MDC1 Exam 2

studied byStudied by 8 people
0.0(0)
get a hint
hint

What is the priority assessment for a client experiencing immobility?

-Vascular Assessment -Respiratory Assessment -Integumentary Assessment -GI Assessment

1 / 387

encourage image

There's no tags or description

Looks like no one added any tags here yet for you.

388 Terms

1

What is the priority assessment for a client experiencing immobility?

-Vascular Assessment -Respiratory Assessment -Integumentary Assessment -GI Assessment

Respiratory Assessment

New cards
2

True or False: The nurse should state 'You will never get stronger' to a patient who is not completing ROM exercises as instructed by PT.

False

New cards
3

What is the most appropriate nursing intervention to promote mobility?

-Assess risk for edema -Decrease intake of fiber and fluids -ROM excercises q2h -Instruct the patient to do 30 jumping jacks every hour while awake

ROM exercises q2h

New cards
4

Which statement by a patient indicates successful progress in increasing daily physical mobility?

-"I am taking the stairs instead of the elevator" -"I don't get as tired anymore when I go walking with my wife" -"I only fell once yesterday" -"I have been sorer when I wake up in the morning than normal"

"I don't get as tired anymore when I go walking with my wife"

New cards
5

True or False: The nurse should perform PROM for a patient who cannot move independently following a car accident.

True

New cards
6

What should the nurse do to help promote independence for their patient?

-Encourage the patient to perform the ADLs that are within their ability -Assist the patient with their ADLs -Do the patient ADLs for them -Tell the pt if they cannot perform their own ADLs, they will never go home

Encourage the patient to perform the ADLs that are within their ability

New cards
7

Which statement by a new nurse indicates a need for further teaching for a patient with plantar fasciitis?

  • "I will educate my patient to wear supportive arch shoes."

  • "I will educate my patient to ice their feet."

  • "I will educate my patient to allow proper rest and stretching their feet."

  • "I will encourage my patient to apply heat packs at the end of the day"

"I will encourage my patient to apply heat packs at the end of the day."

New cards
8

What is the priority nursing diagnosis for a patient with bone cancer?

-Risk for infection -Risk for immobility -Risk of knowledge deficit -Chronic Pain

Chronic Pain

New cards
9

True or False: When a patient comes into the ER with pain, the nurse should assess the frequency, quality, and location of the pain.

True

New cards
10

What is the nurse's priority when caring for a patient with Osteomyelitis?

-Assess the patient's pain and temperature -Evaluate the success of yesterday's plan of care -Assess patient knowledge of Osteomyelitis -Plan to ice the affected extremity

Assess the patient pain and temperature

New cards
11

Which intervention should the nurse ensure the CNA is avoiding when ambulating the patient?

-Walking on the side of and in front of the patient -Use a transfer belt -Remove unnecessary items from the patient's pathway -Use appropriate ambulation devices such as a walker or cane if necessary

Walking on the side of and in front of the patient

New cards
12

True or False: Removal of ovaries is not a risk factor for osteoporosis.

False

New cards
13

Select a modifiable risk factor for developing osteoporosis.

-Low Intake of Vitamin D -Age -Genetic predisposition -Ethnicity

Low intake of Vitamin D

New cards
14

Select a preventable measure of developing osteoporosis.

-Decrease comsumption of vitamin D -Limiting carbonated beverages and caffeine -Refuse to get a hysterectomy -Eating a low protein and fat diet

Limiting carbonated beverages and caffeine

New cards
15

Which activity is best to reduce bone loss and prevent fractures?

Running Cycling Weight Lifting Walking

Walking

New cards
16

What should the nurse do first if a patient complains of numbness in the affected extremity foot 3 days post-op?

Call the provider to notify of the change Ask the patient if they have history of neuropathy Assess the femoral pulse Assess bilateral dorsalis pedis pulses

Assess bilateral dorsalis pedis pulses

New cards
17

True or False: A nurse should assess a patient's coping skills for large surgical scars

True

New cards
18

What is the most common cause of osteoporosis?

Phosphorous Vitamin D and zinc Calcium and Vitamin D Vitamin D and C

Calcium & Vitamin D

New cards
19

True or False: Weight-bearing exercises should be encouraged for patients with early osteoporosis

True

New cards
20

True or False: Hallux valgus enlargement a corn

False

New cards
21

Why are patients with osteoporosis at high risk for fractures?

Bone spurs and deformities Decreased bone density Joint inflammation Weak muscles

Decreased Bone Density

New cards
22

True or False: Computer-based occupations are high risk for developing carpal tunnel

True

New cards
23

What is considered an age-related musculoskeletal change?

