Chapter 63: Musculoskeletal Problems
Lewis: Medical-Surgical Nursing, 10th
Edition
A 54-yr-vintage woman who these days reached menopause and has a circle of relatives history
of osteoporosis
is diagnosed with osteopenia following densitometry testing. In coaching the woman, the nurse
explains that
a. With a circle of relatives records of osteoporosis, there may be no way to save you or
sluggish bone
resorption.
B. Estrogen replacement therapy need to be began to save you fast progression to
osteoporosis.
C. Continuous, low-dose corticosteroid treatment is powerful in stopping the course of
osteoporosis.
D. Calcium loss from bones may be slowed by means of increasing calcium intake and
weight-bearing exercising. - ANS-ANS: D
Progression of osteoporosis can be slowed by using growing calcium intake and weight-bearing
workout. Estrogen replacement therapy is no longer automatically given to save you
osteoporosis
because of improved risk of heart disorder as well as breast and uterine cancer. Corticosteroid
therapy will increase the danger for osteoporosis.
DIF: Cognitive Level: Apply (software) REF: 1512
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
A nurse who works on the orthopedic unit has just obtained exchange-of-shift record. Which
patient need to the nurse assess first?
A. Patient who reviews foot ache after hammertoe surgery
b. Patient who has not voided 10 hours after a laminectomy
c. Patient with low lower back ache and a effective straight-leg-raise take a look at
d. Patient with osteomyelitis who has a temperature of a hundred.5° F (38.1° C) - ANS-ANS: B
Difficulty in voiding may additionally imply harm to the spinal nerves and ought to be assessed
and
reported to the health practitioner immediately. The data about the alternative sufferers is steady
with their diagnoses. The nurse will need to assess them as speedy as possible, but the
facts approximately them does not suggest a need for immediate intervention.
DIF: Cognitive Level: Analyze (analysis Special Questions: Multiple Patients
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
A patient is being discharged after 1 week of IV antibiotic remedy for acute osteomyelitis in
, the right leg. Which statistics will be included in the discharge teaching?
A. How to apply heat packs to the leg to reduce pain
b. How to screen and care for an extended-time period IV catheter
c. The want for each day cardio exercise to assist preserve muscle energy
d. The purpose for taking oral antibiotics for 7 to 10 days after discharge - ANS-ANS: B
The patient may be taking IV antibiotics for several months. The patient will want to recognize
signs of infection on the IV site and understand the way to care for the catheter at some stage in
day by day sports
including bathing. IV antibiotics rather than oral antibiotics are used for acute osteomyelitis.
Patients are informed to avoid exercise and warmth application because those will increase
swelling and the chance for spreading infection.
DIF: Cognitive Level: Apply (application) REF: 1499
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
A affected person is receiving IV antibiotics at domestic to treat continual osteomyelitis of the left
femur.
The nurse identifies a want for additional teaching associated with fitness renovation whilst the
nurse finds that the patient
a. Is annoyed with the duration of treatment required.
B. Takes and information the oral temperature twice a day.
C. Is unable to plantar flex the foot at the affected side.
D. Makes use of crutches to avoid weight bearing at the affected leg. - ANS-ANS: C
Foot drop is an indication that the foot isn't always being supported in a impartial role by means
of a splint.
Using crutches and tracking the oral temperature are suitable self-care activities.
Frustration with the duration of remedy isn't always an indicator of ineffective health renovation
of the osteomyelitis.
DIF: Cognitive Level: Apply (application) REF: 1499
TOP: Nursing Process: Analysis MSC: NCLEX: Physiological Integrity
A patient whose employment calls for common lifting has a history of chronic back ache. After
the nurse has taught the patient approximately accurate body mechanics, which patient
assertion
indicates the teaching has been effective?
A. "I will preserve my lower back instantly when I elevate above than my waist."
b. "I will begin doing physical activities to strengthen and support my again."
c. "I will inform my boss I want a process where I can live seated at a desk."
d. "I can sleep with my hips and knees extended to prevent lower back strain." - ANS-ANS: B
Exercises can assist support the muscle mass that guide the returned. Flexion of the hips and
knees
locations much less stress at the back than preserving those joints extended. Sitting for
extended intervals
can aggravate returned pain. Modifications inside the manner the affected person lifts
containers are wished, but the
patient should no longer carry above the level of the elbows.
