NURS 1110 Exam: Musculoskeletal disorders –
Questions With Clear Solutions
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Terms in this set (176)
A licensed practical nurse (LPN) is A. Report experiencing a ringing in the ears
caring for a patient who is being
treated with ibuprofen (Motrin). What Although all of the instructions are correct and
is the HIGHEST priority instruction that should be relayed to the patient, reporting ringing in
the nurse should give this patient? the ears is the most important instruction to
A. Report experiencing a ringing in emphasize because of the risk of ototoxicity. After
the ears. the patient demonstrates an understanding of the
B. Avoid taking aspirin and ibuprofen importance of reporting ringing in the ears, the nurse
concurrently. can instruct the patient to avoid taking aspirin and
C. Avoid driving if the medication ibuprofen concurrently, avoid driving if the
causes drowsiness. medication causes drowsiness, and take the drug
D. Take the drug with food or take with food or take enteric-coated tablets.
enteric-coated tablets.
An LPN is caring for a patient who has C. Discard the first morning urine specimen.
been instructed to collect a 24-hour
urine specimen for creatinine. What is The first urine specimen of the day should be
the FIRST step in the process of discarded before beginning the test because its
collecting the specimen? contents will be more concentrated than any
A. Begin the test in a fasting state. subsequent specimen. Although the urine should be
B. Collect urine in a refrigerated collected in a refrigerated container, this action is not
container. the first step in the process. Including the urine
C. Discard the first morning urine collected at the conclusion of test is the final, not the
specimen. first, step of the test. It is not necessary to begin the
D. Include the urine collected at the test in a fasting state.
conclusion of test.
,An LPN is caring for a patient who is C. The patient has a cardiac pacemaker.
scheduled to undergo magnetic
resonance imaging. Which statement The patient may not be able to undergo the test if he
is the MOST important information has a cardiac pacemaker; thus notifying the physician
about this patient that should be of the cardiac pacemaker would be the priority.
communicated to the physician? Although the physician should know that the patient
A. The patient is claustrophobic. is claustrophobic or anxious and might have ordered
B. The patient is experiencing anxiety. a medication, if necessary, relaying this information to
C. The patient has a cardiac the physician would not be the priority. The physician
pacemaker. does not need to be notified that the patient is
D. The patient is wearing metallic wearing metallic jewelry; rather, the nurse needs to
jewelry. remove the jewelry and have it secured for the
patient.
An LPN is caring for a patient who is D. Instruct the patient to report signs of infection
being treated with methotrexate promptly.
(Folex). What is the HIGHEST priority
nursing action associated with this Methotrexate (Folex) is an immunosuppressant
medication? medication that can produce toxic effects on oral
A. Monitor periodic blood and urine tissues, liver, lungs, bone marrow, skin, and kidneys.
studies. The patient taking an immunosuppressant is at higher
B. Encourage the patient to increase risk for infection and has a decreased ability to fight
fluid intake. off the infection. Although monitoring periodic blood
C. Inform the patient that some hair and urine studies is an important nursing intervention
loss may occur. and should be implemented, it does not have the
D. Instruct the patient to report signs urgency associated with noting the signs of infection
of infection promptly. that would be indicative of toxicity. It is also
important to encourage the patient to increase fluid
intake and inform the patient that some hair loss may
occur, but reporting signs of infection is the priority.
,An LPN is caring for a patient who is D. Recommend that the patient to visit an
being treated with ophthalmologist while taking this medication.
hydroxychloroquine sulfate
(Plaquenil). What is the HIGHEST Visiting an ophthalmologist while taking this
priority instruction that the nurse medication is the highest priority nursing intervention
should give to this patient? because ocular toxicity can occur with the
A. Instruct the patient to report any medication. After the patient has demonstrated an
episodes of headaches and anorexia. understanding of the importance of visiting an
B. Inform the patient that he may ophthalmologist, the nurse should inform the patient
experience episodes of nausea and that he may experience nausea and vomiting, instruct
vomiting. the patient to report the anorexia and headaches,
C. Instruct the patient to monitor his and that his complete blood cell count and liver
complete blood cell count and liver function studies will need to be monitored.
function studies.
D. Recommend that the patient to visit
an ophthalmologist while taking this
medication.
