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WorksheetsEx 4- pt1
Total questions: 37
Worksheet time: 19mins
A nurse is discussing conservative management of tendonitis with a patient. Which of the following may be an effective approach to managing tendonitis?
Weight reduction
Use of oral opioid analgesics
Intermittent application of ice and heat
Passive range of motion exercises
A patient presents at a clinic complaining of back pain that goes all the way down the back of the leg to the foot. The nurse should document the presence of what type of pain?
Bursitis
Radiculopathy
Sciatica
Tendonitis
A nurse is caring for a patient with a bone tumor. The nurse is providing education to help the patient reduce the risk for pathologic fractures. What should the nurse teach the patient?
Strive to achieve maximum weight-bearing capabilities.
Gradually strengthen the affected muscles through weight training.
Support the affected extremity with external supports such as splints.
Limit reliance on assistive devices in order to build strength
Which of the following patients should the nurse recognize as being at the highest risk for the development of osteomyelitis?
A middle-age adult who takes ibuprofen daily for rheumatoid arthritis
An elderly patient with an infected pressure ulcer in the sacral area
A 17-year-old football player who had orthopedic surgery 6 weeks prior
An infant diagnosed with jaundice
A nurse is caring for a patient with Paget's disease and is reviewing the patients most recent laboratory values. Which of the following values is most characteristic of Paget's disease?
An elevated level of parathyroid hormone and low calcitonin levels
A low serum alkaline phosphatase level and a low serum calcium level
An elevated serum alkaline phosphatase level and a normal serum calcium level
An elevated calcitonin level and low levels of parathyroid hormone
A nurse is providing a class on osteoporosis at the local seniors center. Which of the following statements related to osteoporosis is most accurate?
Osteoporosis is categorized as a disease of the elderly.
A nonmodifiable risk factor for osteoporosis is a persons level of activity.
Secondary osteoporosis occurs in women after menopause.
Slow discontinuation of corticosteroid therapy can halt the progression of the osteoporosis.
A nurse is caring for an adult patient diagnosed with a back strain. What health education should the nurse provide to this patient?
Avoid lifting more than one-third of body weight without assistance.
Focus on using back muscles efficiently when lifting heavy objects.
Lift objects while holding the object a safe distance from the body.
Tighten the abdominal muscles and lock the knees when lifting of an object.
A patient presents at aclinic complaining of pain in his heel so bad that it inhibits his ability to walk. The patient is subsequently diagnosed with plantar fasciitis. This patients plan of care should include what intervention?
Wrapping the affected area in lambs wool or gauze to relieve pressure
Gently stretching the foot and the Achilles tendon
Wearing open-toed shoes at all times
Applying topical analgesic ointment to plantar surface each morning
A nurse is teaching a patient with osteomalacia about the role of diet. What would be the best choice for breakfast for a patient with osteomalacia?
Cereal with milk, a scrambled egg, and grapefruit
Poached eggs with sausage and toast
Waffles with fresh strawberries and powdered sugar
A bagel topped with butter and jam with aside dish of grapes
A patient tells the nurse that he has pain and numbness to his thumb, first finger, and second finger of the right hand. The nurse discovers that the patient is employed as an auto mechanic, and that the pain is increased while working. This may indicate that the patient could possibly have what health problem?
Carpel tunnel syndrome
Tendonitis
Impingement syndrome
Dupuytrens contracture
A nurse is assessing a patient who reports a throbbing, burning sensation in the right foot. The patient states that the pain is worst during the day but notes that the pain is relieved with rest. The nurse should recognize the signs and symptoms of what health problem?
Mortons neuroma
Pescavus
Hallux valgus
Onychocryptosis
A nurse is reviewing the pathophysiology that may underlie a patients decreased bone density. What hormone should the nurse identify as inhibiting bone resorption and promoting bone formation?
