores to my children and spouse." 4)"I do not perform household chores at all anymore."

3)"I have delegated many household chores to my children and spouse."

The nurse is preparing a patient for a scheduled bone scan. What should the nurse review with the patient about this diagnostic test? Select all that apply. 1. Hot spots indicate areas of healthy bone tissue. 2. No food or drinks are permitted before the test, 3. Remove all jewelry before having the test completed. 4. There is a need to lie still for 90 minutes during the scan. 5. An injection of a radioisotope will occur 2 to 3 hours before the scan.

3, 4, 5

A patient is recovering from an arthrocentesis of the right knee. What should the nurse instruct the patient regarding care at home? 1) Elevate the extremity 2) Ambulate with crutches 3)avoid all weight bearing for three to five days 4) Apply ice to the wound for the first 24 hours

4) Apply ice to the wound for the first 24 hours

what information does the nurse teach a women's group about osteoporosis?

A. Primary osteoporosis occurs in postmenopausal women due to a lack of estrogen

A nurse is caring for a patient who has been scheduled for a bone scan. What should the nurse teach the patient about this diagnostic test? A) "The test is brief and requires that you drink a calcium solution 2 hours before the test." B) "You will not be allowed fluid for 2 hours before and 3 hours after the test." C) "You'll be encouraged to drink water after the administration of the radioisotope injection." D) "This is a common test that can be safely performed on anyone."

C) "You'll be encouraged to drink water after the administration of the radioisotope injection."

A nurse is assessing the neurovascular status of a patient who has had a leg cast recently applied. The nurse is unable to palpate the patient's dorsalis pedis or posterior tibial pulse and the patient's foot is pale. What is the nurse's most appropriate action? A) Warm the patient's foot and determine whether circulation improves. B) Reposition the patient with the affected foot dependent. C) Reassess the patient's neurovascular status in 15 minutes. D) Promptly inform the primary care provider.

D) Promptly inform the primary care provider.

The nurse is providing discharge teaching for a client following hip arthroplasty. which of the following pieces of furniture should the nurse instruct the client to sit in at home.

a straight-backed chair with an elevated seat

A nurse is caring for a client who is postoperative following an open reduction and internal fixation of a fractured femur. Which of the following actions is the most important for the nurse to complete in the postoperative period? A. Medicate the client for pain. B. Instruct the client on use of crutches. C. Perform neurovascular checks of the extremities. D. Direct the client to perform exercises of the ankle and toes.

a, b, c

A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching? A. Remain on bed rest for the first 24 hr. B. Keep the leg in a dependent position. C. Apply ice to the affected area. D. Begin active range of motion. One should have enough rest, keep the knee on an elevated position and apply ice to reduce pain an swelling.

a, b, c

a client with chronic osteomyelitis is being discharged from the hospital. What information is important for the nurse to teach this client and family? (Select all that apply.) a. Adherence to the antibiotic regimen b. Correct intramuscular injection technique c. Eating high-protein and high-carbohydrate foods d. Keeping daily follow-up appointments e. Proper use of the intravenous equipment.

a, c, e

A patient is seeking medical treatment for chronic low back pain. Which approach will help speed this patient's recovery? a. Regular exercise b. Spinal injections c. Transcutaneous electrical nerve stimulation (TENS) d. Nonsteroidal anti-inflammatory agents (NSAIDs)

a. Regular exercise

The nursing student studying rheumatoid arthritis (RA) learns which facts about the disease? (Select all that apply.) a. It affects single joints only. b. Antibodies lead to inflammation. c. It consists of an autoimmune process. d. Morning stiffness is rare. e. Permanent damage is inevitable.

b, c

1. Patient had a total hip replacement back in the unit, all of a sudden the patients blood pressure starts dropping. What do you suspect?

blood loss

A nurse is providing education to a community women's group about lifestyle changes helpful in preventing osteoporosis. What topics does the nurse cover? (Select all that apply.) a. Cut down on tobacco product use. b. Limit alcohol to two drinks a day. c. Strengthening exercises are important. d. Take recommended calcium and vitamin D. e. Walk 30 minutes at least 3 times a week.

c, d, e

The nurse provides education to a patient who is diagnosed with scoliosis and scheduled for surgical correction. Which patient statement indicates the need for additional teaching regarding postoperative care? 1. "I am at risk for fractures because of my condition. "2. "I must wear my brace at all times after surgery. "3. "I will apply cold packs to assist with pain management. "4. "I can drink a glass of wine each evening to help me relax.".

4."I can drink a glass of wine each evening to help me relax.".

which subjective findings should the nurse anticipate when assessing a patient diagnosed with gout?sata 1. presence of Tophi 2. tenderness on palpation 3. reports of severe pain in the great toe 4.patient states " i cannot move my joint" 5. soft tissue swelling accompanied by warmth

4.patient states " i cannot move my joint" 5. soft tissue swelling accompanied by warmth

A nurse is caring for a 78-year-old patient with a history of osteoarthritis (OA). When planning the patients care, what goal should the nurse include? A)The patient will express satisfaction with her ability to perform ADLs. B)The patient will recover from OA within 6 months. C)The patient will adhere to the prescribed plan of care. D)The patient will deny signs or symptoms of OA

A)The patient will express satisfaction with her ability to perform ADLs.

