MDC1 Exam 2

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388 Terms

1
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What is the priority assessment for a client experiencing immobility?

-Vascular Assessment
-Respiratory Assessment
-Integumentary Assessment
-GI Assessment
Respiratory Assessment
2
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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
3
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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
4
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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"
5
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True or False: The nurse should perform PROM for a patient who cannot move independently following a car accident.
True
6
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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
7
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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."
8
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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
9
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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
10
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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
11
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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
12
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True or False: Removal of ovaries is not a risk factor for osteoporosis.
False
13
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Select a modifiable risk factor for developing osteoporosis.

-Low Intake of Vitamin D
-Age
-Genetic predisposition
-Ethnicity
Low intake of Vitamin D
14
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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
15
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Which activity is best to reduce bone loss and prevent fractures?

Running
Cycling
Weight Lifting
Walking
Walking
16
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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
17
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True or False: A nurse should assess a patient's coping skills for large surgical scars
True
18
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What is the most common cause of osteoporosis?

Phosphorous
Vitamin D and zinc
Calcium and Vitamin D
Vitamin D and C
Calcium & Vitamin D
19
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True or False: Weight-bearing exercises should be encouraged for patients with early osteoporosis
True
20
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True or False: Hallux valgus enlargement a corn
False
21
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Why are patients with osteoporosis at high risk for fractures?

Bone spurs and deformities Decreased bone density
Joint inflammation
Weak muscles
Decreased Bone Density
22
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True or False: Computer-based occupations are high risk for developing carpal tunnel
True
23
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What is considered an age-related musculoskeletal change?

Decreased bone density
Decreased muscle mass
Decreased activity tolerance
Increased muscle mass
Decreased muscle mass
24
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True or False: Pain in the arch of the foot is associated with a bunion
False
25
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True or False: Fowler's position would be 45 degrees HOB elevated
True
26
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What medication class is used to decrease inflammation?

Opioids
Anticoagulants
Ice
Corticosteroids
Corticosteroids
27
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True or False: Patients should take bisphosphonates with food to avoid a potential complication of the treatment.
False
28
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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
29
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Which musculoskeletal condition is treated with chemotherapy?

Osteoporosis
Osteomyelitis
Osteosarcoma
Osteonecrosis
Osteosarcoma
30
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How is osteomyelitis treated?

Physical therapy
Biphosphonates
Chemo
Antibiotics
Antibiotics
31
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True or False: NSAIDS can be incorporated with the treatment of plantar fascitis.
True
32
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What is a pharmacological intervention for numbness in the hand distal to a ganglion cyst aspiration?

Heat application
Chemo
Cortisone injection
NSAIDs
Cortisone injection
33
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True or False: Chronic immunosuppressant use commonly causes secondary osteoporosis
True
34
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Which type of medication is most likely to be effective in patients experiencing phantom limb pain?

