NURS 316 Unit 6 Practice Questions Flashcards
A child has been hospitalized for the treatment of hematogenous osteomyelitis. The defining characteristic of this type of osteomyelitis is:
a)Destruction of the vascular network in the endosteum
b) Introduction of microorganisms from the bloodstream
c) The presence of dead bone tissue
d) Bacterial proliferation in the absence of the classic signs of infection
b) Introduction of microorganisms from the bloodstream
Following a lengthy series of diagnostic tests, a client’s chronic hip pain has been attributed to advanced osteonecrosis. What treatment is this client most likely to require?
a) Injections of corticosteroids into the synovial space
b) Transfusion of packed red blood cells
c) Intravenous antibiotics
d) Joint replacement surgery
d) Joint replacement surgery
An adult female client visits with her healthcare provider about pain in her hand. She describes it as an audible grinding and cracking sound, especially in her thumb. “I had to buy an automatic jar opener I just can’t grasp and open a jar it just hurts too badly.” The health care provider suspects the client has a degenerative form of joint disease that is often evidenced by:
a) Ankylosing spondylitis
b) Osteoarthritis
c) Rheumatoid arthritis
d) Systemic lupus erythematosus
b) Osteoarthritis
When explaining to the client diagnosed with gout how the xanthine oxidase inhibitors work to help treat gout, the health care provider would include which of the following data? Allopurinol:
a) Blocks the production of uric acid by the body
b) Prevents flare-up during the first few months of starting medication
c) Increases elimination of uric acid by the kidneys
d) Can be given intravenously to rapidly decrease serum uric acid levels
a) Blocks the production of uric acid by the body
For many clients, the first indication that they have osteoporosis is:
a) Craving high-calcium foods
b) Decrease in range of motion in the hip and knee joints
c) Bone pain that is not alleviated by rest
d) A bone fracture
d) A bone fracture
Which of the following assessment findings on an infant lead the nurse to suspect developmental dysplasia of the hip (DDH), formerly known as congenital hip dislocation? Select all that apply.
a)Joint capsule tightness to the point that there is no normal range of motion
b) Delayed crawling on the knees
c) Shortening of the thigh, so the knee on affected side is higher
d) Gluteal fold asymmetry
c) Shortening of the thigh, so the knee on affected side is higher
d) Gluteal fold asymmetry
A 55-year-old male client has reported joint pain in his feet. Which of the following blood work results should prompt further testing to rule out primary gout?
a) Increased polymorphonuclear leukocytes
b) Increased C-reactive protein (CRP)
c) Increased serum cortisol
d) Increased serum uric acid
d) Increased serum uric acid
Disorders that affect cortical bone typically result in:
a) Impaired collagen synthesis
b)Fractures of long bones
c) Vertebral fractures
d) Infection
b)Fractures of long bones
A client presented to the emergency department after getting “hit in the head with a baseball” while watching his grandson play. An x-ray of the head reveals poor quality of bone. The ED physician suspects the client has Paget disease. Which of the following signs/symptoms helps confirm this diagnosis? Select all that apply.
a) “Do you see my knuckles they have big growths on them.”
b) “Every now and then, I get a ringing in my ears.”
c) “I’ve had a lot of headaches lately.”
d) “I have gotten dizzy and had to sit down while shopping.”
e) “My thumb joint has been cracking every time I rotate it.”
b) “Every now and then, I get a ringing in my ears.”
c) “I’ve had a lot of headaches lately.”
d) “I have gotten dizzy and had to sit down while shopping.”
Which of the following factors may adversely affect bone healing and therefore place the client at risk for long-term problems? Select all that apply.
a) History of uncontrolled diabetes mellitus with associated circulatory problems
b) Walking with a walker with minimal weight bearing on affected side
c) Immobilization due to skeletal traction
d) Delayed union at the fracture site within a period considered the normal healing time
a) History of uncontrolled diabetes mellitus with associated circulatory problems
d) Delayed union at the fracture site within a period considered the normal healing time
The nurse teaches a patient with rheumatic disease who is being prescribed salicylate therapy to monitor himself or herself for what?
a) Stomatitis
b) Tinnitus
c) Hirsutism
d) Visual changes
b) Tinnitus
What is the maximum daily dose of cyclobenzaprine (Flexeril) the nurse can administer?
a) 20 mg
b) 30 mg
c) 40 mg
d) 60 mg
d) 60 mg
A salicylate has been prescribed for a 15-year-old patient who has been diagnosed with arthritis. The mother is concerned about giving her child a salicylate. What salicylates could the nurse tell this mother are recommended for use in children?
a) Choline magnesium trisalicylate (Tricosal)
b) Olsalazine (Dipentum)
c) Sodium thiosalicylate (generic)
d) Salsalate (Argesic)
a) Choline magnesium trisalicylate (Tricosal)
The nurse is caring for a patient who is having a pump placed to deliver intrathecal baclofen and another patient who will receive dantrolene as a muscle relaxant. What nursing diagnosis would be appropriate for both care plans? (Select all that apply.)
a) Risk for injury related to central nervous system (CNS) effects
b) Disturbed body image related to muscle pain
c) Deficient knowledge related to procedure
d) Disturbed thought processes related to CNS effects
e) Acute pain related to GI effects of drug
a) Risk for injury related to central nervous system (CNS) effects
d) Disturbed thought processes related to CNS effects
e) Acute pain related to GI effects of drug
The nurse is caring for a patient receiving intrathecal baclofen via pump while participating in rigorous rehabilitation therapy. What is the nurse’s priority to monitor related to adverse effects of this drug?
a) Blood pressure
b) Pulse pressure
c) Respiratory status
d) Spasticity
c) Respiratory status
