Exam 64: Nursing Management: Musculoskeletal Problems

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Following laminectomy with a spinal fusion to treat a herniated disc,a patient reports numbness and tingling of the right lower leg.The first action that the nurse should take is to

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B

In which order will the nurse implement these collaborative interventions prescribed for a patient being admitted who has acute osteomyelitis with a temperature of 101.2° F (Put a comma and a space between each answer choice [A,B,C,D].) A) Obtain blood cultures from two sites. B) Send to radiology for computed tomography (CT) scan of right leg. C) Administer gentamicin (Garamycin) 60 mg IV. D) Administer acetaminophen (Tylenol) now and every 4 hours PRN for fever.

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A,C,D,B
The highest priority for possible osteomyelitis is initiation of antibiotic therapy,but cultures should be obtained before administration of antibiotics.Addressing the discomfort of the fever is the next highest priority.Because the purpose of the CT scan is to determine the extent of the infection,it can be done last.

A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic irrigation.Which intervention will be included in the initial plan of care?

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A

The nurse evaluating effectiveness of prescribed calcitonin (Cibacalcin)and ibandronate (Boniva)for a patient with Paget's disease will consider the patient's

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The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee amputation.Which statement by a patient indicates that additional patient teaching is needed?

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Which action will the nurse take first when a patient is seen in the outpatient clinic with neck pain?

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Which actions will the nurse include in the plan of care when caring for a patient with metastatic bone cancer of the left femur ?

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A nurse who works on the orthopedic unit has just received the change-of-shift report.Which patient should the nurse assess first?

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Which action will the nurse take when caring for a patient with osteomalacia?

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A 39-year-old patient whose work involves frequent lifting has a history of chronic back pain.After the nurse has taught the patient about correct body mechanics,which patient statement indicates that the teaching has been effective?

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Which menu choice by a patient with osteoporosis indicates that the nurse's teaching about appropriate diet has been effective?

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Which information will the nurse include when teaching a patient with acute low back pain ?

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The nurse should reposition the patient who has just had a laminectomy and diskectomy by

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Which assessment finding for a patient who has had a surgical reduction of an open fracture of the right radius is most important to report to the health care provider?

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A 23-year-old patient with a history of muscular dystrophy is hospitalized with pneumonia.Which nursing action will be included in the plan of care?

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An appropriate nursing intervention for a patient who has acute low back pain and muscle spasms is to teach the patient to

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The nurse will determine that more teaching is needed if a patient with discomfort from a bunion says,"I will

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A patient with osteomyelitis is to receive vancomycin (Vancocin)500 mg IV every 6 hours.The vancomycin is diluted in 100 mL of normal saline and needs to be administered over 1 hour.The nurse will set the IV pump for how many mL/minute? (Round to the nearest hundredth.)

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An assessment finding for a 55-year-old patient that alerts the nurse to the presence of osteoporosis is

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A 67-year-old patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the left femur.The nurse chooses a nursing diagnosis of ineffective health maintenance when the nurse finds that the patient

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