Musculoskeletal PrepU

Which term refers to a disease of a nerve root?

Radiculopathy

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? Tamoxifen (Nolvadex) Raloxifene (Evista) Alendronate (Fosamax) Calcium gluconate

Raloxifene

In chronic osteomyelitis, antibiotics are adjunctive therapy in which situation? Wound irrigation Wound packing Vitamin supplements Surgical debridement

Surgical debridement

The nurse is caring for a client with a hip fracture. The physician orders the client to start taking a bisphosphonate. Which medication would the nurse document as given?

Alendronate is a bisphosphonate medication. Raloxifene is a selective estrogen receptor modulator. Teriparatide is an anabolic agent, and denosumab is a monoclonal antibody agent.

A nurse is caring for a client with osteomyelitis. What complication should the nurse consider that the client is at risk to develop? Metastatic bone disease Impingement syndrome Pathological fractures Bone abscess formation

Bone abscess formation

A client has been prescribed alendronate for the prevention of osteoporosis. Which is the highest priority nursing intervention associated with the administration of the medication?

Have the client sit upright for at least 30 minutes following administration

A female client is at risk for developing osteoporosis. Which action will reduce the client's risk?

Initiating weight-bearing exercise routines

The nurse has educated a patient with low back pain about techniques to relieve the back pain and prevent further complications. What statement by the patient shows understanding of the education the nurse provided?

"I will avoid prolonged sitting or walking."

Health education for a woman over age 50 includes providing information about the importance of adequate amounts of calcium and vitamin D to prevent osteoporosis. Select the daily dosage of calcium and vitamin D that the nurse should recommend. 1,600 mg; 1,400 IU 1,800 mg; 1,600 IU 1,200 mg; 1,000 IU 1,400 mg; 1,200 IU

1,200 mg; 1,000 IU

Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing BMD?

Calcitonin (Miacalcin)

What clinical manifestation would the nurse expect to find in a client who has had osteoporosis for several years? Increased heel pain Diarrhea Decreased height Bone spurs

Decreased height

Which assessment findings would the nurse expect to find in the client with osteomyelitis?

Osteomyelitis is characterized by elevated white blood cell count and erythrocyte sedimentation rate.

A nurse is performing discharge teaching for an elderly client with osteoporosis. Which instruction about a calcium supplement should the nurse include? Remain in an upright position 30 minutes after taking the supplement. Take weekly on the same day and at the same time. Take the supplement on an empty stomach with a full glass of water. Take the supplement with meals or with orange juice.

Take the supplement with meals or with orange juice.

To help minimize calcium loss from a hospitalized client's bones, the nurse should: encourage the client to walk in the hall. reposition the client every 2 hours. provide the client dairy products at frequent intervals. provide supplemental feedings between meals.

encourage the client to walk in the hall.

When an infection is bloodborne, the manifestations include which symptom?

Chills

A nurse is performing foot care for a client with chronic osteomyelitis and the client asks the nurse about the next treatment. What is the specific treatment for a client with chronic osteomyelitis? Drainage of localized foci of infection Surgical removal of the sequestrum Continued aseptic wound treatment Aggressive physical therapy

Surgical removal of the sequestrum A sequestrectomy, removal of enough involucrum to enable the surgeon to remove the sequestrum, is performed on clients with chronic osteomyelitis. In many cases, sufficient bone is removed to convert a deep cavity into a shallow saucer (saucerization). All dead, infected bone and cartilage must be removed before permanent healing can occur.

A nurse is planning discharge teaching regarding exercise for a client at risk for osteoporosis. Which exercise would the nurse be most likely to suggest?

Walking

When teaching a client how to prevent low back pain as a result of lifting, the nurse should instruct the client to: use a narrow base of support. avoid overreaching. place the load away from the body. bend the knees and loosen the abdominal muscles.

avoid overreaching.

A nurse is caring for a client who's experiencing septic arthritis. This client has a history of immunosuppressive therapy and the immune system is currently depressed. Which assignment is the most appropriate for the nurse caring for this client?

The nurse is caring for this client on the intensive care unit.

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

Use the large muscles of the leg when lifting items.

A client presents to the emergency department with fever, chills, restlessness, and limited movement of a fractured jaw. What complication should the nurse interpret as the findings?

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