NSG 502 HESI case study - Risk for Falls,
Hip Fractures, and Pulmonary Embolism
Exam Questions With Correct Answers
The |nurse |expects |to |see |which |manifestations |of |osteoarthritis |in |Mrs. |Weil?
Select |all |that |apply
The |nurse |expects |to |see |which |manifestations |of |osteoarthritis |in |Mrs. |Weil?
Fatigue.
Joint |pain.
Fever.
Swollen |nodes |of |the |joints.
Asymmetrical |involvement |of |the |joints.
Joint |pain.
,Pain |typically |worsens |with |joint |use |and |may |be |relieved |with |rest |in |the |early |stages. |In |
advanced |osteoarthritis, |pain |may |worsen, |causing |sleep |disturbances |and |interfering |with |
activities |of |daily |living.
Swollen |nodes |of |the |joints.
Heberden's |nodes, |bony |bumps |on |finger |joints |closest |to |the |fingernails, |or |Bouchard's |
nodes, |bony |bumps |on |the |middle |joint |of |the |finger, |can |form |on |the |joints |and |cause |visible |
disfigurement |and |tenderness. |
Asymmetrical |involvement |of |the |joints.
Osteoarthritis |typically |affects |joints |asymmetrically |and |most |commonly |involves |the |joints |of |
the |fingers, |thumb, |hips, |knees, |feet, |and |cervical |and |lower |lumbar |vertebrae.
Which |symptom |should |Mrs. |Weil |report |immediately |while |taking |a |non-steroidal |anti-
inflammatory |drug |(NSAID)?
Black, |tarry |stools.
Swelling |in |the |extremities.
Nausea.
Constipation.
Black, |tarry |stools.
, NSAIDS |can |cause |bleeding |tendencies |in |addition |to |ulcer |formation.
When |the |nurse |is |teaching |Susan |about |medications |for |osteoporosis, |which |instruction |is |
most |important, |knowing |that |Susan |takes |alendronate |(Fosamax), |a |biphosphonate?
A. |Take |this |medication |at |bedtime.
B.Remain |upright |(sitting |or |standing) |for |at |least |30 |minutes |after |taking |this |medication.
C. |Take |this |medication |at |the |same |time |every |day.
D. |Always |take |alendronate |with |the |mid-day |meal |to |prevent |stomach |upset.
Remain |upright |(sitting |or |standing) |for |at |least |30 |minutes |after |taking |this |medication.
Biphosphonates |can |cause |erosion |in |the |esophagus. |Lying |down |or |reclining |after |
administration |can |allow |regurgitation |into |the |esophagus.
SEction |3: |Safety |IssuesThe |nurse |escorts |the |client |to |an |examination |room |and |obtains |the |
following |information:
Height |62” |(157.48 |cm)
Weight |120 |lbs |(54.4 |kg) |(BMI |21.9)
Heart |rate |84 |beat/min
Hip Fractures, and Pulmonary Embolism
Exam Questions With Correct Answers
The |nurse |expects |to |see |which |manifestations |of |osteoarthritis |in |Mrs. |Weil?
Select |all |that |apply
The |nurse |expects |to |see |which |manifestations |of |osteoarthritis |in |Mrs. |Weil?
Fatigue.
Joint |pain.
Fever.
Swollen |nodes |of |the |joints.
Asymmetrical |involvement |of |the |joints.
Joint |pain.
,Pain |typically |worsens |with |joint |use |and |may |be |relieved |with |rest |in |the |early |stages. |In |
advanced |osteoarthritis, |pain |may |worsen, |causing |sleep |disturbances |and |interfering |with |
activities |of |daily |living.
Swollen |nodes |of |the |joints.
Heberden's |nodes, |bony |bumps |on |finger |joints |closest |to |the |fingernails, |or |Bouchard's |
nodes, |bony |bumps |on |the |middle |joint |of |the |finger, |can |form |on |the |joints |and |cause |visible |
disfigurement |and |tenderness. |
Asymmetrical |involvement |of |the |joints.
Osteoarthritis |typically |affects |joints |asymmetrically |and |most |commonly |involves |the |joints |of |
the |fingers, |thumb, |hips, |knees, |feet, |and |cervical |and |lower |lumbar |vertebrae.
Which |symptom |should |Mrs. |Weil |report |immediately |while |taking |a |non-steroidal |anti-
inflammatory |drug |(NSAID)?
Black, |tarry |stools.
Swelling |in |the |extremities.
Nausea.
Constipation.
Black, |tarry |stools.
, NSAIDS |can |cause |bleeding |tendencies |in |addition |to |ulcer |formation.
When |the |nurse |is |teaching |Susan |about |medications |for |osteoporosis, |which |instruction |is |
most |important, |knowing |that |Susan |takes |alendronate |(Fosamax), |a |biphosphonate?
A. |Take |this |medication |at |bedtime.
B.Remain |upright |(sitting |or |standing) |for |at |least |30 |minutes |after |taking |this |medication.
C. |Take |this |medication |at |the |same |time |every |day.
D. |Always |take |alendronate |with |the |mid-day |meal |to |prevent |stomach |upset.
Remain |upright |(sitting |or |standing) |for |at |least |30 |minutes |after |taking |this |medication.
Biphosphonates |can |cause |erosion |in |the |esophagus. |Lying |down |or |reclining |after |
administration |can |allow |regurgitation |into |the |esophagus.
SEction |3: |Safety |IssuesThe |nurse |escorts |the |client |to |an |examination |room |and |obtains |the |
following |information:
Height |62” |(157.48 |cm)
Weight |120 |lbs |(54.4 |kg) |(BMI |21.9)
Heart |rate |84 |beat/min
