Deck 18: Bone and Joint Problems

Question 1

The nurse sees an older woman with OA and a low-grade fever.The patient tells the nurse that her pain is changing; it is worse at night and in her shoulder muscles.Which of the following does the nurse perform to prevent complications of this patient's condition?

A) Assess her joints for swelling and redness.
B) Obtain blood specimens for blood cultures.
C) Direct her to report temporal or scalp pain.
D) Tell her to apply moist heat for 20 minutes.

Answer 1

Direct her to report temporal or scalp pain.

Question 2

Which of the following is a true statement about joints in older adults?

A) OA is an inflammatory joint disorder.
B) Surgical joint replacement can cure OA.
C) Joint damage in OA is reversed with medication.
D) Very old patients should avoid joint replacement surgery.

Answer 2

Surgical joint replacement can cure OA.

Question 3

The nurse is educating an older woman on foods high in calcium.Which foods should the nurse include?

A) Chinese cabbage
B) Soy milk
C) Cheese pizza
D) Whole wheat

Answer 3

Chinese cabbage
Soy milk
Cheese pizza

Question 4

Which assessment is typical for a patient with OA?

A) Narrow joint spaces with crepitus
B) Effects in symmetrical joints
C) Morning stiffness for at least an hour
D) Swelling from excess synovial fluid

Question 5

The nurse prepares an older man who has OA for discharge.Which instruction does the nurse include in patient teaching to maintain safety for this man?

A) Take ibuprofen (Motrin) rather than opioid analgesics.
B) Increase rest periods to slow disease progression.
C) Report joint instability to the health care provider.
D) Avoid stretching the affected joint during exercise.

Question 6

An older woman seeks advice from the nurse about preventing further bone loss after being diagnosed with osteopenia.To achieve the woman's goal,which of the following patient teachings should the nurse provide to enhance the activity of the osteoblasts?

A) Limit sodium intake.
B) Refrain from alcohol use.
C) Eat high-fiber foods.
D) Exercise with weights.

Question 7

After living with OA for 2 years,an older woman's bone density scan shows no improvement,despite consistent bisphosphonate therapy.Which intervention should the nurse implement to reduce bone loss for this older adult?

A) Add tai chi or yoga exercises.
B) Instruct her to drink fortified milk.
C) Increase weight-bearing exercises.
D) Review her daily nutritional habits.

Question 8

Which of the following characteristics of RA are unlike those of OA?

A) Myalgia and stiffness
B) Joint pain that is curable
C) Crepitus and instability
D) Systemic and symmetrical

Question 9

An OA-related fall necessitated hip replacement surgery for an older woman who is entering a rehabilitation facility.Which of the following is the nurse's priority goal during this woman's rehabilitation?

A) Incorporate whole grains into her diet.
B) Recapture preoperative mobility status.
C) Keep the surgical wound clean and dry.
D) Tell her to take two steps into the walker.

Question 10

Which of the following statements is true about RA?

A) Strikes unilaterally.
B) Affects more men than women.
C) Can affect body systems other than the joints.
D) Glucosamine can be helpful for patients in the first 2 years of RA.

Question 11

Which of the following is a true statement about osteoporosis (OA)?

A) OA is indicative of an underlying health problem.
B) The most common site for OA fractures is in long bones.
C) African-American women have the highest risk for OA.
D) A high risk of death follows an OA-related fracture.

Question 12

The nurse identifies which risk factor(s)for OA?

A) Men
B) African Americans
C) Old age
D) Steroid use

Question 13

Which of the following nursing interventions are suitable for a patient who has gout?

A) Nonsteroidal antiinflammatory drugs (NSAIDs)
B) Liquid paraffin hand baths
C) Colchicine (Colsalide) by mouth
D) Hyaluronic acid injections

Question 14

An older adult who has OA receives a prescription for alendronate (Fosamax).Which instruction should the nurse include in patient teaching?

A) Use with a bisphosphonate medication.
B) Is available for oral use.
C) Take this medication for up to 2 years.
D) Consume up to 600 mg of calcium daily.

Question 15

Which is a healthy practice recommended for a person at risk for OA?

A) Milk and orange juice at breakfast; cheese pizza at lunch; spaghetti served with spinach covered with melted cheese for dinner; and ice cream for dessert
B) Long-term estrogen administration as adjunct therapy
C) Alendronate (Fosamax) taken with a snack just before bedtime
D) Coffee, raisin bran and milk, and sausage at breakfast; a can of cola and a hot dog on a high-fiber bun at lunch; cocktails before dinner; steak with brown rice, celery, and red wine for dinner

Question 16

An older man who has hyperuricemia complains of severe pain in the right ankle.Which instructions should the nurse include in patient teaching to enhance the action of the medication the patient takes for his condition?

A) Avoid dehydration by drinking water.
B) Take aspirin when joints are red and hot.
C) Comply with antihypertensive diuretic regimen.
D) Avoid game meat, asparagus, and alcohol.

Question 17

An older man who has chronic obstructive lung disease has muscle wasting and poor skin integrity as a result of a long-term therapeutic regimen.Which patient teaching should the nurse use to help reduce his risk of falls?

A) Take calcium carbonate (Caltrate) 600 mg with meals.
B) Take omeprazole (Prilosec) before breakfast.
C) Participate in a progressive regular exercise program.
D) Avoid crowds and people with contagious illnesses.
E) Consume a well-balanced diet that is high in calories.
F)Perform gentle skin cleansing with an emollient lotion.