Muscular 4

39 Questions | By Justin82 | Updated: Feb 14, 2013 | Attempts: 158

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11. A female patient tells the nurse that she has pain and numbness to her thumb, first finger, and second finger of the right hand. The nurse discovers that the patient is employed as an auto mechanic, and that the pain is increased while working. This may indicate that the patient could possibly have what?
- A) Carpel tunnel syndrome
- B) Tendonitis
- C) Impingement syndrome
- D) Dupuytren's contracture

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Muscular 4

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1. The nurse is caring for a 35-year-old man diagnosed with a back strain. What would be important to discuss with this patient?

17. The nurse is caring for a patient who is 12 hours postop from foot surgery. The nurse assesses the presence of edema in the foot. What nursing measure will the nurse implement to control the edema?

20. A patient presents to the free clinic complaining of a leg ulcer that isn't healing. A culture is taken from the wound site, which is found to be caused by osteomyelitis. The nurse is aware that the most common pathogen to cause osteomyelitis is what?

35. A 39-year-old diabetic patient is at the clinic having a foot check done by the nurse. The nurse notes that the patient's right foot is pale and mottled, cool to touch, with a capillary refill of > 3 seconds. What would the nurse suspect the patient has?

3. A 42-year-old man presents at the clinic complaining of pain in his heel so bad it inhibits his ability to walk. The patient is diagnosed with plantar fasciitis. Patient teaching provided by the nurse would include what instructions to decrease the pain associated with this condition?

16. A patient has returned to the unit after undergoing limb-sparing surgery to remove a bone tumor. The nurse providing postoperative care assesses for what complication from surgery?

6. The nursing instructor is discussing osteomalacia with her nursing students. The instructor gives the student the assignment of planning a day's menu for a patient with osteomalacia. What would be the best choice for breakfast for a patient with osteomalacia?

13. Studies for pre-nursing students include the anatomy and physiology of the human body. What hormone do the students learn inhibits bone resorption and promotes bone formation?

30. A 72-year-old woman is admitted to the orthopedic unit with a possible diagnosis of osteoporosis. Routine x-rays have been ordered. As the nurse caring for the patient, you know that osteoporosis may be undetectable on routine x-rays until there has been demineralization to what extent?

34. The health care team is caring for a patient with osteomalacia. It has been determined that the osteomalacia is caused by malabsorption. What is the usual treatment for osteomalacia cause by malabsorption?

39. An elderly female with osteoporosis has been hospitalized. Prior to discharge, when teaching the patient, the nurse should include information about which major complication of osteoporosis?

19. The Nursing Instructor is talking with her clinical group about osteomalacia. What would the instructor teach her students about a patient with osteomalacia who is being treated with vitamin D supplements and their risk for what?

10. A patient presents at the clinic complaining of back pain that goes all the way down the back of the leg to the foot. What is this type of pain referred to as?

8. You are assisting with assessments on a group of medical-surgical patients. What patient do you recognize as being at the highest risk for the development of osteomyelitis?

4. A nurse is providing an educational class to a group of older adults at a community senior center. The topic of the class is nutrition. The nurse informs the group that the recommended adequate intake (RAI) level of calcium daily is what?

37. You are preparing a patient who underwent foot surgery for discharge. You are discussing the use of assistive devices for a portion of your rehabilitation with the patient and their family. What does the choice of assistive devices depend on?

18. A 36-year-old diabetic woman is attending a class on the prevention of associated diseases. When the nurse talks about osteoporosis, the woman asks the nurse what steps she may take to prevent osteoporosis. What should the nurse advise her to do?

2. The nurse is discussing conservative management of tendonitis with a patient. Which of the following may be an effective approach to managing tendonitis?

23. You are providing an educational class for a group of patients who suffer from low-back pain. What would you include as major goals for patients who have low back pain?

9. The nurse is caring for a patient with a bone tumor. The nurse provides education that teaches the patient to implement measures to reduce the risk for pathologic fractures. What intervention will assist the patient in fracture prevention?

22. A nurse is caring for a patient who has been hospitalized with complaints of low back pain. The patient is scheduled for diagnostic testing in the morning. What is a diagnostic test for low back pain?

31. When discussing diseases of the bone with his nursing students the nursing instructor gives the students a list of risk factors for osteoporosis. What risk factors should be included in that list?

29. A patient diagnosed with osteoporosis has bones that become progressively porous, brittle, and fragile; they fracture easily under stresses that would not break normal bone. This increased susceptibility to fractures manifest most commonly as what?

32. A nurse is presenting her research on osteomalacia at an international conference. When would the nurse tell the attendees that an osteotomy may be performed?

28. A patient with foot problems is diagnosed with Charcot-Marie-Tooth disease. What manifestation would you expect the patient to manifest with Charcot-Marie-Tooth disease?

14. A patient has been admitted to the orthopedic unit with a suspected diagnosis of osteomalacia. The nurse expects to find which of the following laboratory study results to be present?

27. A patient presents at the clinic stating they have hallux valgus. What signs and symptoms would the nurse expect this patient to manifest?

5. The nurse is providing a class on osteoporosis at the local senior citizens center. Which of the following statements related to osteoporosis is correct?

38. A patient has come to the clinic for a routine annual physical. The Nurse Practitioner notes a large projection of bone at the shoulder. The Nurse Practitioner knows that this is most likely what?

26. A 54-year-old male patient presents at the clinic with complaints of a dull aching discomfort, morning numbness, cramping, and stiffness in their fourth and fifth fingers. What disease process would the nurse suspect?

21. Patients who suffer from Paget's disease have more than one pharmacologic option to treat their disease process. What type of drug is the drug of choice for Paget's disease?

12. A clinic nurse is admitting a patient who reports a throbbing burning feeling in the right foot during the day but notes that the pain is relieved with rest. What might the nurse suspect the patient may have?

24. The emergency department nurse is caring for a patient who has presented with complaints of back pain. What would be the most appropriate diagnostic test to detect degenerative disk or disk protrusions?

25. A 32-year-old patient comes to the clinic complaining of shoulder tenderness, pain, and limited movement. Upon assessment the nurse finds edema. An MRI shows hemorrhage of the rotator cuff tendons. The patient is diagnosed with what stage impingement syndrome?

7. A nurse, caring for a patient with Paget's disease, is analyzing her patient's laboratory values. Which of the following values is most often seen in a patient with Paget's disease?

33. What is the drug of choice used to treat osteomyelitis?