Which joint is the most common B. Knee
source of disability caused by
osteoarthritis? The most common source of major disability because
A. Hips of osteoarthritis is the knee. Osteoarthritis does
B. Knee affect joints under pressure, including the hips, spine,
C. Spine and shoulders, but the most common source of
D. Shoulders major disability is the knee.
Which is the most serious C. Deep Vein Thrombosis
complication for the postoperative
patient with a hip or knee Deep vein thrombosis is the most serious
replacement? complication postoperatively because the clot can
A. Infection break off and become a pulmonary embolism, which
B. Hemorrhage can be fatal. Infection is serious but can be treated
C. Deep vein thrombosis with antibiotics. Observing for signs and symptoms of
D. Dislocation of replacement hemorrhage is important and, if it occurs, needs
prompt treatment. Dislocation of replacement may
require more surgery, and steps to prevent this
complication must be followed
, Which patient is most likely to have D. A 45-year old man who weighs 280 lb and drinks 1
primary gout? to 2 martinis per day
A. A 30-year old man who weighs 185
lb and drinks 6 beers per week The 45-year-old man is most likely to have primary
B. A 25-year old woman who weighs gout because of age, weight, and alcohol
130 lb and admits to social drinking consumption. Gout is more prevalent in men 40 to 50
C. A 40-year old woman who weighs years of age, and the risk increases with obesity and
150 lb and drinks 3 to 4 alcohol drinks alcohol consumption.
per week
D. A 45-year old man who weighs 280
lb and drinks 1 to 2 martinis per day
The erythrocyte sedimentation rate A. Osteoarthritis
(ESR) is decreased with which
condition? The ESR determines how much inflammation is in the
A. Osteoarthritis body and is decreased with osteoarthritis.
B. Rheumatic fever Osteoarthritis is a breakdown of joint cartilage. The
C. Rheumatoid arthritis rate is increased with rheumatic fever and
D. Polymyalgia rheumatica rheumatoid arthritis (RA) and is very high with
polymyalgia rheumatica. RA is a progressive
inflammatory disease.
The nurse is caring for a patient with a A. Tendons anchor muscles to bones
ruptured Achilles tendon who is
asking about the injury. The nurse Tendons are made up of very strong and dense
should explain which feature about fibrous connective tissue and anchor muscles to
tendons? bones. Ligaments connect bones and cartilage and
A. Tendons anchor muscles to bones. support muscles. A joint is where two or more bones
B. Tendons connect bones and are joined and allow motion and flexibility of the rigid
cartilage. skeleton. Cartilage is a special type of fibrous tissue
C. Tendons are located where two or that provides firm but flexible support for part of the
more bones are joined. adult skeleton.
D. Tendons provide flexible support
for part of the adult skeleton.
Questions With Clear Solutions
Save
Terms in this set (176)
A licensed practical nurse (LPN) is A. Report experiencing a ringing in the ears
caring for a patient who is being
treated with ibuprofen (Motrin). What Although all of the instructions are correct and
is the HIGHEST priority instruction that should be relayed to the patient, reporting ringing in
the nurse should give this patient? the ears is the most important instruction to
A. Report experiencing a ringing in emphasize because of the risk of ototoxicity. After
the ears. the patient demonstrates an understanding of the
B. Avoid taking aspirin and ibuprofen importance of reporting ringing in the ears, the nurse
concurrently. can instruct the patient to avoid taking aspirin and
C. Avoid driving if the medication ibuprofen concurrently, avoid driving if the
causes drowsiness. medication causes drowsiness, and take the drug
D. Take the drug with food or take with food or take enteric-coated tablets.
enteric-coated tablets.
An LPN is caring for a patient who has C. Discard the first morning urine specimen.
been instructed to collect a 24-hour
urine specimen for creatinine. What is The first urine specimen of the day should be
the FIRST step in the process of discarded before beginning the test because its
collecting the specimen? contents will be more concentrated than any
A. Begin the test in a fasting state. subsequent specimen. Although the urine should be
B. Collect urine in a refrigerated collected in a refrigerated container, this action is not
container. the first step in the process. Including the urine
C. Discard the first morning urine collected at the conclusion of test is the final, not the
specimen. first, step of the test. It is not necessary to begin the
D. Include the urine collected at the test in a fasting state.
conclusion of test.
,An LPN is caring for a patient who is C. The patient has a cardiac pacemaker.
scheduled to undergo magnetic
resonance imaging. Which statement The patient may not be able to undergo the test if he
is the MOST important information has a cardiac pacemaker; thus notifying the physician
about this patient that should be of the cardiac pacemaker would be the priority.
communicated to the physician? Although the physician should know that the patient
A. The patient is claustrophobic. is claustrophobic or anxious and might have ordered
B. The patient is experiencing anxiety. a medication, if necessary, relaying this information to
C. The patient has a cardiac the physician would not be the priority. The physician
pacemaker. does not need to be notified that the patient is
D. The patient is wearing metallic wearing metallic jewelry; rather, the nurse needs to
jewelry. remove the jewelry and have it secured for the
patient.
