Chapter 41 & 42: Muscoloskeletal conditions

Question 1

which disorder affects the hand?

Answer 1

dupuytren contracture: this is a deformity of the hand

Question 2

Which is a key feature of acute osteomyelitis?

Answer 2

Fever

Question 3

Osteomyelitis

Answer 3

Osteomyelitis is bone infection, usually caused by bacteria, viruses, or fungi.

Question 4

ganglion

Answer 4

are cysts that occur in the wrist, foot joint or tendon due to degeneration of synovial fluid around tendon.

treatment: aspiration of fluid.

Question 5

what confirms Ewing Sarcoma

Answer 5

CT scan can confirm this

Question 6

how is dowager’s hump formed?

Answer 6

by kyphosis of the spine.

Question 7

symptoms of osteomylitis

Answer 7

fever.
swelling and redness of affected area.
pulsating pain worsens with movement.

Question 8

Plantar Fasciitis

Answer 8

inflammation of the planta fascia on the arch of the foot which is painful

Question 9

Hyperbaric Oxygen (HBO) therapy

Answer 9

this therapy helps to promote wound healing in osteomyelitis.

Question 10

A patient is prescribed the bisphosphonate (BP) alendronate for
osteoporosis. Which teaching does the nurse provide to the
patient?

Answer 10

“Take the medication early in the morning with 8 oz of water.”

Question 11

Which action would the nurse take when a patient with
osteoporosis receives a new prescription for alendronate?

Answer 11

Patients taking alendronate, a bisphosphonate drug prescribed to treat
osteoporosis, must remain upright, either sitting or standing, for 30 minutes
after taking the drug to prevent the development of esophagitis.

Question 12

When planning care for a patient who underwent surgical
resection of an osteosarcoma of the femur, the nurse
understands that which action would be the highest priority to
take the day after surgery?

Answer 12

implement continuous passive motion (CPM)

Question 13

Pamidronate

Answer 13

Pamidronate is a bisphosphonate that is used to treat metastatic cancer
affecting the bones. This drug can cause acute kidney injury, so the nurse
would monitor renal function and electrolytes. When the nurse notices the

Question 14

Zoledronic acid

Answer 14

Zoledronic acid is a biphosphate that is used to increase bone density. Infusing the drug too quickly can cause atrial fibrillation; therefore the nurse would infuse the medication over 15 to 30 minutes to prevent this.

Question 15

what can reduce serum calcium levels for patient with severe hypercalcemia?

Answer 15

IV calcitonin