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Chapter 42: Management of Patients With Musculoskeletal Disorders

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Select all of the following that are descriptors of the pathophysiologic process seen in osteomalacia. You selected: • A deficiency of activated vitamin D (calcitriol) • Calcium and phosphate are not moved to the bones. Incorrect Correct response: • A deficiency of activated vitamin D (calcitriol) • Calcium and phosphate are not moved to the bones. • The bone mass is structurally weaker, and bone deformities occur.
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In chronic osteomyelitis, antibiotics are adjunctive therapy in which of the following situations? You selected: Surgical debridement Correct Explanation: In chronic osteomyelitis, antibiotics are adjunctive therapy to surgical debridement.
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(see full question) What food can the nurse suggest to the client at risk for osteoporosis? You selected: Chicken Incorrect Correct response: Broccoli
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The provider asks a nurse to test a patient for Tinel’s sign to diagnose carpal tunnel syndrome. The nurse asked the patient to: You selected: Hold his palm up while the nurse percussed over the median nerve.
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(see full question) Which of the following is the most common and most fatal primary malignant bone tumor? You selected: Enchondroma Incorrect Correct response: Osteogenic sarcoma (osteosarcoma)
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A patient who had hospitalized with acute osteomyelitis is being discharged home. The patient states, You selected: “We will be removing the IV before we send you home.” Incorrect Correct response: “What concerns you the most about caring for the IV?
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A client with diabetes punctured hisfoot with a broken acorn in the yard. Within a week, the client developed osteomyelitis of the foot. The client was admitted for IV antibiotic therapy. How long does the nurse anticipate the client will receive IV antibiotics? You selected: 7 to 10 days Incorrect Correct response: 3 to 6 weeks
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Which of thA patient diagnosed with carpal tunnel syndrome (CTS) asks the nurse about numbness in the fingers and pain in the wrist. In responding to the patient, how would the nurse best describe CTS? You selected: “CTS is a neuropathy that is characterized by flexion contracture of the fourth and fifth fingers.” Incorrect Correct response: “CTS is a neuropathy that is characterized by compression of the median nerve at the wrist.”e following is the first-line medication that would be used to treat and prevent osteoporosis? Correct response: Bisphosphonates
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Question 6: (see full question) The nurse is reviewing the medication administration record of the client. Which of the following medications would lead the nurse to suspect that the client is at risk for osteoporosis? You selected: methotrexate (Rheumatrex) Incorrect Correct response: raloxifene (Evista)
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Morton’s neuroma is exhibited by which clinical manifestations? Correct response: Swelling of the third (lateral) branch of the median plantar nerve
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Which of the following is the most important nursing diagnosis for an elderly patient diagnosed with osteoporosis? You selected: Acute pain related to fracture and muscle spasm Incorrect Correct response: Risk for injury related to fractures due to osteoporosis
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A patient is evaluated for a diagnosis of Paget’s disease. Which of the following is a diagnostic finding for this disease? Correct response: Alkaline phosphate of 165 IU/L
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Which of the following diagnostics are used to evaluate spinal nerve root disorders (r Which medication directly inhibits osteoclasts thereby reducing bone loss and increasing bone mass density (BMD)? You selected: Raloxifene (Evista) Incorrect Correct response: Calcitonin (Miacalcin)adiculopathies)? You selected: Bone scan Incorrect Correct response: Electromyogram
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(see full question) A nurse is planning discharge teaching regarding exercise for a client at risk for osteoporosis. Which of the following exercises would be appropriate? You selected: Walking Correct Explanation: Weight-bearing exercises should be incorporated into the client’s lifestyle activities.
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(see full question) Which medication classification is prescribed when allergy is a factor causing the skin disorder? You selected: Antihistamines
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(see full question) A patient with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. There is no improvement in the wound appearance. What action would the nurse anticipate to promote healing? You selected: Surgical debridement
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(see full question) A patient is having low back pain. What position can the nurse suggest to relieve this discomfort? You selected: Supine, with the knees slightly flexed and the head of the bed elevated 30 degrees
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(see full question) A female client is at risk for developing osteoporosis. Which action will reduce the client’s risk? You selected: Initiating weight-bearing exercise routines
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Which of the following aspects should a nurse include in the teaching plan for a patient with osteomalacia? You selected: Include the supplements of calcium, phosphorus, and vitamin D
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Which of the following is a deformity in which the great toe deviates laterally? You selected: Pes cavus Incorrect Correct response: Hallux valgus
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Lifestyle risk factors for osteoporosis include You selected: an estrogen deficiency or menopause. Incorrect Correct response: lack of exposure to sunshine.
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(see full question) The physician has prescribed plicamycin (Mithracin) to control serum calcium levels in a client with Paget’s disease. The dose prescribed is 25 micrograms per kg. The client weighs 132 lbs. How many milligrams will the nurse expect the client to receive? You selected: 0.5 Incorrect Correct response: 1.5
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A client with low back pain is being seen in the clinic. In planning care, which teaching point should the nurse include? You selected: Use the large muscles of the leg when lifting items.
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Question 6: (see full question) When an infection is blood borne the manifestations include which of the following symptoms? You selected: Chills
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A patient has been prescribed alendronate (Fosamax) for the prevention of osteoporosis. Which of the following is the highest priority nursing intervention associated with the administration of the medication? You selected: Have patient sit upright for 60 minutes following administration
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(see full question) A nurse is educating a patient diagnosed with osteomalacia. Which of the following statements by the nurse is appropriate? You selected: “You will need to avoid foods high in phosphorus, and vitamin D.” Incorrect Correct response: “You may need to be evaluated for an underlying cause, such as renal failure.”
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(see full question) Which medication directly inhibits osteoclasts thereby reducing bone loss and increasing BMD? You selected: Calcitonin (Miacalcin)
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(see full question) A home care nurse assesses for disease complications in a client with bone cancer. Which laboratory value may indicate the presence of a disease complication? You selected: Calcium level of 11.6 mg/dl
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(see full question) Which of the following clinical manifestations would the nurse expect to find in a client who has had osteoporosis for several years? You selected: Decreased height
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(see full question) Which of the following is a risk-lowering strategy for osteoporosis? You selected: Increased age Incorrect Correct response: Smoking cessation
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Mr. Quinn has just been diagnosed with osteomyelitis. Osteomyelitis is an infection of the bone, resulting in limited blood supply to the bone, inflammation of and pressure on the tissue, bone necrosis, and formation of new bone around devitalized bone tissue. What are possible causes of osteomyelitis? Select all that apply. You selected: • Progressive osteoporosis • Trauma, such as penetrating wounds or compound fractures Incorrect Correct response: • Trauma, such as penetrating wounds or compound fractures • Vascular insufficiency in clients with diabetes or peripheral vascular disease
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A client with diabetes punctured hisfoot with a broken acorn in the yard. Within a week, the client developed osteomyelitis of the foot. The client was admitted for IV antibiotic therapy. How long does the nurse anticipate the client will receive IV antibiotics? You selected: 7 to 10 days Incorrect Correct response: 3 to 6 weeks
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(see full question) During a routine physical examination of a client, the nurse observes a flexion deformity of the promixal interphalangeal (PIP) joint of two toes on the right foot. The nurse documents this finding as which of the following? You selected: Hallux valgus Incorrect Correct response: Hammer toe
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