PT 3

49問 • 1年前

問題一覧

A nurse is organizing a teaching plan for a patient with gout. What should the nurse caution this patient he is at an increased risk for?

kidney stones

Which diagnosis is most appropriate for the nurse to select for a patient with Behçet syndrome?

Sexual dysfunction, related to pain in genital area

A nurse is caring for a patient immediately after total knee replacement surgery. What assessment requires priority?

Quality of pulses in the affected limb

Imbalanced nutrition: Less than body requirements is the nursing diagnosis applicable to a patient with progressive systemic sclerosis. What is the most important point for the nurse to teach this patient?

Eat smaller, more frequent meals

What instruction should a nurse include in a teaching plan for a patient with carpal tunnel syndrome?

Splinting to prevent flexion and hyperextension

Two days after a total hip replacement, a patient is being discharged. Which statement indicates that the patient understands the discharge teaching?

I will ask my husband to tie my shoes for me

What action would best benefit the patient diagnosed with bursitis of the shoulder?

Walking the fingers of the affected arm up the wall

A nurse is educating a patient with gout about the medication probenecid (Benemid). What active effect should the nurse relay when explaining why this medication is prescribed?

increases excretion of uric acid

A nurse questions an older patient about the age-related changes she has experienced in her connective tissue, which have lessened her mobility. What do these changes most commonly include? (Select all that apply.)

Loss of bone, which may cause fragile bones, Thickening of the tendons, causing loss of strength, Bony deposits in the joints, causing pain and altered movement, Hardening of cartilage, causing more friction in joints

What are the goals of therapy for patients with rheumatic arthritis? (Select all that apply.)

Decrease inflammation, balance activity and rest, Promote adaptation to limitations, Supply patient education and support

What actions would be best for patients with osteoarthritis to seek the assistance of physical therapy? (Select all that apply.)

Instruction with a transcutaneous electrical nerve stimulation (TENS) unit, Moist heat application, Measures to increase range of motion, Measures to increase strength

What signs of progressive systemic sclerosis does the anonym CREST represent? (Select all that apply.)

Calcinosis, Esophageal dysfunction, Telangiectasis

To decrease osteoporosis, a nurse explains that women can benefit from ___for 15 years after the onset of menopause.

estrogen

A client is having a myelography. What action by the nurse is most important?

Ensure that informed consent is on the chart.

A client is undergoing computed tomography (CT) of a joint. What action by the nurse is most important before the test?

Assess for seafood or iodine allergy.

A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower leg to be pale and cool, with 1+/4+ pedal pulses. What action by the nurse is best?

Assess the neurovascular status of the right leg.

A hospitalized clients strength of the upper extremities is rated at 3. What does the nurse understand about this clients ability to perform activities of daily living (ADLs)?

The client is able to perform ADLs but not lift some items.

A client is distressed at body changes related to kyphosis. What response by the nurse is best?

Ask the client to explain more about these feelings.

The nurse knows that hematopoiesis occurs in what part of the musculoskeletal system?

red marrow

A nurse is providing community education about preventing traumatic musculoskeletal injuries related to car crashes. Which group does the nurse target as the priority for this education?

High school football team

A school nurse is conducting scoliosis screening. In screening the client, what technique is most appropriate?

Bending forward from the hips

The clients chart indicates genu varum. What does the nurse understand this to mean?

bow legged

The nurse is assessing four clients with musculoskeletal disorders. The nurse should assess the client with which laboratory result first?

Serum phosphorus: 2 mg/dL

A nursing student studying the musculoskeletal system learns about important related hormones. What information does the student learn? (Select all that apply.)

A lack of vitamin D can lead to rickets., Estrogens stimulate osteoblastic activity., Parathyroid hormone stimulates osteoclastic activity.

A student nurse learns about changes that occur to the musculoskeletal system due to aging. Which changes does this include? (Select all that apply.)

Bone changes lead to potential safety risks., Osteoarthritis occurs due to cartilage degeneration., Some muscle tissue atrophy occurs with aging.

An older clients serum calcium level is 8.7 mg/dL. What possible etiologies does the nurse consider for this result? (Select all that apply.)

Normal age-related decrease in serum calcium, Possible occurrence of osteoporosis or osteomalacia

When assessing gait, what features does the nurse inspect? (Select all that apply.)

balance, ease of stride, length of stride, steadiness

A client has a bone density score of 2.8. What action by the nurse is best?

Planning to teach about bisphosphonates

A nurse is assessing an older client and discovers back pain with tenderness along T2 and T3. What action by the nurse is best?

Consult with the provider about an x-ray.

A client has been advised to perform weight-bearing exercises to help minimize osteoporosis. The client admits to not doing the prescribed exercises. What action by the nurse is best?

Ask the client about fear of falling.

The nurse sees several clients with osteoporosis. For which client would bisphosphonates not be a good option?

Client with a spinal cord injury who cannot tolerate sitting up

A client has been prescribed denosumab (Prolia). What instruction about this drug is most appropriate?

"Make appointments to come get your shot."

A client in a nursing home refuses to take medications. She is at high risk for osteomalacia. What action by the nurse is best?

Ensure the client gets 15 minutes of sun exposure daily.

A client is in the internal medicine clinic reporting bone pain. The clients alkaline phosphatase level is 180 units/L. What action by the nurse is most appropriate?

Assess the client for leg bowing.

An older client with diabetes is admitted with a heavily draining leg wound. The clients white blood cell count is 38,000/mm3 but the client is afebrile. What action does the nurse take first?

Place the client on contact isolation.

A nurse is caring for four clients. After the hand-off report, which client does the nurse see first?

Post-microvascular bone transfer client whose distal leg is cool and pale

A client has a metastatic bone tumor. What action by the nurse takes priority?

Handle the affected extremity with caution.

A hospitalized client is being treated for Ewings sarcoma. What action by the nurse is most important?

Handling and disposing of chemotherapeutic agents per policy

A client with bone cancer is hospitalized for a limb salvage procedure. How can the nurse best address the clients psychosocial needs?

Assess the client's coping skills and support systems.

A client had a bunionectomy with osteotomy. The client asks why healing may take up to 3 months. What explanation by the nurse is best?

"Your feet have less blood flow, so healing is slower."

A client has scoliosis with a 65-degree curve to the spine. What action by the nurse takes priority?

Assess the clients cardiac and respiratory systems.

A nurse sees clients in an osteoporosis clinic. Which client should the nurse see first?

Client taking raloxifene (Evista) who reports unilateral calf swelling

What information does the nurse teach a womens group about osteoporosis?

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

A client with osteoporosis is going home, where the client lives alone. What action by the nurse is best

Arrange a home safety evaluation.

A client is scheduled for a bone biopsy. What action by the nurse takes priority?

Ensuring that informed consent is on the chart

A client is admitted with a large draining wound on the leg. What action does the nurse take first

Obtain cultures of the leg wound.

A client has an ingrown toenail. About what self-management measure does the nurse teach the client?

Warm moist soaks

A nurse is assessing a community group for dietary factors that contribute to osteoporosis. In addition to inquiring about calcium, the nurse also assesses for which other dietary components? (Select all that apply.)

Alcohol, Caffeine, Carbonated beverages, Vitamin D

A nurse is providing education to a community womens group about lifestyle changes helpful in preventing osteoporosis. What topics does the nurse cover? (Select all that apply.)

Strengthening exercises are important., Take recommended calcium and vitamin D., Walk 30 minutes at least 3 times a week.

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