Question 1

What should the nurse include in the plan of care for a patient following a myelogram?

Accepted Answer

A)  Position in a semi-Fowler position for 8 hours to reduce potential of headache 
B)  Place patient flat on back to compress puncture site 
C)  Ambulate for brief periods to lessen postmyelogram headache 
D)  Limit fluids to increase absorption of the dye 
A)  Position in a semi-Fowler position for 8 hours to reduce potential of headache 
B)  Place patient flat on back to compress puncture site 
C)  Ambulate for brief periods to lessen postmyelogram headache 
D)  Limit fluids to increase absorption of the dye

Question 2

What should the nurse stress to a patient who has had a hip replacement and is beginning strengthening exercises for the unaffected leg?

Accepted Answer

A)  Flex the knee and flex the foot 
B)  Lift the leg from the mattress and rotate the foot 
C)  Pull knee to chest and extend the foot 
D)  Push foot down against the footboard for a count of five 
A)  Flex the knee and flex the foot 
B)  Lift the leg from the mattress and rotate the foot 
C)  Pull knee to chest and extend the foot 
D)  Push foot down against the footboard for a count of five

Question 3

The 14-year-old boy who is scheduled for left leg amputation says to the nurse, "What in the world am I going to do with only one leg?" What is the nurse's most therapeutic response?

Accepted Answer

A)  "What are you thinking about right now?" 
B)  "With a prosthesis, you will be as good as new." 
C)  "It is way too early to be concerned about that now." 
D)  "When my brother had his leg removed, he did great!" 
A)  "What are you thinking about right now?" 
B)  "With a prosthesis, you will be as good as new." 
C)  "It is way too early to be concerned about that now." 
D)  "When my brother had his leg removed, he did great!"

Question 4

A patient, age 68, has suffered an intertrochanteric fracture of the right hip. Before surgery, to provide support and comfort, an immobilizing device of a ______ is applied.

Accepted Answer

A)  Thomas splint 
B)  Bryant traction 
C)  Russell traction 
D)  Buck traction 
A)  Thomas splint 
B)  Bryant traction 
C)  Russell traction 
D)  Buck traction

Question 5

The patient has been diagnosed as having gouty arthritis. The patient asks the nurse to explain the cause of the inflammation of the great toe. What is the most appropriate nursing response?

Accepted Answer

A)  "You have calcium oxalate deposits that are seen in gouty arthritis." 
B)  "The inflammation is from small accumulations of uric acid crystals, which are called tophi." 
C)  "The small nodules are not related to the arthritis condition." 
D)  "You have fat deposits that are common with gouty arthritis." 
A)  "You have calcium oxalate deposits that are seen in gouty arthritis." 
B)  "The inflammation is from small accumulations of uric acid crystals, which are called tophi." 
C)  "The small nodules are not related to the arthritis condition." 
D)  "You have fat deposits that are common with gouty arthritis."

Question 6

What should the nurse stress to a post-hip replacement patient in quadriceps setting exercises?

Accepted Answer

A)  Push knee down to mattress and raise heel off the bed 
B)  Flex knee and extend foot 
C)  Adduct leg and flex foot 
D)  Lift leg and heel off the bed 
A)  Push knee down to mattress and raise heel off the bed 
B)  Flex knee and extend foot 
C)  Adduct leg and flex foot 
D)  Lift leg and heel off the bed

Question 7

When the patient with rheumatoid arthritis complains about the daily exercise, the nurse encouragingly reminds the patient that exercises:

Accepted Answer

A)  keeps the joints from "freezing." 
B)  will ensure better sleep. 
C)  should be vigorous for joint stimulation. 
D)  need not be done daily. 
A)  keeps the joints from "freezing." 
B)  will ensure better sleep. 
C)  should be vigorous for joint stimulation. 
D)  need not be done daily.

Question 8

What is the large, fan-shaped muscle that covers the anterior chest from the sternum to the proximal end of the humerus and acts on the joint of the shoulder to flex, adduct, and rotate?

