PT 4

55問 • 1年前

問題一覧

A client with Pagets disease is hospitalized for an unrelated issue. The client reports pain and it is not yet time for more medication. What comfort measures can the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

Applying a heating pad, Providing a massage

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.

Adherence to the antibiotic regimen, Eating high-protein/high carbohydrate foods, Proper use of the intravenous equipment

A client is admitted with a bone tumor. The nurse finds the client weak and lethargic with decreased deep tendon reflexes. What actions by the nurse are best? (Select all that apply.)

Assess the daily serum calcium level., Consult the provider about a loop diuretic., Instruct the client to call for help out of bed.

The nurse is assessing a client for chronic osteomyelitis. Which features distinguish this from the acute form of the disease? (Select all that apply.)

Draining sinus tracts, Presence of foot ulcers

The nurse studying osteoporosis learns that which drugs can cause this disorder? (Select all that apply.)

Barbiturates, Corticosteroids, Loop diuretics

A client is suspected to have muscular dystrophy. About what diagnostic testing does the nurse educate the client? (Select all that apply.)

Electromyography, Muscle biopsy, Serum aldolase, Serum creatinine kinase

A patient complains of shoulder pain when the nurse moves the patient's arm behind the back. Which question should the nurse ask?

"Do you have difficulty when you are putting on a shirt?"

A patient with left knee pain is diagnosed with bursitis. The nurse will explain that bursitis is an inflammation of

a fluid-filled sac found at some joints.

The nurse who notes that a 59-yr-old female patient has lost 1 inch in height over the past 2 years will plan to teach the patient about

Dual-energy x-ray absorptiometry (DXA)

Which information in a 67-yr-old woman's health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?

The patient's mother became shorter with aging.

Which information obtained during the nurse's assessment of a patient's nutritional-metabolic pattern may indicates increased risk for musculoskeletal problems?

The patient is 5 ft, 2 in tall and weighs 180 lb.

Which medication information will the nurse identify as a potential risk to a patient's musculoskeletal system?

The patient has severe asthma requiring frequent therapy with oral corticosteroids.

The nurse finds that a patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance. The nurse should document the patient's muscle strength as level

After completing the health history, the nurse assessing the musculoskeletal system will begin by

observing the patient's body build and muscle configuration.

Which nursing action is correct when performing the straight-leg raising test for an ambulatory patient with back pain?

Lift the patient's leg to a 60-degree angle from the bed

A patient with severe kyphosis is scheduled for dual-energy x-ray absorptiometry (DXA) testing. The nurse will plan to

Explain procedure

A patient has a new order for magnetic resonance imaging (MRI) to evaluate possible left femur osteomyelitis after hip arthroplasty surgery. Which information indicates the nurse should consult with the health care provider before scheduling the MRI?

The patient has a pacemaker

The nurse notes crackling sounds and a grating sensation with palpation of an older patient's elbow. How will this finding be documented?

Crepitation

Which finding for a 77-yr-old patient seen in the outpatient clinic requires further nursing assessment and intervention?

History of recent loss of balance and fall

Which finding from analysis of fluid from a patient's right knee arthrocentesis will be of concern to the nurse?

Cloudy fluid

Which action can the nurse delegate to unlicensed assistive personnel (UAP) who are working in the orthopedic clinic?

Obtain blood sample for uric acid from a patient with gout.

A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic irrigation. Which intervention will the nurse include in the initial plan of care?

Immobilization of the left leg

A patient is being discharged after 1 week of IV antibiotic therapy for acute osteomyelitis in the right leg. Which information will be included in the discharge teaching?

How to monitor and care for a long-term IV catheter

A patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the left femur. The nurse identifies a need for additional teaching related to health maintenance when the nurse finds that the patient

is unable to plantar flex the foot on the affected side.

The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee amputation. Which statement by a patient indicates additional patient teaching is needed?

I did not have this bone cancer until my leg broke a week ago."

A patient with muscular dystrophy is hospitalized with pneumonia. Which nursing action will be included in the plan of care?

Assist the patient with ambulation.

An appropriate nursing intervention for a patient who has acute low back pain and muscle spasms is to teach the patient to

keep the head elevated slightly and flex the knees when resting in bed.

A patient whose employment requires frequent lifting has a history of chronic back pain. After the nurse has taught the patient about correct body mechanics, which patient statement indicates the teaching has been effective?

"I will begin doing exercises to strengthen and support my back."

The nurse should reposition the patient who has just had a laminectomy and diskectomy by

placing a pillow between the patient's legs and turning the entire body as a unit.

