Question 1
Which of the following factors may adversely affect bone healing and
therefore place the client at risk for long-term problems? Select all that apply.
Select one or more:
a. Walking with a walker with minimal weight bearing on affected side
b. History of uncontrolled diabetes mellitus with associated circulatory
problems
c. Delayed union at the fracture site within a period considered the normal
healing time
d. Immobilization due to skeletal traction
Question 2
A female client presents to the orthopedic clinic for evaluation. The primary
care provider told her she has a "spur" on her joint. She asks, "Why did this
happen? I guess I just didn't exercise enough." The nurse recognizes this to
be a later structural change of osteoarthritis (OA), where the client no longer
has a "shock absorber," culminating in: Select one:
a. Formation of tophi in the synovial space
b. Separation of the epiphyseal plate
c. Osteophyte formation and erosion of cartilage
d. Osteonecrosis and loss of synovial fluid
Question 3
A 3-year-old girl with a diagnosis of spasticity caused by cerebral palsy has
been admitted to the unit. The physician has ordered dantrolene to see if it
relieves the spasticity in the child's arms and hands. The nurse would
schedule this child for what routine screenings? Select one:
a. Renal and hepatic function
, b. Central nervous system and gastrointestinal (GI) function
c. Respiratory and cardiovascular (CV) function
d. Growth and development
Question 4
A client's clavicular fracture has healed in the weeks following a bicycle
accident. Which of the following events takes place in the remodeling stage of
bone healing? Select one:
a. Formation of granulation tissue
b. Deposition of mineral salts into the callus
c. Development of fibrocartilage that resembles the appearance of the original
bone
d. Reduction in the size of the callus
Question 5
A mother asks the nurse how acetaminophen works. What statement best
describes the therapeutic action of acetaminophen? Select one:
a. Acetaminophen acts directly on the hypothalamus to cause vasodilation
and sweating.
b. Acetaminophen (Tylenol) works by blocking the increase of interleukin-1.
c. Acetaminophen reacts with free-floating tumor necrosis (TNF) factor
released by active leukocytes.
d. Acetaminophen is taken up by macrophages, thus inhibiting phagocytosis
and release of lysosomal enzymes.
Question 6
The nurse is caring for a patient who is having a pump placed to deliver
intrathecal baclofen and another patient who will receive dantrolene as a
muscle relaxant. What nursing diagnosis would be appropriate for both care
plans? (Select all that apply.) Select one or more:
Which of the following factors may adversely affect bone healing and
therefore place the client at risk for long-term problems? Select all that apply.
Select one or more:
a. Walking with a walker with minimal weight bearing on affected side
b. History of uncontrolled diabetes mellitus with associated circulatory
problems
c. Delayed union at the fracture site within a period considered the normal
healing time
d. Immobilization due to skeletal traction
Question 2
A female client presents to the orthopedic clinic for evaluation. The primary
care provider told her she has a "spur" on her joint. She asks, "Why did this
happen? I guess I just didn't exercise enough." The nurse recognizes this to
be a later structural change of osteoarthritis (OA), where the client no longer
has a "shock absorber," culminating in: Select one:
a. Formation of tophi in the synovial space
b. Separation of the epiphyseal plate
c. Osteophyte formation and erosion of cartilage
d. Osteonecrosis and loss of synovial fluid
Question 3
A 3-year-old girl with a diagnosis of spasticity caused by cerebral palsy has
been admitted to the unit. The physician has ordered dantrolene to see if it
relieves the spasticity in the child's arms and hands. The nurse would
schedule this child for what routine screenings? Select one:
a. Renal and hepatic function
, b. Central nervous system and gastrointestinal (GI) function
c. Respiratory and cardiovascular (CV) function
d. Growth and development
Question 4
A client's clavicular fracture has healed in the weeks following a bicycle
accident. Which of the following events takes place in the remodeling stage of
bone healing? Select one:
a. Formation of granulation tissue
b. Deposition of mineral salts into the callus
c. Development of fibrocartilage that resembles the appearance of the original
bone
d. Reduction in the size of the callus
Question 5
A mother asks the nurse how acetaminophen works. What statement best
describes the therapeutic action of acetaminophen? Select one:
a. Acetaminophen acts directly on the hypothalamus to cause vasodilation
and sweating.
b. Acetaminophen (Tylenol) works by blocking the increase of interleukin-1.
c. Acetaminophen reacts with free-floating tumor necrosis (TNF) factor
released by active leukocytes.
d. Acetaminophen is taken up by macrophages, thus inhibiting phagocytosis
and release of lysosomal enzymes.
Question 6
The nurse is caring for a patient who is having a pump placed to deliver
intrathecal baclofen and another patient who will receive dantrolene as a
muscle relaxant. What nursing diagnosis would be appropriate for both care
plans? (Select all that apply.) Select one or more:
