RN Medical-Surgical Final/Iggy book
While assessing a patient for an actual or potential musculoskeletal problem, the nurse needs
to compile a detailed and accurate personal-patient hx to identify priority problems and nursing
interventions. What all would the nurse ask her patient, select all that apply.
a. acidents
b. previous/current illnesses/diseases
c. current lifestyle
d. religious preference
e. drug use
f. allergies - correct answer Ans: a, b, c, e, f
*Accidnets, illnesses, lifestyles, drugs and allergies can all impact a patient's musculoskeltal
system.
Who is at greatest risk for trauma r/t MVC?
a. older men
b. older women
c. young men
d. young women - correct answer Ans: C.
*Young men are at the greatest riski for trauma r/t motor vehicle crashes.
Who is at greatest risk for fractures and soft-tissue injuries?
a. older women
b. woman with anorexia
c. older men
d. 24-year old male
e. both a and c
f. both a and b - correct answer Ans: e
*Older adults are at the greatest risk for falls that result in fx and soft-tissue injury.
The new nurse notices that the physician has prescribed her Type 2 DM pt, being treated for a
foot ulcer, a high protein diet. The new nurse knows that her pt has been prescribed this diet bc
diabetes slows the healing process down. Knowing this information, the nurse monitors her DM
pt closely for what possible complication(s) bc the pt is at a high risk for what issue?
,RN Medical-Surgical Final/Iggy book
a. osteoporosis
b. acute/chronic osteomyelitus
c. myxedema crisis
d. tib-fib fx - correct answer Ans: B
* Patients with diabetes who are being treated for a foot ulcer is at high risk for acute/chronic
osteomyletis (bone infection), in addition, diabetes slows the healing process.
Your patient asks you, "Why should I perform weight-bearing activities, like walking? Do they
really do anything good?" What should you tell your patient? Select all that apply.
a. "Not really."
b. "Weight-bearing activities can help reduce your risk of getting osteoporosis."
c. "Weight-bearing activities are the only way to prevent muscle atrophy."
d. "Activities such as walking can help maintain muscle strength." - correct answer Ans: b, d
* Weight-bearing activities such as walking can reduce risk factors for osteoporosis and
maintain muscle strength.
What should you teach your client, regarding issues that can affect the musculoskeletal system
negatively? Select all that apply.
a. Walking with arm weights daily
b. Excessive jogging
c. Jogging every now and then at work
d. Running everyday
e. quitting smoking cold turkey
f. Smoking
g. drinking alcoholic beverages - correct answer Ans: b, d, f, g
* High-impact sports, e.g. excessive jogging/running, can cause musculoskeletal injury to soft
tissues and bone, tobacco use slows the healing of injuries, excessive alcohol intake can
decrease vitamins and nutrients the person needs for bone and muscle tissue growth.
While studying for her Ortho exam, the nursing students remembers that those who have what
type of occupation/work life are at high risk for developing musculoskeletal injuries? Select all
that apply.
a. housekeeper
, RN Medical-Surgical Final/Iggy book
b. mechanic
c. school teacher
d. factory worker
e. secretary
f. RN
g. construction worker
h. actor/actress - correct answer Ans: a, b, d, e, f, g
* Those at risk for fx are manual laborers, such as housekeepers, mechanics, and industrial
workers. Those with computer-related jobs are predisposed to carpal tunnel syndrom/neck
pain; construction workers and health care workers may experience back injury; amateur and
professional athletes ofte experience acute musculoskeletal injuries.
This allergy can lead to a patient having a decreased calcium metabolism and promote bone
loss.
a. shell fish
b. peaches
c.dairy
d. bee stings - correct answer Ans: C
* an allergy to dairy products, can cause a decreased calcium intake.
You are looking over your patient's EMAR. What drug listed do you know can negatively affect
calcium metabolism and promote bone loss?
a. methotrexate
b. prednisone
c. ferrous sulfate
d.fluorouracil - correct answer Ans: B
*some drugs, e.g. steroids, can negatively affect calcium metabolism and promote bone loss.
Your patient asks you if there are any medications that they can take that would help alleviate
their arthritic pain, other than analgesics. What would you say? Select all.
a. Tylenol
b. glucosamine
While assessing a patient for an actual or potential musculoskeletal problem, the nurse needs
to compile a detailed and accurate personal-patient hx to identify priority problems and nursing
interventions. What all would the nurse ask her patient, select all that apply.
a. acidents
b. previous/current illnesses/diseases
c. current lifestyle
d. religious preference
e. drug use
f. allergies - correct answer Ans: a, b, c, e, f
*Accidnets, illnesses, lifestyles, drugs and allergies can all impact a patient's musculoskeltal
system.
Who is at greatest risk for trauma r/t MVC?
a. older men
b. older women
c. young men
d. young women - correct answer Ans: C.
*Young men are at the greatest riski for trauma r/t motor vehicle crashes.
Who is at greatest risk for fractures and soft-tissue injuries?
a. older women
b. woman with anorexia
c. older men
d. 24-year old male
e. both a and c
f. both a and b - correct answer Ans: e
*Older adults are at the greatest risk for falls that result in fx and soft-tissue injury.
The new nurse notices that the physician has prescribed her Type 2 DM pt, being treated for a
foot ulcer, a high protein diet. The new nurse knows that her pt has been prescribed this diet bc
diabetes slows the healing process down. Knowing this information, the nurse monitors her DM
pt closely for what possible complication(s) bc the pt is at a high risk for what issue?
,RN Medical-Surgical Final/Iggy book
a. osteoporosis
b. acute/chronic osteomyelitus
c. myxedema crisis
d. tib-fib fx - correct answer Ans: B
* Patients with diabetes who are being treated for a foot ulcer is at high risk for acute/chronic
osteomyletis (bone infection), in addition, diabetes slows the healing process.
Your patient asks you, "Why should I perform weight-bearing activities, like walking? Do they
really do anything good?" What should you tell your patient? Select all that apply.
a. "Not really."
b. "Weight-bearing activities can help reduce your risk of getting osteoporosis."
c. "Weight-bearing activities are the only way to prevent muscle atrophy."
d. "Activities such as walking can help maintain muscle strength." - correct answer Ans: b, d
* Weight-bearing activities such as walking can reduce risk factors for osteoporosis and
maintain muscle strength.
What should you teach your client, regarding issues that can affect the musculoskeletal system
negatively? Select all that apply.
a. Walking with arm weights daily
b. Excessive jogging
c. Jogging every now and then at work
d. Running everyday
e. quitting smoking cold turkey
f. Smoking
g. drinking alcoholic beverages - correct answer Ans: b, d, f, g
* High-impact sports, e.g. excessive jogging/running, can cause musculoskeletal injury to soft
tissues and bone, tobacco use slows the healing of injuries, excessive alcohol intake can
decrease vitamins and nutrients the person needs for bone and muscle tissue growth.
While studying for her Ortho exam, the nursing students remembers that those who have what
type of occupation/work life are at high risk for developing musculoskeletal injuries? Select all
that apply.
a. housekeeper
, RN Medical-Surgical Final/Iggy book
b. mechanic
c. school teacher
d. factory worker
e. secretary
f. RN
g. construction worker
h. actor/actress - correct answer Ans: a, b, d, e, f, g
* Those at risk for fx are manual laborers, such as housekeepers, mechanics, and industrial
workers. Those with computer-related jobs are predisposed to carpal tunnel syndrom/neck
pain; construction workers and health care workers may experience back injury; amateur and
professional athletes ofte experience acute musculoskeletal injuries.
This allergy can lead to a patient having a decreased calcium metabolism and promote bone
loss.
a. shell fish
b. peaches
c.dairy
d. bee stings - correct answer Ans: C
* an allergy to dairy products, can cause a decreased calcium intake.
You are looking over your patient's EMAR. What drug listed do you know can negatively affect
calcium metabolism and promote bone loss?
a. methotrexate
b. prednisone
c. ferrous sulfate
d.fluorouracil - correct answer Ans: B
*some drugs, e.g. steroids, can negatively affect calcium metabolism and promote bone loss.
Your patient asks you if there are any medications that they can take that would help alleviate
their arthritic pain, other than analgesics. What would you say? Select all.
a. Tylenol
b. glucosamine