Lewis: Medical-Surgical Nursing, 10th
Edition
A 54-yr-vintage woman who these days reached menopause and has a circle of relatives history
of osteoporosis
is diagnosed with osteopenia following densitometry testing. In coaching the woman, the nurse
explains that
a. With a circle of relatives records of osteoporosis, there may be no way to save you or
sluggish bone
resorption.
B. Estrogen replacement therapy need to be began to save you fast progression to
osteoporosis.
C. Continuous, low-dose corticosteroid treatment is powerful in stopping the course of
osteoporosis.
D. Calcium loss from bones may be slowed by means of increasing calcium intake and
weight-bearing exercising. - ANS-ANS: D
Progression of osteoporosis can be slowed by using growing calcium intake and weight-bearing
workout. Estrogen replacement therapy is no longer automatically given to save you
osteoporosis
because of improved risk of heart disorder as well as breast and uterine cancer. Corticosteroid
therapy will increase the danger for osteoporosis.
DIF: Cognitive Level: Apply (software) REF: 1512
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
A nurse who works on the orthopedic unit has just obtained exchange-of-shift record. Which
patient need to the nurse assess first?
A. Patient who reviews foot ache after hammertoe surgery
b. Patient who has not voided 10 hours after a laminectomy
c. Patient with low lower back ache and a effective straight-leg-raise take a look at
d. Patient with osteomyelitis who has a temperature of a hundred.5° F (38.1° C) - ANS-ANS: B
Difficulty in voiding may additionally imply harm to the spinal nerves and ought to be assessed
and
reported to the health practitioner immediately. The data about the alternative sufferers is steady
with their diagnoses. The nurse will need to assess them as speedy as possible, but the
facts approximately them does not suggest a need for immediate intervention.
DIF: Cognitive Level: Analyze (analysis Special Questions: Multiple Patients
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
A patient is being discharged after 1 week of IV antibiotic remedy for acute osteomyelitis in
, the right leg. Which statistics will be included in the discharge teaching?
A. How to apply heat packs to the leg to reduce pain
b. How to screen and care for an extended-time period IV catheter
c. The want for each day cardio exercise to assist preserve muscle energy
d. The purpose for taking oral antibiotics for 7 to 10 days after discharge - ANS-ANS: B
The patient may be taking IV antibiotics for several months. The patient will want to recognize
signs of infection on the IV site and understand the way to care for the catheter at some stage in
day by day sports
including bathing. IV antibiotics rather than oral antibiotics are used for acute osteomyelitis.
Patients are informed to avoid exercise and warmth application because those will increase
swelling and the chance for spreading infection.
DIF: Cognitive Level: Apply (application) REF: 1499
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
A affected person is receiving IV antibiotics at domestic to treat continual osteomyelitis of the left
femur.
The nurse identifies a want for additional teaching associated with fitness renovation whilst the
nurse finds that the patient
a. Is annoyed with the duration of treatment required.
B. Takes and information the oral temperature twice a day.
C. Is unable to plantar flex the foot at the affected side.
D. Makes use of crutches to avoid weight bearing at the affected leg. - ANS-ANS: C
Foot drop is an indication that the foot isn't always being supported in a impartial role by means
of a splint.
Using crutches and tracking the oral temperature are suitable self-care activities.
Frustration with the duration of remedy isn't always an indicator of ineffective health renovation
of the osteomyelitis.
DIF: Cognitive Level: Apply (application) REF: 1499
TOP: Nursing Process: Analysis MSC: NCLEX: Physiological Integrity
A patient whose employment calls for common lifting has a history of chronic back ache. After
the nurse has taught the patient approximately accurate body mechanics, which patient
assertion
indicates the teaching has been effective?
A. "I will preserve my lower back instantly when I elevate above than my waist."
b. "I will begin doing physical activities to strengthen and support my again."
c. "I will inform my boss I want a process where I can live seated at a desk."
d. "I can sleep with my hips and knees extended to prevent lower back strain." - ANS-ANS: B
Exercises can assist support the muscle mass that guide the returned. Flexion of the hips and
knees
locations much less stress at the back than preserving those joints extended. Sitting for
extended intervals
can aggravate returned pain. Modifications inside the manner the affected person lifts
containers are wished, but the
patient should no longer carry above the level of the elbows.
