Exam 1

49問 • 2年前

問題一覧

The nurse is caring for a patient with osteoarthritis and notices bony nodes on joints of the patients fingers. the nurse knows these are called

herberden and Bouchard nodes

A patient reports pain after application of a cast to treat a left lower tibial fracture. The nurse monitors the left foot. Which symptom would the nurse identify as compartment syndrome?

the patient reporting severe and increasing pain after the application of a cast

Your patient recently had a Basic Metabolic Panel drawn: Potassium 4.1 Sodium 130 Calcium 9.3 How do you interpret these findings?

hyponatremia

The nurse prepares a patient for a diagnostic test of the entire skeletal system. The nurse administers a sedative because the patient is too restless to lie still during the required 90 minutes of testing. The patient understands this diagnostic test will include the injection of a radioisotope. This will facilitate imaging during various intervals to reveal the location of infections or tumors such as osteosarcoma. Which diagnostic test is the nurse preparing the patient for based on the current data?

nucleus medicine scan

A patient was an unrestrained passenger in a motor vehicle accident and hit the windshield. In addition, the patient’s leg was fractured. The nurse knows a neurovascular check needs to be completed to check for the "6 P's" which includes which of the following? (select all that apply- 4 correct answers).

poikilothermia, pain, pulselessness, paralysis

The home-care nurse is attending to a patient with osteomyelitis in a lower extremity from a traumatic bone fracture. The patient has an open wound that is infected. Which observation prompts the nurse to provide additional information to the patient and family?

clean techniques is used when the dressing is changed

The nurse finds an older adult patient on the floor after an attempt to return from the toilet to the bed. The patient reports pain to the right groin area, and the nurse notes that the right leg appears shorter and misaligned compared to the left. Which is the priority action by the nurse?

immobilize the extremity at the hip, delegate vital signs, and alert HCP

Which of the following is a disease modifying antirheumatic drug used to treat rheumatoid arthritis

etanercept (Ebrel)

the nurse is caring for a patient with Paget disease and noticed which of the following as the hallmark sign of this disease?

abnormally weak bones and deformities

The nurse is teaching a patient with Gout about foods to avoid to prevent a flare up. which of the following foods should this patient avoid?

food high in purines

You receive the following results from your patients arterial blood gas: pH 7.29 CO2 40 HCO3 20 You interpret this as:

metabolic acidosis

Which of the following is a modifiable risk factor for osteoporosis

sedentary lifestyle

The nurse collects data on a patient's left knee and notes redness, swelling, and pain. The health-care provider suspects septic arthritis and will perform a diagnostic procedure to aspirate synovial fluid for laboratory analysis. Which procedure does the nurse anticipate for this patient?

arthrocentesis

The nurse notes partial tearing of muscle fibers and pain with inability to move the affected body part in a patient with a diagnosed strain. The nurse identifies this type of strain as which of the following?

moderate

The nurse is providing care for a patient who is diagnosed with rhabdomyolysis from a crushing injury. Laboratory results indicate elevated levels of CK, myoglobin, and serum potassium. Which nursing care is most important for the nurse implement?

observe the color and amount of urine

A patient who has a displaced midshaft fracture of the left femur is in balanced suspension skeletal traction with 35 pounds of weight. The patient reports calf pain and redness. Which action should the nurse take?

notify the RN as this could indicate a possible DVT

The patient diagnosed with a sprain asks the nurse to explain the difference between a sprain and a strain. Which of the following education should the nurse include?

strains are soft tissue injuries while sprains occur due to excessive stretching of ligaments

The nurse reviews the Basic Metabolic Panel for their patient and notes that the following value indicates the patient is experiencing hyperkalemia

5.6mEq/L

The nurse is providing care for a patient following an open reduction of a compound fracture. Which neurologic finding does the nurse report immediately to the HCP or registered nurse (RN)?

there exists numbness and tingling sensations

The nurse provides care to and older adult patient who reports pain and stiffness in both knees. Which is the most likely rationale for the patients symptoms?

articular cartilage wears down and becomes rough

The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse must remember in which way RA care is different from osteoarthritis care. Which nursing care does the nurse specifically provide for the patient with RA?

it is essential to monitor all body systems for effects of the disease

The nurse performs data collection for a patient with a diagnosis of carpal tunnel syndrome. Which are clinical manifestations that the nurse anticipates? Select all that apply- 2 correct answers.

