Exam 18: The Musculoskeletal System

The nurse has provided teaching for an older client prescribed a methotrexate disease modifying antirheumatic drug for rheumatoid arthritis. Which statement made, by the client, indicates further teaching is required?

The nurse is caring for a client who is postoperative from a hip replacement three days ago. Which assessment finding should be of concern to the nurse?

An older client is surprised to learn of a diagnosis of rheumatoid arthritis. What should the nurse explain to the patient about this health problem? Select all that apply.

The nurse is providing preventative education for an older patient at risk for osteoporosis. Which statement should the nurse include in the teaching?

The nurse is caring for an older client diagnosed with osteoarthritis. The client asks the nurse, "What is osteoarthritis?" Which statement should the nurse include in the teaching?

The nurse reviewing the chart of an older client notes that kyphosis is present. Which assessment finding does the nurse anticipate?

An older patient with osteoarthritis is prescribed acetaminophen (Tylenol) for pain. What should the nurse teach the patient about this medication?

The nurse has provided medication teaching for an older client prescribed alendronate (Fosamax). Which statement made by the client indicates that further teaching is required?

An older patient with back pain is scheduled for computerized tomography (CT). What information should the nurse provide to the patient about this diagnostic test?

The nurse is designing a teaching plan for a middle-aged client experiencing arthritis of the hips and hands from constant computer work. What should the nurse include in this instruction? Select all that apply.

The nurse is assessing a client with pseudogout one week after the initiation of prescribed allopurinol (Zyloprim). Which finding indicates the treatment is effective?

The nurse instructs an older client on ways to manage acute episodes of gout at home. Which client statement BEST indicates that teaching has been effective?

The nurse screens an older adult woman for risk factors for osteoporosis. Which does the nurse identify as a contributing factor?

An older patient is concerned that many friends are having joint replacements and wants to know what can be done to prevent having to have one as well. Which modifiable risk factor should the nurse suggest the patient focus on at this time?

The nurse is caring for a client with osteoarthritis and a recently repaired hip fracture. Which nursing diagnoses are the nurse's priority?

Which nursing observation is the BEST indicator of fall risk in the client with osteoporosis?

After assessing an older patient, which musculoskeletal changes will the nurse attribute as being a normal part of the aging process? Select all that apply.

At the completion of an assessment the nurse determines that an older patient is at risk for the development of osteoporosis. What did the nurse assess in this patient?

The nurse is caring for an older patient recovering from a total hip replacement. Which intervention will prevent dislocation of the hip prosthesis?

An older client with arthritis is prescribed to begin an exercise regimen. How should the nurse instruct the client about exercising?