A nurse is emptying an orthopedic surgery patient's closed suction drainage at the end of a shift. The nurse notes that the volume is within expected parameters but that the drainage has a foul odor. What is the nurse's best action? A) Aspirate a small amount of drainage for culturing. B) Advance the drain 1 to 1.5 cm. C) Irrigate the drain with normal saline. D) Inform the surgeon of this finding

D) Inform the surgeon of this finding

A 40-year-old woman was diagnosed with Raynaud's phenomenon several years earlier and has sought care because of a progressive worsening of her symptoms. The patient also states that many of her skin surfaces are stiff, like the skin is being stretched from all directions. The nurse should recognize the need for medical referral for the assessment of what health problem? A)Giant cell arteritis (GCA) B)Fibromyalgia (FM) C)Rheumatoid arthritis (RA) D)Scleroderma

D)Scleroderma

Risk factors for osteoporosis

age skinny smoking alcohol steroids menopause malnutrition genetics family history occupation obesity

A client with an arm cast reports pain. What nursing interventions should the nurse provide to reduce the incidence of complications? Select all that apply. 1.Assess the fingers for color and temperature. 2.Administer a prescribed analgesic to promote comfort and allay anxiety. 3.Assess for a pressure sore 4.Determine the exact site of the pain. 5.Cut the cast with a cast saw

1, 3, 4

The occupational health nurse is teaching a class on the risk factors for developing osteoarthritis (OA). Which is a modifiable risk factor for developing OA? 1. Being overweight. 2. Increasing age. 3. Previous joint damage. 4. Genetic susceptibility.

1. Being overweight.

A patient has a low level of thyroid stimulating hormone (TSH). How will this affect the musculoskeletal system? 1)reduces bone growth 2)Initiates the growth of bone 3)Slows the rate of bone destruction 4) promotes the number of osteoblasts

1. reduces bone growth

the nurse is caring for a patient who is hospitalized due to an exacerbation of systemic lupus erythematosus(SLE). the nurse is reviewing the patient's lab work and finds the white blood cell count has shifted to the left. based on this info, which is a priority nursing diagnosis for this patient? 1. risk for infection 2. ineffective individual coping 3. risk for impaired skin integrity 4. ineffective health maintenance

1. risk for infection

The nurse is assessing a patient's musculoskeletal status. Which observation indicates that the gait is normal? 1) Base is as wide as the patient's hips 2) Symmetrical arm swing occurs with each step 3) Foot is on the ground for 40% of the stance phase 4) Foot is off of the ground for 60% of the swing phase

2) Symmetrical arm swing occurs with each step

the nurse suspects a patient has SCOLIOSIS. What observations caused the nurse to make this decision? Select all that apply. 1) Even gait 2) Uneven waist 3) Different arm lengths 4) Lateral curve of the spine 5) Uneven hem line at the knees

2, 3, 4, 5

A patient has been diagnosed with secondary osteoarthritis. The nurse knows that secondary osteoarthritis is related to which factors? Select all that apply. 1. Aging 2. Trauma 3. Anxiety 4. Genetics 5. Infection 6. Work-related stress 7. Corticosteroid therapy

2, 5,7

The nurse is caring for a client who is hospitalized due to an exacerbation of systemic lupus erythematosus (SLE). The nurse is reviewing the client's lab work and finds the white blood cell count (WBC) is shifted to the left. Based on this information, which is a priority nursing diagnosis for this client? A) Ineffective Protection B) Ineffective Health Maintenance C) Ineffective Individual Coping D) Risk for Impaired Skin Integrity

A) Ineffective Protection

A nurse is assessing a patient who is experiencing peripheral neurovascular dysfunction. What assessment findings are most consistent with this diagnosis? A) Hot skin with a capillary refill of 1 to 2 seconds B) Absence of feeling, capillary refill of 4 to 5 seconds, and cool skin C) Pain, diaphoresis, and erythema D) Jaundiced skin, weakness, and capillary refill of 3 seconds

B) Absence of feeling, capillary refill of 4 to 5 seconds, and cool skin

Which of the following patients should the nurse recognize as being at the highest risk for the development of osteomyelitis? A) A middle-aged adult who takes ibuprofen daily for rheumatoid arthritis B) An elderly patient with an infected pressure ulcer in the sacral area C) A 17-year-old football player who had orthopedic surgery 6 weeks prior D) An infant diagnosed with jaundice

B) An elderly patient with an infected pressure ulcer in the sacral area

*a nurse is caring for a client who is 6 hr postoperative following application of an external fixator for a tibial fracture. which of the following actions should the nurse take ? A-adjust the clamps on the fixator frame B-palpate the dorsalis pedis pulse C-Maintain the affected extremity in a dependent position D-wrap sterile gauze on the sharp point of the pins

B-palpate the dorsalis pedis pulse

what information does the nurse teach a women's group about osteoporosis? a. "For 5 years after menopause you lose 2% of bone mass yearly." b. "Men actually have higher rates of the disease but are underdiagnosed." c. "There is no way to prevent or slow osteoporosis after menopause." d. "Women and men have an equal chance of getting osteoporosis."

a. "For 5 years after menopause you lose 2% of bone mass yearly."

A client with bone cancer is hospitalized for a limb salvage procedure. How can the nurse best address the client's psychosocial needs? a. Assess the client's coping skills and support systems. b. Explain that the surgery leads to a longer life expectancy. c. Refer the client to the social worker or hospital chaplain.

a. Assess the client's coping skills and support systems.