Medical, Pharmaceutical & Health Sciences
NursingSurgical NursingMedical Surgical NursingPractice Set 37
NursingSurgical NursingMedical Surgical NursingPractice Set 37Nursing Management Musculo-skeletal Problems
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- Introduction to Medical-Surgical Nursing Practice in CanadaCultural Competence and Health Equity in Nursing CareHealth History and Physical ExaminationPatient and Caregiver TeachingChronic IllnessCommunity-Based Nursing and Home CareOlder AdultsStress and Stress ManagementSleep and Sleep DisordersPainSubstance UseComplementary and Alternative TherapiesPalliative Care at the End of LifeInflammation and Wound HealingGeneticsAltered Immune Response and TransplantationInfection and Human Immunodeficiency Virus InfectionCancerFluidNursing Management Preoperative CareNursing Management Intraoperative CareNursing Management Postoperative CareNursing Assessment Visual and Auditory SystemsNursing Management Visual and Auditory ProblemsNursing Assessment Integumentary SystemNursing Management Integumentary ProblemsNursing Management BurnsNursing Assessment Respiratory SystemNursing Management Upper Respiratory ProblemsNursing Management Lower Respiratory ProblemsNursing Management Obstructive Pulmonary DiseasesNursing Assessment Hematological SystemNursing Management Hematological ProblemsNursing Assessment Cardiovascular SystemNursing Management HypertensionNursing Management Coronary Artery Disease and Acute Coronary SyndromeNursing Management Heart FailureNursing Management DysrhythmiasNursing Management Inflammatory and Structural Heart DisordersNursing Management Vascular DisordersNursing Assessment Gastro-intestinal SystemNursing Management Nutritional ProblemsNursing Management ObesityNursing Management Upper Gastro-intestinal ProblemsNursing Management Lower Gastro-intestinal ProblemsNursing Management LiverNursing Assessment Urinary SystemNursing Management Renal and Urologic ProblemsNursing Management Acute Kidney Injury and Chronic Kidney DiseaseNursing Assessment Endocrine SystemNursing Management Endocrine ProblemsNursing Management Diabetes MellitusNursing Assessment Reproductive SystemNursing Management Breast DisordersNursing Management Sexually Transmitted InfectionsNursing Management Female Reproductive ProblemsNursing Management Male Reproductive ProblemsNursing Assessment Nervous SystemNursing Management Acute Intracranial ProblemsNursing Management StrokeNursing Management Chronic Neurological ProblemsNursing Management DeliriumNursing Management Peripheral Nerve and Spinal Cord ProblemsNursing Assessment Musculo-skeletal SystemNursing Management Musculo-skeletal Trauma and Orthopedic SurgeryNursing Management Musculo-skeletal ProblemsNursing Management Arthritis and Connective Tissue DiseasesNursing Management Critical Care EnvironmentNursing Management ShockNursing Management Respiratory Failure and Acute Respiratory Distress SyndromeNursing Management Emergency Care SituationsEmergency Management and Disaster Planning
Question 1
Free
Multiple Choice
The nurse is caring for a client who is hospitalized for initiation of regional antibiotic irrigation for acute osteomyelitis of the right femur. Which of the following interventions should be included in the plan of care?
Choose correct answer/s
Immobilization of the right leg
Frequent weight-bearing exercise
Avoiding administration of nonsteroidal anti-inflammatory drugs (NSAIDs)
Support of the right leg in a flexed position
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Question 2
Free
Multiple Choice
The nurse is preparing a client for discharge after 2 weeks of IV antibiotic therapy for acute osteomyelitis in the left leg. Which of the following information should be included in the discharge teaching?
Choose correct answer/s
How to apply warm packs safely to the leg to reduce pain?
How to monitor and care for the long-term IV catheter site?
The need for daily aerobic exercise to help maintain muscle strength
The reason for taking oral antibiotics for 7-10 days after discharge
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Question 3
Free
Multiple Choice
The home care nurse is caring for a client who has chronic osteomyelitis of the left femur who is being managed at home with administration of IV antibiotics. Which of the following findings would indicate to the nurse that a nursing diagnosis of ineffective health maintenance is appropriate for this client?
Choose correct answer/s
Takes and records the oral temperature twice a day
Is unable to plantar flex the foot on the affected side
Uses crutches to avoid weight bearing on the affected leg
Is irritable and frustrated with the length of treatment required
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Question 4
Free
Multiple Choice
Which of the following statements by a client who is scheduled for an above-the-knee amputation for treatment of an osteosarcoma of the right tibia indicates that client teaching is needed?
Choose correct answer/s
"I did not have this bone cancer until my leg broke a week ago."
"I wish that I did not have to have chemotherapy after this surgery."
"I know that I will need to participate in physical therapy after surgery."
"I will use the patient-controlled analgesia (PCA) to control postoperative pain."
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Question 5
Free
Multiple Choice
The nurse is caring for a client with pes planus. Which of the following actions should the nurse expect to provide symptom relief for this client?
Choose correct answer/s
The administration of a corticosteroid
The use of longitudinal arch supports
Passive manual stretching of the PIP joint
Casting of the affected foot
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Question 6
Multiple Choice
The nurse is caring for a client who has muscle spasms and acute low back pain. Which of the following actions is most appropriate to teach the client to promote comfort?
