Older Chapter 45-46

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The nurse is teaching about the musculoskeletal system. Which information requires correction?

Voluntary muscles require nerve impulses to contract

A continuous supply of blood is needed from the circulatory system

Joint articulations are maintained by moisture from the lymph system (correct)

Adequate oxygenation is supplied by respiratory system functioning

The nurse is helping a patient understand all the functions of the skeleton. Which function is correct?

It protects organs and tissues from mechanical injury (correct)

It is the main system responsible for body movement

Small, regular bones store blood-forming tissue

The entire system is responsible for production of calcium

The nurse is caring for a patient with a suspected bone tumor. Which lab finding is most concerning?

Decreased calcium

Increased magnesium

Increased creatine kinase(CK)

Elevated alkaline phosphatase(ALP) (correct)

The nurse is collecting data on an older adult patient. Which finding is most concerning?

A recent history of falls and accidents Signup and view all the answers

The nurse is collecting data on a patient who is experiencing hip pain. Which data does the nurse consider to be most concerning?

A pain level of 7 on a 0-10 scale Signup and view all the answers

The nurse is providing care for a patient scheduled for an arthrography. Which explanation about pain during the procedure does the nurse provide?

There is temporary pain during dye injection Signup and view all the answers

A patient diagnosed with curvature of the spine asks the nurse why breathing is impacted by their spine. How should the nurse respond?

The thoracic cage has lost some flexibility Signup and view all the answers

The nurse is collecting data for a patient with osteomalacia. Which serum calcium result indicates the typical changes that occur in serum calcium levels with this condition?

8.0 mg/dl Signup and view all the answers

The nurse is collecting data on a patient with a musculoskeletal trauma to the lower leg. Which method of examination should be used first?

Visualization of the bone Signup and view all the answers

The nurse is providing care for a patient who is diagnosed with rhabdomyolysis from a crushing injury. Laboratory results indicate elevated levels of creatine kinase, myoglobin, and serum potassium. What is a priority nursing action

Observe the color and amount of urine Signup and view all the answers

A patient arrives at a clinic with a knee joint that is noticeably swollen, warm to the touch, and painful. The health-care provider(HCP) plans to perform an arthrocentesis. What action should the nurse implement after the procedure?

Monitor the site for bleeding and bruising Signup and view all the answers

The nurse is reviewing the laboratory results for a patient with severe bone pain. Which condition does the nurse suspect if the ALP level is elevated

Paget disease Signup and view all the answers

A patient is scheduled for arthroscopic surgery on a knee. The patient is to receive light general anesthesia and will be discharged home. Which action will cause the nurse to contact the HCP or registered nurse(RN)

Inability to feel sensation in the toes of the affected leg Signup and view all the answers

The nurse is providing care for a patient before a myelography for diagnosis of a spinal column condition. Which statement by the patient demonstrates understanding of the procedure?

I will be placed with my head down in bed so the medium flows to the neck Signup and view all the answers

A patient is receiving care for a torn ligament at the insertion site of an upper arm muscle. The patient asks the nurse how this condition will affect movement. Which information will the nurse correctly share

The movement of the arm will seem normal Signup and view all the answers

A female patient arrives at the HCP's office for a routine checkup. The nurse notes that the patient has several risk factors for osteoporosis. Which test does the nurse expect the HCP to prescribe?

A dual-energy X-ray absorptiometry (DEXA) Signup and view all the answers

A patient is prepared for a nuclear medicine scan of the skeleton, using gallium and thallium as the radioisotopes. Which nursing care will the nurse provide if the scan reveals high thallium concentrations

Extend a willingness to sit and talk with the patient Signup and view all the answers

A patient just had an arthrogram performed for pain in a synovial joint. Which nursing are is inappropriate following this procedure

Apply an elastic wrap for swelling Signup and view all the answers

A patient is recovering from a biopsy of the right femur and was given pain medication 1 hour ago. Which symptom does the nurse report and closely monitor in this patient? (Select all that apply)

Hematoma formation Signup and view all the answers

A patient was an unrestrained passenger in a motor vehicle accident and hit the windshield. In addition, the patient's leg was fractured. Which areas should be included in this patient's

Pulses Signup and view all the answers

The nurse is preparing for a home visit to a patient with an external fixation device of the lower extremity. What priority care is anticipated?

