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Which patient is most likely to develop osteoporosis?
a.43-year-old African American woman
b.57-year-old white woman
c.48-year-old African American man
d.62-year-old Latino woman ANS: B
White and Asian women have a higher incidence of osteoporosis than African American women
or Hispanic women because of the greater bone density in the African American.
The patient, age 58, is diagnosed with osteoporosis after densitometry testing. She has been
menopausal for 5 years and has been concerned about her risk for osteoporosis because her
mother has osteoporosis. In teaching her about her osteoporosis, which information does the
nurse include?
a.Even with a family history of osteoporosis, the calcium loss from bones can be slowed by
increased calcium intake and exercise.
b.Estrogen replacement therapy must be started to prevent rapid progression of her osteoporosis.
c.With a family history of osteoporosis, there is no way to prevent or slow bone reabsorption.
,d.Continuous, low-dose corticosteroid treatment is effective in stopping the course of
osteoporosis. ANS: A
To prevent osteoporosis, women are advised to have an adequate daily intake of calcium and
vitamin D; exercise regularly; avoid smoking; decrease coffee intake; decrease excess protein in
the diet; and engage in regular moderate activity such as walking, bike riding, or swimming at
least 3 days a week. A contributing factor may be use of steroids.
Calcium is a mineral found in many foods that can slow bone loss during the aging process.
Which food is high in calcium?
a.Oranges
b.Bananas
c.Spinach
d.Eggs ANS: C
Spinach and green vegetables, as well as yogurt, are considered calcium-rich foods. Fresh
oranges, bananas, and eggs are not good calcium choices.
A 56-year-old female patient is being seen for osteoarthritis of the knee in the clinic. What
should the nurse recommend when discussing strengthening exercises?
a.Jogging
b.Walking rapidly on a treadmill
,c.Bicycling
d.Aerobic exercises ANS: C
Bicycling or swimming is recommended for osteoarthritis of the hip or knee. Jogging would put
undue stress on knee joints. Climbing stairs should be avoided. Walking should be done on level
ground, not up or down elevations.
A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in
toward the center of his body. This movement is called
:a.Flexion.
b.Abduction.
c.Adduction.
d.Extension. ANS:
C Moving a limb toward the midline of the body is called adduction; moving a limb away from
the midline of the body is called abduction. Flexion is bending a limb at a joint; and extension is
straightening a limb at a joint.
A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she
eats or tries to brush her teeth. The nurse knows that for her to move her hand to her mouth, she
must perform which movement?
a.Flexion
, b.Abduction
c.Adduction
d.Extension ANS: A
Flexion, or bending a limb at a joint, is required to move the hand to the mouth. Extension is
straightening a limb at a joint. Moving a limb toward the midline of the body is called adduction;
abduction is moving a limb away from the midline of the body.
3. The functional units of the musculoskeletal system are the:
a.Joints.
b.Bones.
c.Muscles.
d.Tendons. ANS: A
Joints are the functional units of the musculoskeletal system because they permit the mobility
neededto perform the activities of daily living. The skeleton (bones) is
When reviewing the musculoskeletal system, the nurse recalls that hematopoiesis takes place
inthe:
a.Liver.
b.Spleen.