Accepted Answer

A)  Serratus anterior 
B)  Intercostal 
C)  Transversus abdominis 
D)  Pectoralis major 
A)  Serratus anterior 
B)  Intercostal 
C)  Transversus abdominis 
D)  Pectoralis major

Question 9

Forty-eight hours after a patient sustained a fractured femur in a car accident, the nurse assessed a pulse of 110, respirations at 25, and labored crackles in both lung fields. The nurse immediately reports to the charge nurse the probability of a(n):

Accepted Answer

A)  impending pneumonia. 
B)  atelectasis. 
C)  fat embolism. 
D)  anxiety attack. 
A)  impending pneumonia. 
B)  atelectasis. 
C)  fat embolism. 
D)  anxiety attack.

Question 10

The patient that has a bipolar hip replacement following an intracapsular fracture has an order to be turned every 2 hours. The nurse understands that the correct nursing intervention is to keep the legs:

Accepted Answer

A)  together so they do not separate while turning. 
B)  flexed to stabilize the prosthesis. 
C)  abducted so the prosthesis does not become dislocated. 
D)  adducted to prevent additional pain for the patient with turning. 
A)  together so they do not separate while turning. 
B)  flexed to stabilize the prosthesis. 
C)  abducted so the prosthesis does not become dislocated. 
D)  adducted to prevent additional pain for the patient with turning.

Question 11

What should the home health nurse include assessment for in the plan of care for an 82-year-old female with severe kyphosis from ankylosis?

Accepted Answer

A)  Urinary output 
B)  Respiratory effort 
C)  Sleep cycle 
D)  Nutritional status 
A)  Urinary output 
B)  Respiratory effort 
C)  Sleep cycle 
D)  Nutritional status

Question 12

The characteristics of osteoarthritis that should be included in a teaching plan would include that osteoarthritis (select all that apply):

Accepted Answer

A)  will cause the formation of Heberden nodes. 
B)  can involve other organs. 
C)  results from wear and tear. 
D)  may affect only one side of the body. 
E)  may cause constitutional symptoms of fatigue and fever.
F) will cause marked erythema and edema of hands. 
A)  will cause the formation of Heberden nodes. 
B)  can involve other organs. 
C)  results from wear and tear. 
D)  may affect only one side of the body. 
E)  may cause constitutional symptoms of fatigue and fever.
F) will cause marked erythema and edema of hands.

Question 13

Which finding would delay a computed tomography (CT) scan?

Accepted Answer

A)  Patient's allergy to shellfish 
B)  Patient in first trimester of a pregnancy 
C)  Patient's allergy to milk products 
D)  Patient's gluten intolerance 
A)  Patient's allergy to shellfish 
B)  Patient in first trimester of a pregnancy 
C)  Patient's allergy to milk products 
D)  Patient's gluten intolerance

Question 14

The office nurse has noted the presence of an increase in lumbar curvature in a 20-year-old female patient. What is this condition known as?

Accepted Answer

A)  Scoliosis 
B)  Lordosis 
C)  Kyphosis 
D)  Spondylitis 
A)  Scoliosis 
B)  Lordosis 
C)  Kyphosis 
D)  Spondylitis

Question 15

A 16-year-old male patient presents in the emergency room with a pathologic fracture of the left femur and complains of pain on weight bearing. These are cardinal indicators of:

Accepted Answer

A)  osteogenic sarcoma. 
B)  osteoporosis. 
C)  rheumatoid arthritis. 
D)  osteochondroma. 
A)  osteogenic sarcoma. 
B)  osteoporosis. 
C)  rheumatoid arthritis. 
D)  osteochondroma.

Question 16

A patient who has had a right below the knee amputation continues to complain of unpleasant sensation in the right foot. What can the nurse explain about this "phantom pain"?

Accepted Answer

A)  It only exists in the mind. 
B)  It is a complication following an amputation and can be clarified by the surgeon. 
C)  It is related to the severed nerves that are still sending messages to the brain. 
D)  It occurs when the person becomes focused on the loss of the limb. 
A)  It only exists in the mind. 
B)  It is a complication following an amputation and can be clarified by the surgeon. 
C)  It is related to the severed nerves that are still sending messages to the brain. 
D)  It occurs when the person becomes focused on the loss of the limb.

Question 17

What should the nurse include in the teaching plan for a patient who is taking alendronate (Fosamax)?