Antiepileptics
Antispasmodics
Therapeutic mirroring
Opioids
Antiepileptics
35
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True or False: Opioids can NOT cause respiratory depression.
False
36
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True or False: Vitamin D supplements are needed for calcium absorption
True
37
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Does decreasing fluids, fiber, and movement help to have a bowel movement?
True
38
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Should a client take Alendronate for osteoporosis while sitting upright and with a full glass of water?
True
39
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Respirations are important to include in physical assessment for patients who are on opioid pain control.
True
40
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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
41
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Which of the following should the nurse asses with pt taking opoid medications such as ocycodone with acetaminophen?
bowel sounds and bowel movements
42
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Select a complication of fractures caused by pressure which results in decreased circulation.
Compartment Syndrome
43
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Edema is an early sign of fat embolism syndrome.
False
44
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Somatic pain is muscle, joint, or bone pain
True
45
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Avascular necrosis is when the blood supply to the bone is cut off or disrupted and death of the bone tissue occurs.
True
46
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Which symptom occurs with neurovascular compromise?
Tingling
47
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Complete Fracture: A bone separated into 2 sections and is broken across the entire width of the bone
True
48
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Your patient that just came into the ER has their femur sticking out of their thigh. Which type of fracture is this?
Compound fracture
49
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Compartment syndrome clinical manifestations typically subside after pain medication is administered.
False
50
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Dyspnea and headache are clinical manifestations of fat embolism syndrome
True
51
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Burning, sharp, shooting pain is classified as which type of pain?
Neuropathic
52
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Your patient is experiencing a 9/10 pain in their sprained wrist. Which type of pain is this?
Somatic
53
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Osteoporotic patients do not experience compression fractures very commonly
False
54
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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
55
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Splinting and deep breathing with rib fracture healing helps to prevent pneumothorax.
True
56
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Blood pressure will not increase if a patient is experiencing pain.
False
57
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What is the most common treatment for reducing and immobilizing a fracture?
ORIF (open reduction and internal fixation)
58
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True or False: 'Hot spots' under a cast can sometimes be normal.
False
59
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True or False: Leg fractures in a plaster cast should be elevated on pillows continuously for 24 hours.
True
60
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What injury is concerning if a client complains of not being able to ABDUCT the arm at the shoulder?
Rotator cuff injury
61
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Which type of medication places patients at most risk for pneumonia?
Opioids
62
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True or False: Pain in an extremity that is not there due to amputation is a psychogenic pain.
False
63
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What should the nurse assess if a patient complains of numbness in the hand after trauma?
Radial pulse
64
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True or False: RICE is Rest, Ice, Contain, Elevate.
False
65
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What nursing intervention should the nurse complete first when a patient with a fractured arm arrives at the ER?
Remove jewelry
66
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True or False: Handwashing is the best defense to avoid spread of infection.
True
67
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What is the best way to prevent DVT after a hip fracture?
Apply antiembolism stockings
68
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What should the nurse do first if a patient with skeletal traction is complaining of severe leg pain?
Assess body alignment in the bed
69
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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
70
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True or False: Drying the prosthesis socket completely before applying to the limb is not priority.
False
71
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True or False: The nurse should prevent hip flexion of the affected extremity after a total hip arthroplasty.
True
72
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How often should the nurse assess skin when the patient is in skeletal traction?
8 hours
73
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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
74
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What action should the nurse always take first?
Assess
75
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What can be delegated to an Unlicensed Assistive Personnel (UAP)?
Providing a back massage
76
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Hypothermia is an increase in body temperature
False
77
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Select a nursing intervention for hypothermia
Apply blankets
78
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What is the most important nursing action when caring for a post-operative patient?
Compare left and right dorsalis pedis pulses
79
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Cold therapy is the best action after a musculoskeletal injury.
True
80
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Ambulation assists with gas exchange
True
81
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Explaining the procedure including risks and benefits initially, is the role of the preoperative nurse.
False
82
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When a patient falls and reports knee pain, the nurse should ask "does the pain radiate to another area from your knee?"
True
83
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You cannot compress the blood vessels when assessing a pulse
False
84
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Calcium and Vitamin D supplementation is not necessary after a hip fracture or surgery.
False
85
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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
86
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A patient's surgical dressing is draining and the surgeon hasn't seen the patient yet. The nurse should change the dressing.
False
87
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Naloxone is the reversal agent for opioids.
True
88
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How is osteoporosis diagnosed?
Bone scan
89
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Elevated WBC is indicative of an infection, such as osteomyelitis.
True
90
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Which test is used to determine if a patient has soft tissue damage?
MRI
91
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A goniometer is used by rehab therapists or nurses to provide an exact measurement of flexion and extension or ROM
True
92
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Which lab result is typically associated with soft tissue damage?
Increased erythrocyte sedimentation rate (ESR)
93
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Which of the following tests can be used to diagnose osteoporosis?
DEXA scan
94
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Ultrasonography uses sounds waves to view surgical hardware placement
True
95
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Soft tissue damage can be seen on an XRAY
False
96
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What is an abnormal lab value of calcium that may indicate the patient has multiple fractures?
15.0
97
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What is the purpose of osteoclasts?
Break down old and damaged tissue
98
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What is the purpose of osteoblasts?
Repairs and builds damaged bone
99
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What is synarthroses?
Immovable joints (structures between cranial bones)
100
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What is amphiarthroses?
Limited movement (pubic, vertebrae)