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WorksheetsMusculoskeletal System
Total questions: 10
Worksheet time: 10mins
A 77 year old male patient presents to the ER with tenderness and severe right hip pain after falling inside his house. After having an X-ray and CT scan, Dr.Crooked diagnoses the patient with an extracapsular fracture of his R hip. Following surgery what are your next nursing interventions? Select all that apply.
Monitor I&O's.
Keep patient bed-bound for 48 hours.
Monitor vital signs.
Elevate the surgical leg above the level of the heart.
Administer high dose pain medication.
Mr. Karachi, a 76 year old male is being discharged home after a 2 week hospital stay for surgery on his fractured hip. Which statement by the patient indicates the need for further patient teaching?
"I am glad I only have to wait 5 weeks before I can start hiking again!"
“I need to make sure I drink plenty of fluids”
“I will use a raised toilet seat when going to the restroom”
“I should avoid crossing my legs”
A 37 year old male presents to the ED with complaints of joint stiffness, pain and limitation of movement. The patient is requesting a high dose of pain medication and rates his pain at “11/10”. The patient has track lines on both arms, mydriasis, and is twitching. Dr. Kuzco does not wish to prescribe pain medication due to suspicions that the patient is drug seeking. What is most likely to be the nurse's first intervention?
Active ROM
Hot or cold therapy
Get the patient's medication allergies
Assess the pain and stiffness
Mrs. Kennedy, a 54 year old female with a new diagnosis of Rheumatoid Arthritis, asks you to explain the disease. How are you going to best explain this disease to your patient?
Rheumatoid Arthritis, also known as RA is a viral infection.
Rheumatoid Arthritis is an autoimmune disease that affects the synovial joints.
-Rheumatoid arthritis is an autoimmune disorder where the immune system attacks the joints.
-Rheumatoid arthritis is a bacterial infection that causes bone deterioration.
A 54 year old post-surgical patient is having difficulties ambulating. The provider recommends complementary multidisciplinary rehabilitation, what would the goal of this rehabilitation be?
Returning the level of ambulation to previous level of functioning.
Assisting patient with improved ambulation.
Restoring the patient's ability to ambulate better than before.
Encouraging the patient to work alone.
As patients age, the risk of developing osteoporosis grows. In women, falling estrogen levels cause an increase in bone resorption and a decrease in calcium deposition. Because of this the CDC recommends post-menopausal women to have how many milligrams of calcium daily?
4,000-5,000mg
1000-1500mg
1500-2200 mg
1200-2000mg
A 65 year old male presents to the ER with complaints of frequent episodes of inflammation in the wrists and hands, weight loss and warmth and tenderness in the joints. What do you suspect is the cause of the pain?
rheumatoid arthritis
osteoarthritis
osteoporosis
degenerative joint disease
The 98 year old female patient in a long term care facility has frequent rheumatoid arthritis flare ups which cause difficulty ambulating. The veteran nurse on the floor notices 3 potential problems with the patient. Which of the following are potential problems for this patient?
edema, pain, erythema
motility, elasticity, rigidity
calcium, glucose, potassium
Vitamin D, Calcium, Iron
A patient presents with symptoms of Osteoarthritis, a non-inflammatory disorder in which cartilage and joints regenerate and form new bone at the surface. Due to the patient's cultural beliefs, the patient refuses any medications. What would be a nursing intervention for long term care of the affected joint?
Assistive devices
Hot or cold therapy
Massage
Surgery
A 90 year old patient presents to the ER with complaints of constipation, pain in knees when walking, difficulty lifting heavy objects, and a history of multiple fractures, what is the suspected reasoning for the frequent injuries?
decreased testosterone
Decreased bone calcium
Decreased joint mobility
Decreased fluid in intervertebral discs
Decreased estrogen
