64MD Flashcards
A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic irrigation. Which intervention will be included in the initial plan of care?
a. Immobilization of the left leg
b. Positioning the left leg in flexion
c. Assisted weight-bearing ambulation
d. Quadriceps-setting exercise repetitions
a. Immobilization of the left leg
50-year-old patient is being discharged after a week of IV antibiotic therapy for acute osteomyelitis in the right leg. Which information will be included in the discharge teaching?
a. How to apply warm packs to the leg to reduce pain
b. How to monitor and care for the long-term IV catheter
c. The need for daily aerobic exercise to help maintain muscle strength
d. The reason for taking oral antibiotics for 7 to 10 days after discharge
b. How to monitor and care for the long-term IV catheter
A 67-year-old patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the left femur. The nurse chooses a nursing diagnosis of ineffective health maintenance when the nurse finds that the patient
a. is frustrated with the length of treatment required.
b. takes and records the oral temperature twice a day.
c. is unable to plantar flex the foot on the affected side.
d. uses crutches to avoid weight bearing on the affected leg.
c. is unable to plantar flex the foot on the affected side
The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee amputation. Which statement by a patient indicates that additional patient teaching is needed?
a. “I will need to participate in physical therapy after surgery.”
b. “I did not have this bone cancer until my leg broke a week ago.”
c. “I wish that I did not have to have chemotherapy after this surgery.”
d. “I can use the patient-controlled analgesia (PCA) to control postoperative pain.”
b. “I did not have this bone cancer until my leg broke a week ago.”
A 23-year-old patient with a history of muscular dystrophy is hospitalized with pneumonia. Which nursing action will be included in the plan of care?
a. Logroll the patient every 2 hours.
b. Assist the patient with ambulation.
c. Discuss the need for genetic testing with the patient.
d. Teach the patient about the muscle biopsy procedure.
b. Assist the patient with ambulation.
An appropriate nursing intervention for a patient who has acute low back pain and muscle spasms is to teach the patient to
a. keep both feet flat on the floor when prolonged standing is required.
b. twist gently from side to side to maintain range of motion in the spine.
c. keep the head elevated slightly and flex the knees when resting in bed.
d. avoid the use of cold packs because they will exacerbate the muscle spasms.
c. keep the head elevated slightly and flex the knees when resting in bed.
A 39-year-old patient whose work involves frequent lifting has a history of chronic back pain. After the nurse has taught the patient about correct body mechanics, which patient statement indicates that the teaching has been effective?
a. “I will keep my back straight to lift anything higher than my waist.”
b. “I will begin doing exercises to strengthen the muscles of my back.”
c. “I can try to sleep with my hips and knees extended to prevent back strain.”
d. “I can tell my boss that I need to change to a job where I can work at a desk.”
b. “I will begin doing exercises to strengthen the muscles of my back
The nurse should reposition the patient who has just had a laminectomy and diskectomy by
a. instructing the patient to move the legs before turning the rest of the body.
b. having the patient turn by grasping the side rails and pulling the shoulders over.
c. placing a pillow between the patient’s legs and turning the entire body as a unit.
d. turning the patient’s head and shoulders first, followed by the hips, legs, and feet.
c. placing a pillow between the patient’s legs and turning the entire body as a unit.
The nurse will determine that more teaching is needed if a patient with discomfort from a bunion says, “I will
a. give away my high-heeled shoes.”
b. take ibuprofen (Motrin) if I need it.”
c. use the bunion pad to cushion the area.”
d. only wear sandals, no closed-toe shoes.”
d. only wear sandals, no closed-toe shoes.”
An assessment finding for a 55-year-old patient that alerts the nurse to the presence of osteoporosis is
a. a measurable loss of height.
b. the presence of bowed legs.
c. the aversion to dairy products.
d. a statement about frequent falls.
a. a measurable loss of height.
- A 54-year-old woman who recently reached menopause and has a family history of osteoporosis is diagnosed with osteopenia following densitometry testing. In teaching the woman about her osteoporosis, the nurse explains that
a. estrogen replacement therapy must be started to prevent rapid progression to osteoporosis.
b. continuous, low-dose corticosteroid treatment is effective in stopping the course of osteoporosis.
c. with a family history of osteoporosis, there is no way to prevent or slow gradual bone resorption.
d. calcium loss from bones can be slowed by increasing calcium intake and weight-bearing exercise.
d. calcium loss from bones can be slowed by increasing calcium intake and weight-bearing exercise.
- Which menu choice by a patient with osteoporosis indicates that the nurse’s teaching about appropriate diet has been effective?
a. Pancakes with syrup and bacon
b. Whole wheat toast and fresh fruit
c. Egg-white omelet and a half grapefruit
d. Oatmeal with skim milk and fruit yogurt
d. Oatmeal with skim milk and fruit yogurt
The nurse evaluating effectiveness of prescribed calcitonin (Cibacalcin) and ibandronate (Boniva) for a patient with Paget’s disease will consider the patient’s
a. pain level.
b. oral intake.
c. daily weight.
d. grip strength.
a. pain level.
Which action should the nurse take before administering gentamicin (Garamycin) to a patient who has acute osteomyelitis?
a. Ask the patient about any nausea.
b. Review the patient’s creatinine level.
c. Obtain the patient’s oral temperature.
d. Change the prescribed wet-to-dry dressing.
b. Review the patient’s creatinine level
Which assessment finding for a patient who has had a surgical reduction of an open fracture of the right radius is most important to report to the health care provider?
a. Serous wound drainage
b. Right arm muscle spasms
c. Right arm pain with movement
d. Temperature 101.4° F (38.6° C)
d. Temperature 101.4° F (38.6° C)