Positive Phalen Test, work history as a factory worker completing repetitive movements

Which of these serum blood tests would the nurse review as an indicator of bone health?

calcium

The RICE acronym includes which of the following?

Rest, elevate, ice, compress

The nurse is providing care for a patient being treated after a complicated femur fracture. The nurse has noticed drowsiness, tachycardia, and a low-grade fever. Which additional manifestation alerts the nurse to the possibility of a fat emboli?

presence of a petechial rash on chest and neck

Which of the following is a primary malignant tumor that is considered the most common and most fatal, affecting males more commonly than females?

Osteosarcoma

A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication?

it blocks formation of uric acid

The nurse is reviewing laboratory results for a group of patients. Which value should be of most concern to the nurse?

Magnesium level of 1.0 mEq/L

The nurse is providing care for a patient with external fixation for a fracture involving severe bone damage. Which is the most important focus for the nurse during care of this patient?

monitoring pin and wound sites for signs of infection

Early signs and symptoms of Rheumatoid Arthritis includes which of the following? (Select all that apply- 2 correct answers).

reddened,warmed, stiff, and painful joint, bilateral, symmetrical joint inflammation

The nurse is preparing for a home visit to a patient after surgery for a compound fracture. Which specific care does the nurse anticipate for this patient?

changing wound dressings

The orthopedic office nurse provides care to a patient who sustained an injury after a fall on an icy patch of sidewalk a year ago. The patient states, “I still cannot move my knee well because of the pain and swelling.” Which diagnostic test should the nurse anticipate will be prescribed by the health care provider?

athroscopy

A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus. Which condition does the nurse recognize as a possible complication for this patient?

delay or absence of healing

The nurse witnesses a fellow hiker on a trail fall and suspects a fractured left radias. Which intervention should the nurse implement?

immobilize the joints above and below the fracture, do not attempt to realign

The nurse reviews the following results for an arterial blood gas (ABG). How does the nurse interpret these results? pH 7.49, PCO2 30, HCO3 25

respiratory alkalosis

Which of the following applies to osteoarthritis

activity increases joint pain

This is a protein found in striated muscle;it gives muscle its red color and becomes elevated when skeletal muscle is damaged

myoglobin

Which of the following is an antiresorptive biphosphonate medication that is used to treat osteoporosis

alrndronate (fosomax)

The nurse is collecting data from a patient suspected of developing a fat embolus from a fracture of the right femur. Which manifestations does the nurse expect? (Select all that apply- 3 correct answers.)

tachycardia, petechiae, mental confusion

An older adult patient asks the nurse why it is important to take calcium and vitamin D supplements. which response by the nurse is appropriate?

calcium is important to prevent bone loss and vitamin D helps your body to absorb calcium

The nurse reviews a patient's medical history, noting chronic asthma with a longstanding history of steroid use. Which type of fracture is this patient at most risk of acquiring?

pathological

The nurse is reviewing the laboratory results for a patient with severe bone pain. Which condition does the nurse suspect if the ALP level is elevated?

paget disease

The nurse asks the patient to perform which of these to check muscle strength? Select all that apply- 2 correct answers.

squeeze nurses hands, push feet against nurses hands

A patient asks the difference between osteoarthritis and RA. Which manifestations does the nurse explain are characteristic of RA? (Select all that apply- 3 correct answers.)

low grade fever, autoimmune disease, early morning stiffness

The nurse is providing care for a patient who experienced a closed reduction to a fracture of the ulna. Which manifestation does the nurse recognize as an early symptom of acute compartment syndrome?

pallor with extremity warmth

Which of the following diagnostic test results are indicative of Rheumatoid Arthritis?

presence of rheumatoid factor in serum

The nurse witnesses a patient fall on the sidewalk and notes that there is an immediate loss of range of motion of the shoulder, and a joint deformity has occurred. The patient instructs the nurse to "just pull it back into place because it hurts so much." Which is the proper nursing intervention at this time?

immediately immobilize the joint, apply ice, and call for help

The nurse is assisting with the preparation of materials for a health fair aimed at promoting health in women. Which reason does the nurse recognize as a probable cause of an increase in the incidence of osteoporosis?

the ages of adults have increased

the cause of primary gout is

inherited problem with purine metabolism

Anatomy test 1

Zoey · 89問 · 2年前

Anatomy test 1