Complex Disease III - MSK Questions (Worksheet 1, 2, 3, and Osteoporosis)

a. Wrap the ankle with an elastic compression bandage

c. Elevate the affected leg about the heart level on 2 pillows

d. Take a NSAID such as ibuprofen every 6h

After playing soccer, a 35-year old male presents to the ED with a ankle sprain. Which interventions does the nurse include in the discharge instructions? Select all that apply.

a. Wrap the ankle with an elastic compression bandage

b. Take opioids whenever the pain reaches 5/10

c. Elevate the affected leg about the heart level on 2 pillows

d. Take a NSAID such as ibuprofen every 6h

e. Apply heat to reduce the swelling during the first 24 hours

b. Notify the healthcare provider

c. Assess the temperature of the fingers

A client in the postoperative period after an open reduction and internal fixation of a wright wrist fracture received hydromorphone iv 30 minutes ago and reports severe, constant arm pain. The client's nail beds appear dusky. Which of the following are appropriate nursing actions? Select all that apply.

a. Elevate the arm on pillows above the level of the heart

b. Notify the healthcare provider

c. Assess the temperature of the fingers

d. Apply a heating pad

e. Document findings, provide emotional support to the patient, and reassess in 1 hr

a. Placing pillows to elevate the residual limb of a client S/P above-the-knee amputation 72 hours ago

The nurse is observing nurses that recently graduated. Which of the following actions by the nurse requires intervention?

a. Placing pillows to elevate the residual limb of a client S/P above-the-knee amputation 72 hours ago

b. Placing an abductor pillow between the legs of a patient S/P hip replacement surgery 24 hours

c. Telling the client to use a hair dryer to relieve the itching in the cast

b. False

True or False: Fibromyalgia is a inflammatory disorder that presents with elevated sedimentation rate

a. True

b. False

c. Limit the amount of sitting

A 43-year-old patient presents with low back pain radiating down the left leg, along with numbness and weakness in the left foot. Which of the following is most appropriate nursing action?

a. Recommend strict bedrest until inflammation is improving

b. Prepare the patient for surgical herniated disc repair

c. Limit the amount of sitting

d. Encourage to increase the amount of protein

b. Post-menopausal female

c. A 65-year-old male with low testosterone

d. A patient with a sedentary lifestyle

f. A patient on long-term corticosteroid therapy

Which of the following patients have an increased risk to develop osteoporosis? Select all that apply.

a. A patient with increased BMI

b. Post-menopausal female

c. A 65-year-old male with low testosterone

d. A patient with a sedentary lifestyle

e. A severely obese patient

f. A patient on long-term corticosteroid therapy

a. Increased uric acid levels

Which of the following is associated with the development of gout?

a. Increased uric acid levels

b. Osteoarthritis

c. Fibromyalgia

d. High ammonia levels

c. Distal interphalangeal joints

d. Osteoarthritis

Heberden's nodes are found in patients with: Select all that apply

a. GOUT

b. Proximal interphalangeal joints

c. Distal interphalangeal joints

d. Osteoarthritis

e. Rheumatoid arthritis

d. Greenstick fracture

Which of the following is the fracture most commonly seen in children?

a. Pathological fracture

b. Linear fracture

c. Transverse fracture

d. Greenstick fracture

a. Ensure that the patient receives adequate pain relief

b. Perform frequent neurovascular checks

d. Keep the affected extremity in a neutral position

e. Monitor the patient for skin breakdown

A patient with a hip fracture is placed in a Buck's traction while awaiting surgical repair (to reduce spasm and pain. A traction boot with weights is applied. Which of the following actions should the nurse take? Select all that apply.

a. Ensure that the patient receives adequate pain relief

b. Perform frequent neurovascular checks

c. Place the patient on the affected side

d. Keep the affected extremity in a neutral position

e. Monitor the patient for skin breakdown

d. A patient S/P recent femur fracture who is restless and developed a rash of pin-sized red spots on the chest

A nurse working on a orthopedic unit received report on 4 patients with recent fractures. Which patient should the nurse assess first?

a. A patient who was diagnosed with a recent rib fracture who has a respiratory rate of 22/min and is reporting pain that is worse with coughing

b. A patient S/P hip surgery receiving continues NS 0.9% iv developing +1 pitting edema

c. A patient who developed a temperature of 100.7 F and has purulent drainage oozing from a pin insertion site.

d. A patient S/P recent femur fracture who is restless and developed a rash of pin-sized red spots on the chest

A 65-year-old patient with an upper extremity fracture in a cast is reporting numbness, tingling, and worsening pain 8/10. His BP is 158/69, HR: 98, Temp: 100.5 F, blood-glucose level: 186 mg/dL. Which of the following is the priority nursing action?

a. Prepare the patient for emergency fasciotomy

b. Request pain medication

c. Request for antihypertensives

d. Request for insulin sliding scale

a. Calcium supplements

b. Weight-bearing exercises

d. Vitamin D supplements

A nurse is caring for an elderly patient with osteoporosis. Which of the following interventions are appropriate to include in the patient's care plan to help prevent a hip fracture? Select all that apply

a. Calcium supplements

b. Weight-bearing exercises

c. Use of full bed rails during the night

d. Vitamin D supplements

e. Encourage bed rest to prevent falls

a. Clients should report leg pain or swelling immediately

b. Clients should not cross their legs

c. The risk of developing DVTs is increased. Clients whould avoid prolonged periods of inactivity

Which of the following are important things to consider when educating clients on taking raloxifene?

a. Clients should report leg pain or swelling immediately

b. Clients should not cross their legs

c. The risk of developing DVTs is increased. Clients whould avoid prolonged periods of inactivity

d. Raloxifene is save in pregnant women

e. Estrogen supplements can be taken while on raloxifene as this combination can increase effectiveness

b. A 60-year old female who was working as a secretary her whole lilfe who is slighly underweight and has a sedentary lifestyle

Which of the following client has the highest risk of developing osteoporosis?

a. A 65-year old post-menopausal female with a BMI of 30

b. A 60-year old female who was working as a secretary her whole lilfe who is slighly underweight and has a sedentary lifestyle

c. A 75-year old male who is retired from being a carpenter and is a current smoker

d. A 35 obese female who is multigravida

a. True

True or False: A nursing diagnosis for a patient with osteoporosis includes: Deficient knowledge related to osteoporosis prevention and management and prevention of complications such as falls

a. True

b. False