Choose correct answer/s
Avoid the use of cold because it will exacerbate the muscle spasms.
Keep both feet flat on the floor when prolonged standing is required.
Keep the hips and knees flexed when resting in bed.
Twist gently from side to side to maintain range of motion in the spine.
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Question 7
Multiple Choice
The nurse is teaching a client whose work involves lifting and has a history of chronic back pain about proper body mechanics. Which of the following client statements indicates that the teaching has been effective?
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"I plan to start doing exercises to strengthen the muscles of my back."
"I will try to sleep with my hips and knees extended to prevent back strain."
"I can tell my boss that I need to change to a job where I can work at a desk."
"I will keep my back straight when I need to lift anything higher than my waist."
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Question 8
Multiple Choice
The nurse is caring for a client who has a herniated intravertebral disk who has had a laminectomy and discectomy. Following the surgery, which of the following actions should the nurse implement to position the client on his or her side?
Choose correct answer/s
Instruct the client to move the legs before turning the rest of the body.
Have the client turn by grasping the side rails and pulling the shoulders over.
Place a pillow between the client's legs and turn the entire body as a unit.
Turn the client's head and shoulders first, followed by the hips, legs, and feet.
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Question 9
Multiple Choice
The nurse is teaching a client with a bunion about how to prevent further problems. Which of the following client statements indicates that more teaching is required?
Choose correct answer/s
"I will throw away my high heel shoes."
"I will use the bunion pad to relieve the pain."
"I will need to wear open sandals at all times."
"I will take ibuprofen when I need it."
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Question 10
Multiple Choice
Which of the following assessment findings should alert the nurse to the presence of osteoporosis in an adult client?
Choose correct answer/s
Measurable loss of height
Presence of bowed legs
Aversion to dairy products
Statements about frequent falls
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Question 11
Multiple Choice
The nurse is caring for an older female adult client who has a family history of osteoporosis and is diagnosed with osteopenia following densitometry testing. Which of the following explanations should the nurse provide when teaching the client about osteoporosis?
Choose correct answer/s
Estrogen replacement therapy must be started to prevent rapid progression to osteoporosis.
Continuous, low-dose corticosteroid treatment is effective in stopping the course of osteoporosis.
With a family history of osteoporosis, there is no way to prevent or slow gradual bone resorption.
Calcium loss from bones can be slowed by increasing calcium intake and weight-bearing exercise.
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Question 12
Multiple Choice
Which of the following menu choices by a client with osteoporosis indicates that the nurse's teaching about appropriate diet has been effective?
Choose correct answer/s
Pancakes with syrup and bacon
Whole wheat toast and fruit jelly
Two-egg omelette and a half grapefruit
Oatmeal with skim milk and fruit yogourt
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Question 13
Multiple Choice
The nurse is caring for a client who has Paget's disease and is prescribed salmon calcitonin and acetaminophen. Which of the following assessment information will the nurse obtain to evaluate the effectiveness of these medications?
Choose correct answer/s
Pain level
Oral intake
Daily weight
Grip strength
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Question 14
Multiple Choice
The nurse is caring for a client who has acute osteomyelitis and is receiving tobramycin 80 mg IV twice daily. Which of the following actions should the nurse take before administering the gentamicin?
Choose correct answer/s
Ask the client about any nausea.
Obtain the client's oral temperature.
Change the prescribed wet-to-dry dressing.
Review the client's blood urea nitrogen (BUN) and creatinine levels.
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Question 15
Multiple Choice
The nurse is caring for a client who has had a surgical reduction of an open fracture of the left tibia. Which of the following assessment findings is most important to report to the health care provider?
Choose correct answer/s
Left leg muscle spasms
Serous wound drainage
Left leg pain with movement
Temperature 38.6C (101.5F)
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Question 16
Multiple Choice
The nurse is caring for a client following a laminectomy with a spinal fusion who reports numbness and tingling of the right lower leg. Which of the following actions should the nurse do first?
Choose correct answer/s
Report the client's symptoms to the surgeon.
Check the vital signs for indications of hemorrhage.
Turn the client to the side to relieve pressure on the right leg.
Document the findings and reassess the client in two hours.
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Question 17
Multiple Choice
The nurse is preparing to administer alendronate to a client with osteoporosis. Which of the following actions will the nurse implement initially?
Choose correct answer/s
Ensure the client has recently eaten.
Ask about any leg cramps or hot flashes.
Assist the client to sit up at the bedside.
Administer the prescribed calcium carbonate.
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Question 18
Multiple Choice
The nurse is assessing a client in the foot clinic who has severe heel pain. Which of the following foot disorders should the nurse assess for the presence of in the client?
Choose correct answer/s
Hallux rigidus
Morton's neuroma
Pes cavus
Plantar fasciitis
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Question 19
Multiple Choice
The nurse is planning an educational session related to foot problems at a local seniors club. Which of the following information should the nurse include in the session related to why the older adult is prone to developing foot problems? (Select all that apply.)
Choose correct answer/s
Poor circulation
Inactivity
Decreased lower extremity sensation
Poor foot hygiene
Atherosclerosis
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