Deck 15: Mobility

Question 1

Rheumatoid arthritis:

A) is diagnosed by a positive pannus blood test.
B) results from a deficiency of vitamin D.
C) includes systemic manifestations as well as bilateral joint deformities.
D) is characterized by low bone mass and compromised bone strength.

Answer 1

includes systemic manifestations as well as bilateral joint deformities.

Question 2

An elderly patient is being discharged from the hospital after an acute exacerbation of gout.The nurse reviews instructions for allopurinol (Zyloprim)with him.The nurse knows that this medication:

A) blocks the excretion of uric acid.
B) neutralizes uric acid.
C) lowers the formation of uric acid.
D) increases the excretion of uric acid.

Answer 2

lowers the formation of uric acid.

Question 3

A 68-year-old female patient has a history of osteoporosis.She is on your surgical ward because of her recent wrist surgery.She is on the following medications: heparin 5000 units subcutaneously q12hr,Tums (calcium carbonate)1 tablet after meals and at bedtime,calcitonin 100 international units IM every morning,and Premarin (estrogen)0.3 mg PO,every morning.In writing your care plan,you identify risk for injury related to demineralization of bone.Which medication would be most likely to interfere with her bone integrity?

A) Heparin
B) Premarin
C) Calcitonin
D) Tums

Answer 3

Heparin

Question 4

A nurse is making a visit to the home of an 88-year-old client.The nurse reviews safety measures with the client and screens the home environment for potential hazards that could precipitate a fall.The nurse urges the client to eliminate:

A) night lights.
B) railings on the stairway.
C) throw rugs.
D) the use of a cane.

Question 5

A nurse in the geriatric outpatient clinic frequently receives questions from clients about exercise.The nurse answers their questions based on the knowledge that regular exercise:

A) performed in excess as a young adult will lead to osteoporosis.
B) prevents muscle atrophy and improves mobility,thus reducing the risk of falls.
C) must be avoided by older adults with rheumatoid arthritis because it strains the joints.
D) is likely to lead to increased falls and possibly fractures.

Question 6

Parkinson's disease is characterized by which alteration in gait?

A) Wide-based gait with frequent side-stepping
B) Stooped posture and a short,rapid shuffling
C) Spastic,shuffling gait
D) Waddling gait

Question 7

An 88-year-old woman is admitted to the hospital with a diagnosis of pneumonia.She has a history of hypertension and congestive heart failure and is on a total of five different medications for these chronic conditions.The nurse caring for the woman develops a care plan that includes the diagnosis Risk for falls.A priority nursing intervention for this client is to:

A) perform a fall assessment.
B) keep all of the side rails up on the client's bed at nighttime.
C) place the client on bedrest so that she does not fall.
D) assess the client's dietary intake for calcium adequacy.

Question 8

You are answering your elderly client's questions about diet,exercise,and bone integrity.Which exercise would you inform her is the least effective in preventing bone demineralization?

A) Jogging
B) Jumping rope
C) Swimming
D) Walking

Question 9

You are performing discharge teaching for your elderly client with rheumatoid arthritis.Which client statement indicates a knowledge deficit?

A) "I will take glucosamine and chondroitin supplements."
B) "I will rest when my joints are bothering me."
C) "I will take my antiinflammatory medicine."
D) "I will eat a balanced diet."

Question 10

Who is at greatest risk for developing osteoporosis?

A) A 50-year-old white male
B) A 37-year-old aerobics instructor
C) A 72-year-old large black woman
D) A 69-year-old thin white woman

Question 11

In planning your discharge teaching for a client with osteoporosis,which precautions should you encourage her to take?

A) Avoid stressful situations.
B) Schedule monthly bone density studies with your physician.
C) Remove clutter from your home.
D) Consume a high-protein diet.