Management Of Clients With Musculoskeletal Disorders

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Question 1
Free
Multiple Choice

The nurse assesses that the individual most susceptible to osteoporosis is the

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A

muscular 50-year-old man with diabetes.

B

obese 50-year-old woman who is allergic to milk.

C

thin 70-year-old man with gout.

D

very slender 75-year-old woman.

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Question 2
Free
Multiple Choice

The nurse counseling a client with osteoporosis identifies one of the medications that may have contributed to the condition as

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A

aspirin.

B

colchicine.

C

ibuprofen.

D

prednisone.

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Question 3
Free
Multiple Choice

A nurse admitting a 22-year-old client with septic arthritis in the knees would inquire about recent infection with

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A

a respiratory tract virus.

B

gonorrhea.

C

strep throat.

D

urinary tract manifestations.

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Question 4
Free
Multiple Choice

The nurse instructing a client at risk for osteoporosis would encourage the client to include which item in the client's diet?

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A

Beans

B

Citrus fruits

C

Dairy products

D

Red meat

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Question 5
Free
Multiple Choice

A client with osteoporosis complains that avoiding coffee will be very difficult. To offset coffee consumption, the nurse might suggest that for every cup of coffee consumed, the client should

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A

add 1 serving of leafy green vegetables.

B

combine 20 minutes of exercise to the daily program.

C

drink 1 glass of orange juice or grapefruit juice.

D

take 40 mg of over-the-counter calcium.

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Question 6
Multiple Choice

The nurse is counseling a client at risk of osteoporosis that one of the most beneficial exercises is

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A
cycling.
B
swimming.
C
walking.
D
water aerobics.
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Question 7
Multiple Choice

A client has been diagnosed with early osteoarthritis (OA) in the hips. The nurse explains that the first medical treatment that will be tried is administration of

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A
acetaminophen (Tylenol).
B
celecoxib (Celebrex).
C
misoprostol (Citotec).
D
nonsteroidal anti-inflammatory drugs (NSAIDs).
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Question 8
Multiple Choice

The nurse instructing a client on considerations regarding the medication calcium carbonate would include in the teaching plan that the client

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A
has to wait 1 hour after meals to take the medication.
B
may experience nausea or diarrhea.
C
needs to take the calcium with an 8-ounce glass of water.
D
should take the calcium carbonate with food.
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Question 9
Multiple Choice

The nurse is assessing a client with osteoporosis. The finding that is consistent with the nurse's understanding of the disease is

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A
a stiff posture.
B
kyphosis.
C
pain in long bones.
D
weight loss.
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Question 10
Multiple Choice

In the initial visit to a recently discharged client with osteoporosis, the home health nurse will reinforce the priority topic of

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A
diet low in phosphates.
B
exercise regimen.
C
hazards to home safety.
D
medication administration.
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Question 11
Multiple Choice

On admission assessment of a client with Paget's disease, the nurse would anticipate the client to complain of

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A
continuous bone pain.
B
fever in the afternoon.
C
pain on ambulation.
D
swelling at site of deformity.
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Question 12
Multiple Choice

The nurse discussing treatment options with a client with Paget's disease will focus on the most frequent treatment, which is with

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A
bisphosphonates.
B
calcium supplements.
C
heat and cold application.
D
splinting.
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Question 13
Multiple Choice

When counseling a client who is a strict vegan, the nurse would caution that this diet puts the client at risk for

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A
gout.
B
osteoarthritis.
C
osteomalacia.
D
Paget's disease.
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Question 14
Multiple Choice

The client with osteomalacia is depressed and anxious about the outcome of the illness. The most beneficial nursing response would be

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A
"Cortisone and active weight-bearing exercises will reduce the symptoms."
B
"Don't worry; some adjustments in lifestyle can offer a normal life expectancy."
C
"I can see you are upset. Did the doctor tell you this is easy to treat and control?"
D
"Treatment with high-dose calcium supplements will correct the disorder."
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Question 15
Multiple Choice

On admitting a client with acute osteomyelitis, the nurse is not surprised at the client's complaint of

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A
generalized bone pain.
B
localized pain and redness.
C
nausea and vomiting.
D
paresthesias in the affected extremity.
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Question 16
Multiple Choice

After surgical debridement of diseased bone, a client with acute osteomyelitis asks how long antibiotics will be administered. The nurse should respond that the antibiotic protocol will be

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A
oral antibiotics for 2-4 weeks.
B
oral antibiotics for 4-8 weeks.
C
parenteral for 4-8 weeks, then oral for 4-8 weeks.
D
parenteral for 4-8 weeks, then oral for 1 year.
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Question 17
Multiple Choice

The nurse recognizes the significant laboratory finding helpful in confirming the diagnosis of a bone tumor as

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A
decreased calcium level.
B
decreased potassium level.
C
elevated alkaline phosphatase level.
D
elevated creatinine level.
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Question 18
Multiple Choice

The nurse explains that the most common early manifestation of a primary bone tumor is

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A
fever.
B
fracture.
C
mass.
D
redness.
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Question 19
Multiple Choice

A client is being managed for prevention of gout and the nurse is reviewing the client's medication list and teaching about the medications. The nurse evaluates that the client understands the medication when the client says

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A
"Allopurinol blocks production of uric acid."
B
"Colchicine can be used with probenecid."
C
"Long-term steroids are needed to prevent attacks."
D
"NSAIDs are not effective against the pain of gout."
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Question 20
Multiple Choice

The nurse teaching a class on osteoarthritis (OA) stresses that this disorder is best described as

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A
degeneration of articular cartilage in synovial joints.
B
enzymatic breakdown of tissue in non-weight-bearing joints.
C
joint destruction caused by an autoimmune process.
D
overproduction of synovial fluid, resulting in joint destruction.
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