Question 1

A patient has undergone a bipolar hip repair (hemiarthroplasty).Which is the most appropriate instruction?

Accepted Answer

A)  Sit in whatever position is most comfortable. 
B)  Sit in a firm,straight-backed chair at a 90-degree angle. 
C)  Avoid crossing the legs. 
D)  Begin full weight-bearing as soon as tolerated. 
A)  Sit in whatever position is most comfortable. 
B)  Sit in a firm,straight-backed chair at a 90-degree angle. 
C)  Avoid crossing the legs. 
D)  Begin full weight-bearing as soon as tolerated. C

Question 2

A patient's patellar-femoral cartilage has deteriorated due to arthritis.The medial and lateral cartilage is undamaged.This patient is likely to undergo partial or _________ knee replacement surgery.

Accepted Answer

unicompartmental

Question 3

The nurse clarifies to a patient who is being evaluated for possible rheumatoid arthritis that the elevated erythrocyte sedimentation rate indicates the presence of:

Accepted Answer

A)  immunoglobulin M. 
B)  abnormal serum protein. 
C)  increased inflammatory reaction in the body. 
D)  C-reactive protein. 
A)  immunoglobulin M. 
B)  abnormal serum protein. 
C)  increased inflammatory reaction in the body. 
D)  C-reactive protein. C

Question 4

What is the first priority nursing intervention for an impending fat embolism?

Accepted Answer

A)  Administer oxygen in a respiratory emergency. 
B)  Increase intravenous fluids. 
C)  Position in flat to ease decreased blood pressure. 
D)  Cover with warm blanket. 
A)  Administer oxygen in a respiratory emergency. 
B)  Increase intravenous fluids. 
C)  Position in flat to ease decreased blood pressure. 
D)  Cover with warm blanket.

Question 5

What does prolonged bed rest put the older adult at risk for?

Accepted Answer

A)  Ankylosing spondylitis 
B)  Pathologic fractures 
C)  Osteomyelitis 
D)  Gout 
A)  Ankylosing spondylitis 
B)  Pathologic fractures 
C)  Osteomyelitis 
D)  Gout

Question 6

A patient had an open reduction with internal fixation (ORIF)for a compound fracture of the left tibia and has been placed in a long leg cast.The assessments by the nurse are: left foot warm/pink,pedal pulse weaker than right,capillary refill 3 seconds,and small 1 cm area of blood on cast.What should the nurse do?

Accepted Answer

A)  Notify charge nurse of impending compartment syndrome. 
B)  Document that all assessments are within normal limits. 
C)  Inform charge nurse about probable hemorrhage. 
D)  Place warm compresses on left foot. 
A)  Notify charge nurse of impending compartment syndrome. 
B)  Document that all assessments are within normal limits. 
C)  Inform charge nurse about probable hemorrhage. 
D)  Place warm compresses on left foot.

Question 7

The emergency department nurse assesses the two cardinal signs of a hip fracture in a newly admitted patient,which are the shortening of the injured leg and the ______ rotation of that same leg.

Accepted Answer

The answer of The emergency department nurse assesses the two...

Question 8

A 56-year-old female patient is being seen for osteoarthritis of the knee in the clinic.What should the nurse recommend when discussing strengthening exercises?

Accepted Answer

A)  Jogging 
B)  Walking rapidly on a treadmill 
C)  Bicycling 
D)  Aerobic exercises 
A)  Jogging 
B)  Walking rapidly on a treadmill 
C)  Bicycling 
D)  Aerobic exercises

Question 9

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 10

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 11

The division of the skeletal system that comprises the skull,hyoid,vertebral column,and thorax is the _____________ division.

Accepted Answer

The answer of The division of the skeletal system that...

Question 12

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 13

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 14

A patient has been casted to stabilize a fracture of the right radius and ulna.The nurse assesses a capillary refill of 5 seconds and cold fingers of the right hand.Which initial intervention should the nurse deploy?

Accepted Answer

A)  Notify the charge nurse of a probable compartment syndrome. 
B)  Apply a warm compress to the fingers to relieve swelling. 
C)  Elevate the right hand to heart level to maintain arterial pressure. 
D)  Cut the cast off to release constriction. 
A)  Notify the charge nurse of a probable compartment syndrome. 
B)  Apply a warm compress to the fingers to relieve swelling. 
C)  Elevate the right hand to heart level to maintain arterial pressure. 
D)  Cut the cast off to release constriction.

Question 15

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 16

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 17

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 18

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 19

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

Accepted Answer

A)  Position in a semi-Fowler's 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's 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 20

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.

Exam 44: Care of the Patient With a Musculoskeletal Disorder

A patient has undergone a bipolar hip repair (hemiarthroplasty).Which is the most appropriate instruction?

A patient's patellar-femoral cartilage has deteriorated due to arthritis.The medial and lateral cartilage is undamaged.This patient is likely to undergo partial or _________ knee replacement surgery.

The nurse clarifies to a patient who is being evaluated for possible rheumatoid arthritis that the elevated erythrocyte sedimentation rate indicates the presence of:

What is the first priority nursing intervention for an impending fat embolism?

What does prolonged bed rest put the older adult at risk for?

The emergency department nurse assesses the two cardinal signs of a hip fracture in a newly admitted patient,which are the shortening of the injured leg and the ______ rotation of that same leg.

A 56-year-old female patient is being seen for osteoarthritis of the knee in the clinic.What should the nurse recommend when discussing strengthening exercises?

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

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

The division of the skeletal system that comprises the skull,hyoid,vertebral column,and thorax is the _____________ division.

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

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"?

A patient has been casted to stabilize a fracture of the right radius and ulna.The nurse assesses a capillary refill of 5 seconds and cold fingers of the right hand.Which initial intervention should the nurse deploy?

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 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?

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.

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:

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

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

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