quiz 4 Flashcards
- A 32-year-old male was injured in a motor vehicle accident and confined to bed for 3 weeks. During this time, the size and strength of muscle fibres decreased, a condition referred to as:
A. meyolodysplasia
B. ischemic atrophy
C. fibromyalgia
D. disuse atrophy
D. disuse atrophy
- A 32-year-old obese male begins a jogging routine. A week after starting, he fractures his leg. This is referred to as what type of fracture?
A. fatigue
B. greenstick
C. compound
D.Comminuted
fatigue
- A 70-year-old diagnosed with osteoporosis stepped off a curb and fractured the left hip. Which term best describes the fracture?
A. Pathological
B. Fatigue
C. Stress
D. Greenstick
pathological
- A patient is brought to the ER for treatment of injuries received in a motor vehicle accident. An MRI reveals spinal cord injury, and his body temperature fluctuates markedly. What is the reason for the fluctuations in body temperature?
A. he has a brain injury
B. His sympathetic nervous system has been damaged
C. He developed pneumonia
D. he has septicemia from an unknown source
his sympathetic nervous system has been damaged
- After falling, a patient’s Glasgow Coma Scale (GCS) was 5 initially and 7 after 1 day. The patient remained unconscious for 2 weeks but is now awake, confused, and experiencing anterograde amnesia. This history supports which medical diagnosis?
A. severe diffuse brain injury
B. postconcussive syndrome
C. mild diffuse brain injury
D. moderate diffuse brain injury
moderate diffuse brain injury
- An older patient is talking with the nurse about hip fractures. The patient would like to know the best approach to strengthen the bones. What is the nurse’s best response?
A. “walk at least 5 miles every day for exercise”
B. “talk with your physician about a calcium supplement.”
C. “stand up slowly so you don’t feel faint”
D. “wear proper fitting shoes to prevent tripping”
talk with your physician about calcium supplement
- Fibromyalgia is a chronic musculo-skeletal disorder characterized by:
A. pain resulting from joint and muscle inflammation
B. neurological pain in the skeletal muscles
C. diffuse pain, fatigue, and tender points
D. muscle pain in the back and GI symptoms
C. diffuse pain, fatigue, and tender points
- Six weeks ago a patient suffered a T6 spinal cord injury. What complication does the nurse suspect when the patient develops a blood pressure of 200/120, a severe headache, blurred vision, and bradycardia?
A. Acute anxiety
B. Extreme spinal shock
C. Autonomic hyper-reflexia
D. Parasympathetic areflexia
C. Autonomic hyper-reflexia
- The diagnosis of rhabdomyolysis is based on the measurement of which laboratory value?
A. Antinuclear antibodies
B. Aspartate aminotransferase
C. WBC count
D. Creatine kinase
creatinine kinase
- The nurse is admitting a client to the emergency department after falling on the right arm and shoulder. Which of the following findings is most important for the nurse to communicate to the health care provider immediately?
A. the client is complaining of arm and shoulder pain
B. there is decreased range of motion of the shoulder
C. there is bruising at the shoulder area
D. the right arm appears shorter than the left
D. the right arm appears shorter than the left
- The nurse is admitting a client with a spinal cord injury. Which of the following collaborative and nursing actions should the nurse do immediately? (Select all that apply.)
A. stabilize spine with stand bags
B. Avoidance of cool room temp
C. insert foley catheter
D. ensure patency of airway
E. NG tube feeding
B. Avoidance of cool room temp
C. insert foley catheter
- The nurse is caring for a client in the emergency department following a motor vehicle accident who has massive right lower leg swelling. Which of the following actions will the nurse take first?
A. elevate the leg on pillows
B. check leg pulses and sensation
C. apply a compression bandage
D. place ice packs on the lower leg
check leg pulses and sensation
- The nurse is caring for a client in the emergency department who has a soft tissue injury and an open leg fracture. Which of the following actions should the nurse implement first?
A. if dislocation, apply compression bandage
B. realignment of the bones
C. administer tetanus with an open fracture
D. apply heart to the affected area
administer tetanus with open fracture
- The nurse is caring for a client who arrives in the emergency department with ankle swelling and severe pain after twisting the ankle playing soccer. Which of the following prescribed collaborative interventions will the nurse implement first?
A. wrap the ankle and apply an ice pack
B. take the client to the radiology department for x-rays
C. give acetaminophen with codiene
D. administer naproxen 500mg PO
wrap the ankle and apply ice
- The nurse is caring for a client who has an incomplete right spinal cord lesion at the level of T7, resulting in Brown-Séquard syndrome. Which of the following nursing actions should be included in the plan of care?
A. Assessment of the client for left leg pain
B. Assessment of the client for left arm weakness
C. Teaching the client to look at the left leg to verify its position
D. Positioning the client’s right leg when turning the client
D. Positioning the client’s right leg when turning the client