Estrogen
Parathyroid hormone (PTH)
Calcitonin
Progesterone
A patient is undergoing diagnostic testing for osteomalacia. Which of the following laboratory results is most suggestive of this diagnosis?
High chloride,calcium,and magnesium
High parathyroid and calcitonin levels
Low serum calcium and magnesium levels
Low serum calcium and low phosphorus level
An 80-year-old man in a long-term care facility has a chronic leg ulcer and states that the area has become increasingly painful in recent days. The nurse notes that the site is now swollen and warm to the touch. The patient should undergo diagnostic testing for what health problem?
Osteomyelitis
Osteoporosis
Osteomalacia
Septic arthritis
A patient has returned to the unit after undergoing limb-sparing surgery to remove a metastatic bone tumor. The nurse providing postoperative care in the days following surgery assesses for what complication from surgery?
Deficient fluid volume
Delayed wound healing
Hypocalcemia
Pathologic fractures
Anurse is caring for a patient who is 12 hours postoperative following foot surgery. The nurse assesses the presence of edemain the foot. What nursing measure will the nurse implement to control the edema?
Elevate the foot on several pillows.
Apply warm compresses intermittently to the surgical area.
Administer aloop diuretic as ordered.
Increase circulation through frequent ambulation
A patient with diabetes is attending a class on the prevention of associated diseases. What action should the patient perform to reduce the risk of osteomyelitis?
Increase calcium and vitamin intake.
Perform meticulous foot care.
Exercise 3 to 4 times weekly for at least 30 minutes.
Take corticosteroids as ordered.
Anurse is planning the care of an older adult patient with osteomalacia. What action should the nurse recommend in order to promote vitamin D synthesis?
Ensuring adequate exposure to sunlight
Eating a low-purine diet
Performing cardiovascular exercise while avoiding weight-bearing exercises
Taking thyroid supplements as ordered
A patient presents to a clinic complaining of a leg ulcer that isn't healing; subsequent diagnostic testing suggests osteomyelitis. The nurse is aware that the most common pathogen to cause osteomyelitis is what?
Staphylococcus aureus
Proteus
Pseudomonas
Escherichia coli
A nurse is reviewing the care of a patient who has along history of lower back pain that has not responded to conservative treatment measures. The nurse should anticipate the administration of what drug?
Calcitonin
Prednisone
Aspirin
Cyclobenzaprine
A nurse is collaborating with the physical therapist to plan the care of a patient with osteomyelitis. What principle should guide the management of activity and mobility in this patient?
Stress on the weakened bone must be avoided.
Increased heart rate enhances perfusion and bone healing.
Bed rest results in improved outcomes in patients with osteomyelitis
Maintenance of baseline ADLs is the primary goal during osteomyelitis treatment.
A32-year-old patient comes to the clinic complaining of shoulder tenderness, pain, and limited movement. Upon assessment the nurse finds edema. An MRI shows hemorrhage of the rotator cuff tendons and the patient is diagnosed with impingement syndrome. What action should the nurse recommend in order to promote healing?
Support the affected arm on pillows at night.
Take prescribed corticosteroids as ordered.
Put the shoulder through its full range of motion 3 times daily.
Keep the affected arm in asling for 2 to 4 weeks
A patient presents at the clinic with complaints of morning numbness, cramping, and stiffness in his fourth and fifth fingers. What disease process should the nurse suspect?
Tendonitis
A ganglion
Carpal tunnel syndrome
Dupuytrens disease
A patients electronic health record notes that the patient has hallux valgus. What signs and symptoms would the nurse expect this patient to manifest?
Deviation of a great toe laterally
Abnormal flexion of the great toe
An exaggerated arch of the foot
Fusion of the toe joints
An older adult womans current medication regimen includes alendronate (Fosamax). What outcome would indicate successful therapy?
Increased bone mass
Resolution of infection
Relief of bone pain
Absence of tumor spread
Anurse is caring for a patient who is being treated in the hospital for aspontaneous vertebral fracture related to osteoporosis. The nurse should address the nursing diagnosis of Acute Pain Related to Fracture by implementing what intervention?