Decreased bone density Decreased muscle mass Decreased activity tolerance Increased muscle mass

Decreased muscle mass

New cards
24

True or False: Pain in the arch of the foot is associated with a bunion

False

New cards
25

True or False: Fowler's position would be 45 degrees HOB elevated

True

New cards
26

What medication class is used to decrease inflammation?

Opioids Anticoagulants Ice Corticosteroids

Corticosteroids

New cards
27

True or False: Patients should take bisphosphonates with food to avoid a potential complication of the treatment.

False

New cards
28

What are the potential complications of a patient medicating to prevent osteoporosis (hypercalcemia)?

Numbness and tingling in hands and feet Stomach ulceration Cardiac dysrhythmias and change in skeletal tone Diaphoresis and muscular cramping

Cardiac dysrhythmias and change in skeletal tone

New cards
29

Which musculoskeletal condition is treated with chemotherapy?

Osteoporosis Osteomyelitis Osteosarcoma Osteonecrosis

Osteosarcoma

New cards
30

How is osteomyelitis treated?

Physical therapy Biphosphonates Chemo Antibiotics

Antibiotics

New cards
31

True or False: NSAIDS can be incorporated with the treatment of plantar fascitis.

True

New cards
32

What is a pharmacological intervention for numbness in the hand distal to a ganglion cyst aspiration?

Heat application Chemo Cortisone injection NSAIDs

Cortisone injection

New cards
33

True or False: Chronic immunosuppressant use commonly causes secondary osteoporosis

True

New cards
34

Which type of medication is most likely to be effective in patients experiencing phantom limb pain?

Antiepileptics Antispasmodics Therapeutic mirroring Opioids

Antiepileptics

New cards
35

True or False: Opioids can NOT cause respiratory depression.

False

New cards
36

True or False: Vitamin D supplements are needed for calcium absorption

True

New cards
37

Does decreasing fluids, fiber, and movement help to have a bowel movement?

True

New cards
38

Should a client take Alendronate for osteoporosis while sitting upright and with a full glass of water?

True

New cards
39

Respirations are important to include in physical assessment for patients who are on opioid pain control.

True

New cards
40

A postmenopausal client is taking raloxifene for osteoporosis. Which statement by the patient indicated understanding?

I will call my doctor if i have pain, warmth, and swelling in my leg

New cards
41

Which of the following should the nurse asses with pt taking opoid medications such as ocycodone with acetaminophen?

bowel sounds and bowel movements

New cards
42

Select a complication of fractures caused by pressure which results in decreased circulation.

Compartment Syndrome

New cards
43

Edema is an early sign of fat embolism syndrome.

False

New cards
44

Somatic pain is muscle, joint, or bone pain

True

New cards
45

Avascular necrosis is when the blood supply to the bone is cut off or disrupted and death of the bone tissue occurs.

True

New cards
46

Which symptom occurs with neurovascular compromise?

Tingling

New cards
47

Complete Fracture: A bone separated into 2 sections and is broken across the entire width of the bone

True

New cards
48

Your patient that just came into the ER has their femur sticking out of their thigh. Which type of fracture is this?

Compound fracture

New cards
49

Compartment syndrome clinical manifestations typically subside after pain medication is administered.

False

New cards
50

Dyspnea and headache are clinical manifestations of fat embolism syndrome

True

New cards
51

Burning, sharp, shooting pain is classified as which type of pain?

Neuropathic

New cards
52

Your patient is experiencing a 9/10 pain in their sprained wrist. Which type of pain is this?

Somatic

New cards
53

Osteoporotic patients do not experience compression fractures very commonly

False

New cards
54

You are caring for a post op hip patient. What should you include in your dietary education?

Protein and calcium will help speed up my bone healing

New cards
55

Splinting and deep breathing with rib fracture healing helps to prevent pneumothorax.

True

New cards
56

Blood pressure will not increase if a patient is experiencing pain.

False

New cards
57

What is the most common treatment for reducing and immobilizing a fracture?

ORIF (open reduction and internal fixation)

New cards
58

True or False: 'Hot spots' under a cast can sometimes be normal.

False

New cards
59

True or False: Leg fractures in a plaster cast should be elevated on pillows continuously for 24 hours.

True

New cards
60

What injury is concerning if a client complains of not being able to ABDUCT the arm at the shoulder?

Rotator cuff injury

New cards
61

Which type of medication places patients at most risk for pneumonia?

Opioids

New cards
62

True or False: Pain in an extremity that is not there due to amputation is a psychogenic pain.