The nurse will determine more teaching is needed if a patient with discomfort from a bunion says,

"I will only wear sandals, no closed-toe shoes."

An assessment finding for a 55-yr-old patient that alerts the nurse to the presence of osteoporosis is

loss of height

A 54-yr-old woman who recently reached menopause and has a family history of osteoporosis is diagnosed with osteopenia following densitometry testing. In teaching the woman, the nurse explains that

calcium loss from bones can be slowed by increasing calcium intake and weight-bearing exercise.

Which menu choice by a patient with osteoporosis indicates the nurse's teaching about appropriate diet has been effective?

Oatmeal with skim milk and fruit yogurt

The nurse evaluating effectiveness of prescribed calcitonin and ibandronate (Boniva) for a patient with Paget's disease will consider the patient's

pain intensity.

Which action should the nurse take before administering gentamicin (Garamycin) to a patient with acute osteomyelitis?

Review the patient's serum creatinine.

Which assessment finding for a patient who has had surgical reduction of an open fracture of the right radius requires notification of the health care provider?

Temperature 101.4° F (38.6° C)

After laminectomy with a spinal fusion to treat a herniated disc, a patient reports numbness and tingling of the right lower leg. The first action the nurse should take is to

check the chart for preoperative assessment data.

When administering alendronate (Fosamax) to a patient with osteoporosis, the nurse will

assist the patient to sit up at the bedside.

Which nursing action included in the care of a patient after laminectomy can the nurse delegate to experienced unlicensed assistive personnel (UAP)?

Log roll the patient from side to side every 2 hours.

Which action will the nurse take when caring for a patient with osteomalacia?

Teach about the use of vitamin D supplements.

Which action will the nurse take first when a patient is seen in the outpatient clinic with neck pain?

Ask about numbness or tingling of the hands and arms.

A nurse who works on the orthopedic unit has just received change-of-shift report. Which patient should the nurse assess first?

Patient who has not voided 10 hours after having a laminectomy

Which actions will the nurse include in the plan of care for a patient with metastatic bone cancer of the left femur (select all that apply)?

Monitor serum calcium., Support the left leg when repositioning the patient., Support family and patient as they discuss the prognosis.

Which information will the nurse include when teaching a patient with acute low back pain (select all that apply)?

Avoid activities that require twisting of the back or prolonged sitting., Expect symptoms of acute low back pain to improve in a few weeks., Use ibuprofen (Motrin, Advil) or acetaminophen (Tylenol) to relieve pain.

In which order will the nurse implement these interprofessional interventions prescribed for a patient admitted with acute osteomyelitis with a temperature of 101.2° F? (Put a comma and a space between each answer choice [A, B, C, D].)

Obtain blood cultures from two sites., Administer dose of gentamicin 60 mg, Administer acetaminophen (Tylenol) now and every 4 hours PRN for fever., Send to radiology for computed tomography (CT) scan of right leg.

Which finding will the nurse expect when assessing a patient who has osteoarthritis (OA) of the knee?

Discomfort with joint movement

Which assessment finding for a patient using naproxen (Naprosyn) to treat osteoarthritis is likely to require a change in medication?

The patient has dark-colored stools.

After the nurse has finished teaching a patient with osteoarthritis (OA) of the right hip about how to manage the OA, which patient statement indicates a need for more teaching?

"I will take 1 g of acetaminophen (Tylenol) every 4 hours."

The nurse will anticipate the need to teach a patient who has osteoarthritis (OA) about which medication

Capsaicin cream (Zostrix)

A patient being seen in the clinic has rheumatoid nodules on the elbows. Which action will the nurse take

Assess the nodules for skin breakdown or infection.

Which action will the nurse include in the plan of care for a patient with a new diagnosis of rheumatoid arthritis (RA)?

Encourage the patient to take a nap in the afternoon.

A patient with rheumatoid arthritis (RA) complains to the clinic nurse about having chronically dry eyes. Which action by the nurse is appropriate?

Suggest the patient use over-the-counter (OTC) artificial tears.

Which information will the nurse include when preparing teaching materials for a patient with an exacerbation of rheumatoid arthritis?

Applying cold packs before exercise may decrease joint pain.

Which laboratory result will the nurse monitor to determine if prednisone has been effective for a patient with an acute exacerbation of rheumatoid arthritis?

C-reactive protein

The nurse teaching a support group of women with rheumatoid arthritis (RA) about how to manage activities of daily living suggests they should

Avoid activities requiring repetitive use of the same muscles and joints.

study

ユーザ名非公開 · 61問 · 1年前

study