Maintenance of high Fowlers positioning whenever possible
Intermittent application of heat to the patients back
Use of a pressure-reducing mattress
Passive range of motion exercises
Apatient has been admitted to the hospital with aspontaneous vertebral fracture related to osteoporosis. Which of the following nursing diagnoses must be addressed in the plan of care?
Risk for Aspiration Related to Vertebral Fracture
Constipation Related to Vertebral Fracture
Impaired Swallowing Related to Vertebral Fracture
Decreased Cardiac Output Related to Vertebral Fracture
A nursing educator is reviewing the risk factors for osteoporosis with a group of recent graduates. What risk factor of the following should the educator describe?
Recurrent infections and prolonged use of NSAIDs
High alcohol intake and low body mass index
Small frame, female gender,and Caucasian ethnicity
Male gender, diabetes,and high protein intake
A nurse is providing care for a patient who has osteomalacia. What major goal will guide the choice of medical and nursing interventions?
Maintenance of skin integrity
Prevention of bone metastasis
Maintenance of adequate levels of activated vitamin D
Maintenance of adequate parathyroid hormone function
A patient has been admitted to the medical unit for the treatment of Pagets disease. When reviewing the medication administration record, the nurse should anticipate what medications? Select all that apply.
Calcitonin
Bisphosphonates
Alkaline phosphatase
Calcium gluconate
Estrogen
The health care team is caring for a patient with osteomalacia. It has been determined that the osteomalacia is caused by malabsorption. What is the usual treatment for osteomalacia caused by malabsorption?
Supplemental calcium and increased doses of vitamin D
Exogenous parathyroid hormone and multivitamins
Colony-stimulating factors and calcitonin
Supplemental potassium and pancreatic enzymes
A patient with diabetes has been diagnosed with osteomyelitis. The nurse notes that the patients right foot is pale and mottled, cool to touch, with a capillary refill of greater than 3 seconds. The nurse should suspect what type of osteomyelitis?
Hematogenous osteomyelitis
Osteomyelitis with vascular insufficiency
Contiguous-focus osteomyelitis
Osteomyelitis with muscular deterioration
An orthopedic nurse is caring for a patient who is postoperative day one following foot surgery. What nursing intervention should be included in the patients subsequent care?
Dressing changes should not be performed unless there are clear signs of infection.
The surgical site can be soaked in warm bath water for up to 5 minutes.
The surgical site should be cleansed with hydrogen peroxide once daily.
The foot should be elevated in order to prevent edema.
Anurse is providing discharge teaching for a patient who underwent foot surgery. The nurse is collaborating with the occupational therapist and discussing the use of assistive devices. On what variables does the choice of assistive devices primarily depend?
Patients general condition, balance, and weight-bearing prescription
Patients general condition, strength, and gender
Patients motivation, age, and weight-bearing prescription
Patients occupation, motivation,and age
A patient has come to the clinic for a routine annual physical. The nurse practitioner notes a palpable, painless projection of bone at the patients shoulder. The projection appears to be at the distal end of the humerus. The nurse should suspect the presence of which of the following?
Osteomyelitis
Osteochondroma
Osteomalacia
Pagets disease
An elderly female with osteoporosis has been hospitalized. Prior to discharge, when teaching the patient, the nurse should include information about which major complication of osteoporosis?
Bone fracture
Loss of estrogen
Negative calcium balance
Dowagers hump
An older adult patient sought care for the treatment of aswollen, painful knee joint. Diagnostic imaging and culturing of synovial fluid resulted in a diagnosis of septic arthritis. The nurse should prioritize which of the following aspects of care?
Administration of oral and IV corticosteroids as ordered
Prevention of falls and pathologic fractures
Maintenance of adequate serum levels of vitamin D
Intravenous administration of antibiotics
