Final Exam Study Guide NUR 104 With Correct Solutions Graded A+

The nurse is caring for an older client who has kyphosis and a widened gait. For which health problems is the client at risk? - ans-Falls The nurse is teaching assistant personnel (AP) about care of an older ambulatory adult who has osteopenia. Which statement by the AP indicates understanding of the teaching? - ans-"I will remind the client to take frequent walks to strengthen bones." A client had arthroscopy 1 hour ago on the left knee. The nurse finds the left lower leg to be pale and cool, with a 1+ pedal pulse. What action would the nurse perform first? - ans-Assess the neurovascular status of the right leg. The nurse is taking a history from an older client who reports having frequent falls. Which dietary habit could be contributing to the clients problem? - ans-Avoids dairy products. The nurse is teaching a client who had a left humeral biopsy about home care. Which statement by the client indicates understanding of the nurse's teaching? - ans-I will watch for tenderness and warmth around the biopsy site The nurse is teaching assistive personnel (AP) about the risk for osteoporosis associated with race or ethnicity. Which population typically has a decreased incidence of osteoporosis when compared to Euro-Americans? - ans-African Americans A female client is preparing to have open magnetic resonance imagine (MRI) of the spine with contrast. What action(s) by the nurse is (are) most important to assess before the test? (Select all that apply x4) - ans-*Ask if the client has a history of kidney disease *Assess the client for the ability to communicate *Ensure that the patient has no metal or electronic implants *Ask the client if she could possibly be pregnant An older client's serum calcium level is 8.7 mg/dL (2.18 mmol/L). What possible etiology(ies) does the nurse consider for this result (Select all that apply x2)? - ans-*Normal Age-related decrease in serum calcium *Possible occurrence of osteoporosis or osteopenia An older client is distressed at body changes related to kyphosis. What response by the nurse is appropriate? - ans-Ask the client to explain more about these feelings. The nurse teaches the AP about care of an older adult diagnosed with osteoporosis. What teaching would the nurse include? - ans-Osteoporosis places the client at risk for fractures The nurse is caring for several clients with osteoporosis. For which client would bisphosphonates not be a good option? - ans-client with spinal cord injury who cannot tolerate sitting up a nurse is caring for four clients. after the handoff report, which client would the nurse see first? a. client with suspected bone tumor who just returned from having a spinal CT b. client with osteomyelitis and a white blood cell count of 27,000/mm3 c. post-microvascular bone transfer client whose distal leg is cool and pale d. client who recently fell and has vertebral compression fractures. - ans-post-microvascular bone transfer client whose distal leg is cool and pale. A client with bone cancer is hospitalized for a limb salvage amputation procedure. how can the nurse best address the client's psychosocial needs? - ans-assess the client's coping skills and support system a client with chronic osteomyelitis is being discharged from the hospital. what information is important for the nurse to teach this client and family? (select all that apply x 3) - ans-adherence to the antibiotic regimen eating high protein and high carb foods proper use of the intravenous equipment what information does the nurse teach a women's group about osteoporosis? - ans-primary osteoporosis occurs in postmenopausal women due to lack of estrogren a client with osteoporosis is going home where the client lives alone. what action by the nurse is best? - ans-arrange a home safety evaluation the nurse is caring for a client who has severe osteoarthritis. What primary joint problems will the nurse expect the client to report? - ans-pain a nurse is teaching a client newly diagnosed with osteoarthritis about drugs used to treat the disease. for which drug does the nurse plan health teaching? - ans-ibuprofen the nurse interviews an older client with moderate osteoarthritis and her husband. what psychosocial assessment question would the nurse include? - ans-Do you experience discomfort during sex?