Monitoring for infection Signup and view all the answers

An older adult patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a fiberglass cast. What should the nurse prepare for when planning care?

A delay of healing Signup and view all the answers

The nurse is caring for an older adult patient who is postoperative from a total hip joint replacement. What priority care is anticipated postoperatively

Medicate with pain medications Signup and view all the answers

The nurse is providing preoperative care for a patient who is scheduled for joint replacement the next day. What should the nurse include with care?

Clean skin with antibacterial skin cleaning cloths Signup and view all the answers

The nurse is providing care for a patient following an open reduction surgery of a fracture. Which finding should the nurse report immediately to the HCP or registered nurse(RN)?

There is numbness and tingling sensations in the surgical limb Signup and view all the answers

A patient with gout has been instructed on the prescribed medication allopurinol(Zyloprim). Which patient statement indicates understanding of the action of this medication?

It blocks formation of uric acid Signup and view all the answers

The nurse is contributing to the plan of care for a patient who has traumatic finger amputation. What should the nurse consider?

Replantation can occur Signup and view all the answers

A patient who has displaced midshaft fracture of the left femur is in balanced suspension skeletal traction with 35 pounds of weight. The patient reports calf pain and redness. Which action should the nurse take?

Notify the RN Signup and view all the answers

The home health-care nurse is attending to a patient with osteomyelitis in a lower extremity from a traumatic bone fracture who is receiving dressing changes by a family member. Which observation by the nurse requires additional teaching?

Clean technique is used when the dressing is changed Signup and view all the answers

The nurse is providing care for a patient being treated after a complicated femur fracture. The nurse has noticed the patient has drowsiness, tachycardia, and low-grade fever. Which finding is more concerning?

Presence of a petechial rash on chest and neck Signup and view all the answers

The nurse is assisting with the preparation of materials for a health fair aimed at promoting bone health. What risk factors should be included when discussing osteoporosis?

Family history of fractures is a risk Signup and view all the answers

The nurse is providing care for a patient who experienced a closed reduction to a fracture of the ulna. Which early symptom of acute compartment syndrome should be reported

Pallor with extremity warmth Signup and view all the answers

The nurse is providing care for a patient after an above-the-knee amputation because of diabetes complications. Which nursing care essential for promoting ambulation?

Lying prone as prescribed Signup and view all the answers

A patient is being prepared for a prosthesis following surgery for an amputation. Which information will the nurse provide to the client regarding the use of a prosthesis?

Skin inspection is performed each time the sock is removed Signup and view all the answers

The nurse is providing care for a patient with external fixation for a fracture involving severe bone damage. What is a priority of care.

Monitoring pin and wound sites for signs of infection Signup and view all the answers

The nurse is assisting with the care of a patient with rheumatoid arthritis(RA). What should the nurse consider when providing care?

It is essential to monitor all body systems for effects of the disease Signup and view all the answers

The nurse is assisting with patients on an orthopedic unit. Which is an important factor to remember when caring for patients after a total hip replacement?

A triangular pillow is used between the legs to avoid adduction Signup and view all the answers

The nurse is assisting with the care of patients who have had joint replacement surgery. Which action is unnecessary for the patient after a total knee replacement(TKR)?

Maintain proper joint alignment Signup and view all the answers

A patient asks the difference between osteoarthritis and RA. Which manifestations does the nurse explain are characteristic of RA?(Select all that apply)

Low-grade fever Signup and view all the answers

The nurse is collecting data from a patient suspected of developing a fat embolus from a fracture of the right femur. Which manifestations does the nurse expect?(Select all that apply)

Petechiae Signup and view all the answers