NUR 180 FINAL TEST BANK QUESTIONS WITH VERIFIED
ACCURATE ANSWERS
A 23-year-old patient with a history of muscular dystrophy is hospitalized with
pneumonia. Which nursing
action will be included in the plan of care?
a. Logroll the patient every 2 hours.
b. Assist the patient with ambulation.
c. Discuss the need for genetic testing with the patient.
d. Teach the patient about the muscle biopsy procedure - Answers - ANS: B
Because the goal for the patient with muscular dystrophy is to keep the patient active for
as long as possible, assisting the patient to ambulate will be part of the care plan. The
patient will not require logrolling. Muscle biopsies are necessary to confirm the
diagnosis but are not necessary for a patient who already has a diagnosis. There is no
need for genetic testing because the patient already knows the diagnosis.
An assessment finding for a 55-year-old patient that alerts the nurse to the presence of
osteoporosis is
a. a measurable loss of height.
b. the presence of bowed legs.
c. the aversion to dairy products.
d. a statement about frequent falls. - Answers - ANS: A
Osteoporosis occurring in the vertebrae produces a gradual loss of height. Bowed legs
are associated with osteomalacia. Low intake of dairy products is a risk factor for
osteoporosis, but it does not indicate that osteoporosis is present. Frequent falls
increase the risk for fractures but are not an indicator of osteoporosis.
A 54-year-old woman who recently reached menopause and has a family history of
osteoporosis is
diagnosed with osteopenia following densitometry testing. In teaching the woman about
her osteoporosis, the
nurse explains that
a. estrogen replacement therapy must be started to prevent rapid progression to
osteoporosis.
b. continuous, low-dose corticosteroid treatment is effective in stopping the course of
osteoporosis.
c. with a family history of osteoporosis, there is no way to prevent or slow gradual bone
resorption.
d. calcium loss from bones can be slowed by increasing calcium intake and weight-
bearing exercise. - Answers - ANS: D
Progression of osteoporosis can be slowed by increasing calcium intake and weight-
bearing exercise. Estrogen replacement therapy does help prevent osteoporosis, but it
is not the only treatment and is not appropriate for some patients. Corticosteroid therapy
increases the risk for osteoporosis
, Which assessment finding about a patient who has been using naproxen (Naprosyn) for
6 weeks to treat
osteoarthritis is most important for the nurse to report to the health care provider?
a.
The patient has gained 3 pounds.
b.
The patient has dark-colored stools.
c.
The patients pain has become more severe.
d.
The patient is using capsaicin cream (Zostrix). - Answers - ANS: B
Dark-colored stools may indicate that the patient is experiencing gastrointestinal
bleeding caused by the
naproxen. The information about the patients ongoing pain and weight gain also will be
reported and may
indicate a need for a different treatment and/or counseling about avoiding weight gain,
but these are not as
large a concern as the possibility of gastrointestinal bleeding. Use of capsaicin cream
with oral medications is appropriate.
After the nurse has finished teaching a 68-year-old patient with osteoarthritis (OA) of the
right hip about
how to manage the OA, which patient statement indicates a need for more teaching?
a.
I can take glucosamine to help decrease my knee pain.
b.
I will take 1 g of acetaminophen (Tylenol) every 4 hours.
c.
I will take a shower in the morning to help relieve stiffness.
d.
I can use a cane to decrease the pressure and pain in my hip. - Answers - ANS: B
No more than 4 g of acetaminophen should be taken daily to avoid liver damage. The
other patient statements are correct and indicate good understanding of OA
management
A patient with rheumatoid arthritis being seen in the clinic has rheumatoid nodules on
the elbows. Which
action will the nurse take?
a.
Draw blood for rheumatoid factor analysis.
b.
Teach the patient about injections for the nodules.
c.
Assess the nodules for skin breakdown or infection.
d.
Discuss the need for surgical removal of the nodules - Answers - ANS: C
ACCURATE ANSWERS
A 23-year-old patient with a history of muscular dystrophy is hospitalized with
pneumonia. Which nursing
action will be included in the plan of care?
a. Logroll the patient every 2 hours.
b. Assist the patient with ambulation.
c. Discuss the need for genetic testing with the patient.
d. Teach the patient about the muscle biopsy procedure - Answers - ANS: B
Because the goal for the patient with muscular dystrophy is to keep the patient active for
as long as possible, assisting the patient to ambulate will be part of the care plan. The
patient will not require logrolling. Muscle biopsies are necessary to confirm the
diagnosis but are not necessary for a patient who already has a diagnosis. There is no
need for genetic testing because the patient already knows the diagnosis.
An assessment finding for a 55-year-old patient that alerts the nurse to the presence of
osteoporosis is
a. a measurable loss of height.
b. the presence of bowed legs.
c. the aversion to dairy products.
d. a statement about frequent falls. - Answers - ANS: A
Osteoporosis occurring in the vertebrae produces a gradual loss of height. Bowed legs
are associated with osteomalacia. Low intake of dairy products is a risk factor for
osteoporosis, but it does not indicate that osteoporosis is present. Frequent falls
increase the risk for fractures but are not an indicator of osteoporosis.
A 54-year-old woman who recently reached menopause and has a family history of
osteoporosis is
diagnosed with osteopenia following densitometry testing. In teaching the woman about
her osteoporosis, the
nurse explains that
a. estrogen replacement therapy must be started to prevent rapid progression to
osteoporosis.
b. continuous, low-dose corticosteroid treatment is effective in stopping the course of
osteoporosis.
c. with a family history of osteoporosis, there is no way to prevent or slow gradual bone
resorption.
d. calcium loss from bones can be slowed by increasing calcium intake and weight-
bearing exercise. - Answers - ANS: D
Progression of osteoporosis can be slowed by increasing calcium intake and weight-
bearing exercise. Estrogen replacement therapy does help prevent osteoporosis, but it
is not the only treatment and is not appropriate for some patients. Corticosteroid therapy
increases the risk for osteoporosis
, Which assessment finding about a patient who has been using naproxen (Naprosyn) for
6 weeks to treat
osteoarthritis is most important for the nurse to report to the health care provider?
a.
The patient has gained 3 pounds.
b.
The patient has dark-colored stools.
c.
The patients pain has become more severe.
d.
The patient is using capsaicin cream (Zostrix). - Answers - ANS: B
Dark-colored stools may indicate that the patient is experiencing gastrointestinal
bleeding caused by the
naproxen. The information about the patients ongoing pain and weight gain also will be
reported and may
indicate a need for a different treatment and/or counseling about avoiding weight gain,
but these are not as
large a concern as the possibility of gastrointestinal bleeding. Use of capsaicin cream
with oral medications is appropriate.
After the nurse has finished teaching a 68-year-old patient with osteoarthritis (OA) of the
right hip about
how to manage the OA, which patient statement indicates a need for more teaching?
a.
I can take glucosamine to help decrease my knee pain.
b.
I will take 1 g of acetaminophen (Tylenol) every 4 hours.
c.
I will take a shower in the morning to help relieve stiffness.
d.
I can use a cane to decrease the pressure and pain in my hip. - Answers - ANS: B
No more than 4 g of acetaminophen should be taken daily to avoid liver damage. The
other patient statements are correct and indicate good understanding of OA
management
A patient with rheumatoid arthritis being seen in the clinic has rheumatoid nodules on
the elbows. Which
action will the nurse take?
a.
Draw blood for rheumatoid factor analysis.
b.
Teach the patient about injections for the nodules.
c.
Assess the nodules for skin breakdown or infection.
d.
Discuss the need for surgical removal of the nodules - Answers - ANS: C