False

New cards
63

What should the nurse assess if a patient complains of numbness in the hand after trauma?

Radial pulse

New cards
64

True or False: RICE is Rest, Ice, Contain, Elevate.

False

New cards
65

What nursing intervention should the nurse complete first when a patient with a fractured arm arrives at the ER?

Remove jewelry

New cards
66

True or False: Handwashing is the best defense to avoid spread of infection.

True

New cards
67

What is the best way to prevent DVT after a hip fracture?

Apply antiembolism stockings

New cards
68

What should the nurse do first if a patient with skeletal traction is complaining of severe leg pain?

Assess body alignment in the bed

New cards
69

After applying pressure to the proximal artery to a compound fracture to stabilize a bleed, what should the nurse do next?

Perform a neurovascular assessment of BLE

New cards
70

True or False: Drying the prosthesis socket completely before applying to the limb is not priority.

False

New cards
71

True or False: The nurse should prevent hip flexion of the affected extremity after a total hip arthroplasty.

True

New cards
72

How often should the nurse assess skin when the patient is in skeletal traction?

8 hours

New cards
73

What can the nurse do to help an older patient who has fallen out of bed in the past, prevent another fall?

Ensure adequate lighting

New cards
74

What action should the nurse always take first?

Assess

New cards
75

What can be delegated to an Unlicensed Assistive Personnel (UAP)?

Providing a back massage

New cards
76

Hypothermia is an increase in body temperature

False

New cards
77

Select a nursing intervention for hypothermia

Apply blankets

New cards
78

What is the most important nursing action when caring for a post-operative patient?

Compare left and right dorsalis pedis pulses

New cards
79

Cold therapy is the best action after a musculoskeletal injury.

True

New cards
80

Ambulation assists with gas exchange

True

New cards
81

Explaining the procedure including risks and benefits initially, is the role of the preoperative nurse.

False

New cards
82

When a patient falls and reports knee pain, the nurse should ask "does the pain radiate to another area from your knee?"

True

New cards
83

You cannot compress the blood vessels when assessing a pulse

False

New cards
84

Calcium and Vitamin D supplementation is not necessary after a hip fracture or surgery.

False

New cards
85

What does the nurse do if her preoperative patient does not understand the surgery that will be performed?

Inform the surgeon and document their findings

New cards
86

A patient's surgical dressing is draining and the surgeon hasn't seen the patient yet. The nurse should change the dressing.

False

New cards
87

Naloxone is the reversal agent for opioids.

True

New cards
88

How is osteoporosis diagnosed?

Bone scan

New cards
89

Elevated WBC is indicative of an infection, such as osteomyelitis.

True

New cards
90

Which test is used to determine if a patient has soft tissue damage?

MRI

New cards
91

A goniometer is used by rehab therapists or nurses to provide an exact measurement of flexion and extension or ROM

True

New cards
92

Which lab result is typically associated with soft tissue damage?

Increased erythrocyte sedimentation rate (ESR)

New cards
93

Which of the following tests can be used to diagnose osteoporosis?

DEXA scan

New cards
94

Ultrasonography uses sounds waves to view surgical hardware placement

True

New cards
95

Soft tissue damage can be seen on an XRAY

False

New cards
96

What is an abnormal lab value of calcium that may indicate the patient has multiple fractures?

15.0

New cards
97

What is the purpose of osteoclasts?

Break down old and damaged tissue

New cards
98

What is the purpose of osteoblasts?

Repairs and builds damaged bone

New cards
99

What is synarthroses?

Immovable joints (structures between cranial bones)

New cards
100

What is amphiarthroses?

Limited movement (pubic, vertebrae)

New cards

Explore top notes

note Note
studied byStudied by 84 people
Updated ... ago
4.8 Stars(4)
note Note
studied byStudied by 40 people
Updated ... ago
4.5 Stars(4)
note Note
studied byStudied by 7 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 20 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 106 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 17 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 25 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 6 people
Updated ... ago
5.0 Stars(1)

Explore top flashcards

flashcards Flashcard24 terms
studied byStudied by 2 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard32 terms
studied byStudied by 19 people
Updated ... ago
5.0 Stars(2)
flashcards Flashcard40 terms
studied byStudied by 6 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard55 terms
studied byStudied by 3 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard20 terms
studied byStudied by 12 people
Updated ... ago
5.0 Stars(3)
flashcards Flashcard31 terms
studied byStudied by 13 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard46 terms
studied byStudied by 5 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard21 terms
studied byStudied by 5 people
Updated ... ago
5.0 Stars(2)