An LPN is caring for a patient who is D. Instruct the patient to report signs of infection
being treated with methotrexate promptly.
(Folex). What is the HIGHEST priority
nursing action associated with this Methotrexate (Folex) is an immunosuppressant
medication? medication that can produce toxic effects on oral
A. Monitor periodic blood and urine tissues, liver, lungs, bone marrow, skin, and kidneys.
studies. The patient taking an immunosuppressant is at higher
B. Encourage the patient to increase risk for infection and has a decreased ability to fight
fluid intake. off the infection. Although monitoring periodic blood
C. Inform the patient that some hair and urine studies is an important nursing intervention
loss may occur. and should be implemented, it does not have the
D. Instruct the patient to report signs urgency associated with noting the signs of infection
of infection promptly. that would be indicative of toxicity. It is also
important to encourage the patient to increase fluid
intake and inform the patient that some hair loss may
occur, but reporting signs of infection is the priority.
,An LPN is caring for a patient who is D. Recommend that the patient to visit an
being treated with ophthalmologist while taking this medication.
hydroxychloroquine sulfate
(Plaquenil). What is the HIGHEST Visiting an ophthalmologist while taking this
priority instruction that the nurse medication is the highest priority nursing intervention
should give to this patient? because ocular toxicity can occur with the
A. Instruct the patient to report any medication. After the patient has demonstrated an
episodes of headaches and anorexia. understanding of the importance of visiting an
B. Inform the patient that he may ophthalmologist, the nurse should inform the patient
experience episodes of nausea and that he may experience nausea and vomiting, instruct
vomiting. the patient to report the anorexia and headaches,
C. Instruct the patient to monitor his and that his complete blood cell count and liver
complete blood cell count and liver function studies will need to be monitored.
function studies.
D. Recommend that the patient to visit
an ophthalmologist while taking this
medication.
Which joint is the most common B. Knee
source of disability caused by
osteoarthritis? The most common source of major disability because
A. Hips of osteoarthritis is the knee. Osteoarthritis does
B. Knee affect joints under pressure, including the hips, spine,
C. Spine and shoulders, but the most common source of
D. Shoulders major disability is the knee.
Which is the most serious C. Deep Vein Thrombosis
complication for the postoperative
patient with a hip or knee Deep vein thrombosis is the most serious
replacement? complication postoperatively because the clot can
A. Infection break off and become a pulmonary embolism, which
B. Hemorrhage can be fatal. Infection is serious but can be treated
C. Deep vein thrombosis with antibiotics. Observing for signs and symptoms of
D. Dislocation of replacement hemorrhage is important and, if it occurs, needs
prompt treatment. Dislocation of replacement may
require more surgery, and steps to prevent this
complication must be followed
, Which patient is most likely to have D. A 45-year old man who weighs 280 lb and drinks 1
primary gout? to 2 martinis per day
A. A 30-year old man who weighs 185
lb and drinks 6 beers per week The 45-year-old man is most likely to have primary
B. A 25-year old woman who weighs gout because of age, weight, and alcohol
130 lb and admits to social drinking consumption. Gout is more prevalent in men 40 to 50
C. A 40-year old woman who weighs years of age, and the risk increases with obesity and
150 lb and drinks 3 to 4 alcohol drinks alcohol consumption.
per week
D. A 45-year old man who weighs 280
lb and drinks 1 to 2 martinis per day
The erythrocyte sedimentation rate A. Osteoarthritis
(ESR) is decreased with which
condition? The ESR determines how much inflammation is in the
A. Osteoarthritis body and is decreased with osteoarthritis.
B. Rheumatic fever Osteoarthritis is a breakdown of joint cartilage. The
C. Rheumatoid arthritis rate is increased with rheumatic fever and
D. Polymyalgia rheumatica rheumatoid arthritis (RA) and is very high with
polymyalgia rheumatica. RA is a progressive
inflammatory disease.
The nurse is caring for a patient with a A. Tendons anchor muscles to bones
ruptured Achilles tendon who is
asking about the injury. The nurse Tendons are made up of very strong and dense
should explain which feature about fibrous connective tissue and anchor muscles to
tendons? bones. Ligaments connect bones and cartilage and
A. Tendons anchor muscles to bones. support muscles. A joint is where two or more bones
B. Tendons connect bones and are joined and allow motion and flexibility of the rigid
cartilage. skeleton. Cartilage is a special type of fibrous tissue
C. Tendons are located where two or that provides firm but flexible support for part of the
more bones are joined. adult skeleton.
D. Tendons provide flexible support
for part of the adult skeleton.