Accepted Answer

A)  Take drug with any meal 
B)  Take drug first thing in the morning 
C)  Drink at least 5 oz of milk before taking drug 
D)  Take drug with an antacid to avoid heartburn 
A)  Take drug with any meal 
B)  Take drug first thing in the morning 
C)  Drink at least 5 oz of milk before taking drug 
D)  Take drug with an antacid to avoid heartburn

Question 18

Which foods should the home health nurse suggest for the patient with osteoporosis to help slow the disease?

Accepted Answer

A)  Leafy green vegetables 
B)  Foods high in sodium 
C)  Tea and coffee 
D)  Vitamin A 
A)  Leafy green vegetables 
B)  Foods high in sodium 
C)  Tea and coffee 
D)  Vitamin A

Question 19

What should the nurse instruct the patient before a magnetic resonance imaging (MRI) procedure?

Accepted Answer

A)  Void to completely empty the bladder 
B)  Omit all citrus food for 12 hours before the procedure 
C)  Remove all metal, such as jewelry, glasses, and hair clips 
D)  Wear only cotton garments for the procedure 
A)  Void to completely empty the bladder 
B)  Omit all citrus food for 12 hours before the procedure 
C)  Remove all metal, such as jewelry, glasses, and hair clips 
D)  Wear only cotton garments for the procedure

Question 20

The nurse takes into consideration that a healing fracture progresses through several healing stages. Place the stages in order of healing. (Separate letters by a comma and space as follows: A, B, C, D)
A) Development of fibrin meshwork
B) Collagen fibers collect calcium
C) Osteoblasts home fracture site form
D) Callus
E) Formation of hematoma 
F) Clot formation
G) Vascularization

Accepted Answer

F, E, A, C, G, B, D
The healing stages o

Exam 43: Care of the Patient with a Musculoskeletal Disorder

What should the nurse include in the plan of care for a patient following a myelogram?

What should the nurse stress to a patient who has had a hip replacement and is beginning strengthening exercises for the unaffected leg?

The 14-year-old boy who is scheduled for left leg amputation says to the nurse, "What in the world am I going to do with only one leg?" What is the nurse's most therapeutic response?

A patient, age 68, has suffered an intertrochanteric fracture of the right hip. Before surgery, to provide support and comfort, an immobilizing device of a ______ is applied.

The patient has been diagnosed as having gouty arthritis. The patient asks the nurse to explain the cause of the inflammation of the great toe. What is the most appropriate nursing response?

What should the nurse stress to a post-hip replacement patient in quadriceps setting exercises?

When the patient with rheumatoid arthritis complains about the daily exercise, the nurse encouragingly reminds the patient that exercises:

What is the large, fan-shaped muscle that covers the anterior chest from the sternum to the proximal end of the humerus and acts on the joint of the shoulder to flex, adduct, and rotate?

Forty-eight hours after a patient sustained a fractured femur in a car accident, the nurse assessed a pulse of 110, respirations at 25, and labored crackles in both lung fields. The nurse immediately reports to the charge nurse the probability of a(n):

The patient that has a bipolar hip replacement following an intracapsular fracture has an order to be turned every 2 hours. The nurse understands that the correct nursing intervention is to keep the legs:

What should the home health nurse include assessment for in the plan of care for an 82-year-old female with severe kyphosis from ankylosis?

The characteristics of osteoarthritis that should be included in a teaching plan would include that osteoarthritis (select all that apply):

Which finding would delay a computed tomography (CT) scan?

The office nurse has noted the presence of an increase in lumbar curvature in a 20-year-old female patient. What is this condition known as?

A 16-year-old male patient presents in the emergency room with a pathologic fracture of the left femur and complains of pain on weight bearing. These are cardinal indicators of:

A patient who has had a right below the knee amputation continues to complain of unpleasant sensation in the right foot. What can the nurse explain about this "phantom pain"?

What should the nurse include in the teaching plan for a patient who is taking alendronate (Fosamax)?

Which foods should the home health nurse suggest for the patient with osteoporosis to help slow the disease?

What should the nurse instruct the patient before a magnetic resonance imaging (MRI) procedure?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

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