MS Flashcards
A nurse is caring for an adult patient diagnosed with a back strain. What health education should the nurse provide to this patient?
A) Avoid lifting more than one-third of body weight without assistance.
B) Focus on using back muscles efficiently when lifting heavy objects.
C) Lift objects while holding the object a safe distance from the body.
D) Tighten the abdominal muscles and lock the knees when lifting of an object.
A) Avoid lifting more than one-third of body weight without assistance.
A nurse is providing an educational class to a group of older adults at a community senior center. In an effort to prevent osteoporosis, the nurse should encourage participants to ensure that they consume the recommended adequate intake of what nutrients? Select all that apply.
A) Vitamin B12
B) Potassium
C) Calcitonin
D) Calcium
E) Vitamin D
D) Calcium
E) Vitamin D
A nurse is providing a class on osteoporosis at the local seniors center. Which of the following statements related to osteoporosis is most accurate?
A) Osteoporosis is categorized as a disease of the elderly.
B) A nonmodifiable risk factor for osteoporosis is a persons level of activity.
C) Secondary osteoporosis occurs in women after menopause.
D) Slow discontinuation of corticosteroid therapy can halt the progression of the osteoporosis.
D) Slow discontinuation of corticosteroid therapy can halt the progression of the osteoporosis
A nurse is teaching a patient with osteomalacia about the role of diet. What would be the best choice for breakfast for a patient with osteomalacia?
A) Cereal with milk, a scrambled egg, and grapefruit
B) Poached eggs with sausage and toast
C) Waffles with fresh strawberries and powdered sugar
D) A bagel topped with butter and jam with a side dish of grapes
A) Cereal with milk, a scrambled egg, and grapefruit
A nurse is caring for a patient with Pagets disease and is reviewing the patients most recent laboratory values. Which of the following values is most characteristic of Pagets disease?
A) An elevated level of parathyroid hormone and low calcitonin levels
B) A low serum alkaline phosphatase level and a low serum calcium level
C) An elevated serum alkaline phosphatase level and a normal serum calcium level
D) An elevated calcitonin level and low levels of parathyroid hormone
C) An elevated serum alkaline phosphatase level and a normal serum calcium level
Which of the following patients should the nurse recognize as being at the highest risk for the development of osteomyelitis?
A) A middle-age adult who takes ibuprofen daily for rheumatoid arthritis
B) An elderly patient with an infected pressure ulcer in the sacral area
C) A 17-year-old football player who had orthopedic surgery 6 weeks prior
D) An infant diagnosed with jaundice
B) An elderly patient with an infected pressure ulcer in the sacral area
A nurse is reviewing the pathophysiology that may underlie a patients decreased bone density. What hormone should the nurse identify as inhibiting bone resorption and promoting bone formation?
A) Estrogen
B) Parathyroid hormone (PTH)
C) Calcitonin
D) Progesterone
C) Calcitonin
A patient is undergoing diagnostic testing for osteomalacia. Which of the following laboratory results is most suggestive of this diagnosis?
A) High chloride, calcium, and magnesium
B) High parathyroid and calcitonin levels
C) Low serum calcium and magnesium levels
D) Low serum calcium and low phosphorus level
D) Low serum calcium and low phosphorus level
An 80-year-old man in a long-term care facility has a chronic leg ulcer and states that the area has become increasingly painful in recent days. The nurse notes that the site is now swollen and warm to the touch. The patient should undergo diagnostic testing for what health problem?
Osteomyelitis
Osteoporosis
Osteomalacia
Septic arthritis
Osteomyelitis
A patient with diabetes is attending a class on the prevention of associated diseases. What action should the patient perform to reduce the risk of osteomyelitis?
A) Increase calcium and vitamin intake.
B) Perform meticulous foot care.
C) Exercise 3 to 4 times weekly for at least 30 minutes.
D) Take corticosteroids as ordered.
B) Perform meticulous foot care.
A nurse is planning the care of an older adult patient with osteomalacia. What action should the nurse recommend in order to promote vitamin D synthesis?
A) Ensuring adequate exposure to sunlight
B) Eating a low-purine diet
C) Performing cardiovascular exercise while avoiding weight-bearing exercises
D) Taking thyroid supplements as ordered
A) Ensuring adequate exposure to sunlight
A patient presents to a clinic complaining of a leg ulcer that isnt healing; subsequent diagnostic testing suggests osteomyelitis. The nurse is aware that the most common pathogen to cause osteomyelitis is what?
A) Staphylococcus aureus
B) Proteus
C) Pseudomonas
D) Escherichia coli
A) Staphylococcus aureus
A nurse is providing care for a patient who has a recent diagnosis of Pagets disease. When planning this patients nursing care, interventions should address what nursing diagnoses? Select all that apply.
A) Impaired Physical Mobility
B) Calcitonin
C) Acute Pain
D) Disturbed Auditory Sensory Perception Risk for Injury
E) Risk for Unstable Blood Glucose
A) Impaired Physical Mobility
B) Calcitonin
C) Acute Pain
D) Disturbed Auditory Sensory Perception Risk for Injury
A nurse is caring for a patient who is being assessed following complaints of severe and persistent low back pain. The patient is scheduled for diagnostic testing in the morning. Which of the following are appropriate diagnostic tests for assessing low back pain? that apply.
A) Computed tomography (CT)
B) Angiography
C) Magnetic resonance imaging (MRI)
D) Ultrasound
E) X-ray
A) Computed tomography (CT)
C) Magnetic resonance imaging (MRI)
D) Ultrasound
E) X-ray
A nurse is collaborating with the physical therapist to plan the care of a patient with osteomyelitis. What principle should guide the management of activity and mobility in this patient?
Stress on the weakened bone must be avoided.
Increased heart rate enhances perfusion and bone healing.
Bed rest results in improved outcomes in patients with osteomyelitis. Maintenance of baseline ADLs is the primary goal during osteomyelitis treatment.
Stress on the weakened bone must be avoided.
