ABFM MUSCULOSKELETAL PAPER ALL ANSWERS
AND QUESTIONS SET A+
✔✔*The nurse should first address the client's [---], followed by the client's [---].*
2 months ago:
Client is a 58-year-old female who is recently diagnosed with osteoporosis. Reports a
history of non-insulin dependent diabetes mellitus, managed with diet and exercise.
Walks 3 to 4 miles 5 to 6 days per week.
Today:
Client reports burning with urination and urinary frequency. Client reports occasional
fatigue and occasional back pain that is relieved with acetaminophen. Reports back
pain level today is 4 on a scale from 1 to 10. Has recently noticed numbness in hands.
Client reports decrease in walking because of work obligations; currently walking 1 day
per week. - ✔✔The nurse should first address the client's [calcium level], followed by
the client's [urinalysis].
✔✔*Click to highlight the findings that indicate an adverse effect of the medication the
client was prescribed for osteoporosis. To deselect a finding, click on the finding again.*
6 months ago:
Raloxifene 60 mg PO once daily
Today:
Platelet count
INR - ✔✔Calf pain
Right pedal pulse +1
Right foot is cool to touch
Platelet count 600,000/mm3 (150,000 to 400,000/mm3)
✔✔*Which findings should the nurse determine are contraindications to the client taking
the newly prescribed medication?*
1 week ago:
Client reports taking meloxicam for RA for several years and discontinued it a few
months ago when it was no longer effective. Currently taking acetaminophen 650 mg as
needed for arthritis pain. The provider discussed with the client the plan to prescribe
methotrexate after laboratory results are complete.
AND QUESTIONS SET A+
✔✔*The nurse should first address the client's [---], followed by the client's [---].*
2 months ago:
Client is a 58-year-old female who is recently diagnosed with osteoporosis. Reports a
history of non-insulin dependent diabetes mellitus, managed with diet and exercise.
Walks 3 to 4 miles 5 to 6 days per week.
Today:
Client reports burning with urination and urinary frequency. Client reports occasional
fatigue and occasional back pain that is relieved with acetaminophen. Reports back
pain level today is 4 on a scale from 1 to 10. Has recently noticed numbness in hands.
Client reports decrease in walking because of work obligations; currently walking 1 day
per week. - ✔✔The nurse should first address the client's [calcium level], followed by
the client's [urinalysis].
✔✔*Click to highlight the findings that indicate an adverse effect of the medication the
client was prescribed for osteoporosis. To deselect a finding, click on the finding again.*
6 months ago:
Raloxifene 60 mg PO once daily
Today:
Platelet count
INR - ✔✔Calf pain
Right pedal pulse +1
Right foot is cool to touch
Platelet count 600,000/mm3 (150,000 to 400,000/mm3)
✔✔*Which findings should the nurse determine are contraindications to the client taking
the newly prescribed medication?*
1 week ago:
Client reports taking meloxicam for RA for several years and discontinued it a few
months ago when it was no longer effective. Currently taking acetaminophen 650 mg as
needed for arthritis pain. The provider discussed with the client the plan to prescribe
methotrexate after laboratory results are complete.
