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After laminectomy with a spinal fusion to treat a herniated disc, a patient reports
numbness and tingling of the right lower leg. The first action the nurse should
take is to
a. report the patient's complaint to the surgeon.
b. check the chart for preoperative assessment data.
c. check the vital signs for indications of hemorrhage.
d. turn the patient to the left to relieve pressure on the right leg. ---------CORRECT
ANSWER-----------------B
When administering alendronate (Fosamax) to a patient with osteoporosis, the
nurse
will
a. ask about any leg cramps or hot flashes.
b. assist the patient to sit up at the bedside.
c. be sure that the patient has recently eaten.
d. administer the ordered calcium carbonate. ---------CORRECT ANSWER--------------
---B
,Which nursing action included in the care of a patient after laminectomy can the
nurse
delegate to experienced unlicensed assistive personnel (UAP)?
a. Check ability to plantar and dorsiflex the foot.
b. Determine the patient's readiness to ambulate.
c. Log roll the patient from side to side every 2 hours.
d. Ask about pain management with the patient-controlled analgesia (PCA) ---------
CORRECT ANSWER-----------------C
Which action will the nurse take when caring for a patient with osteomalacia?
a. Teach about the use of vitamin D supplements.
b. Educate about the need for weight-bearing exercise.
c. Discuss the use of medications such as bisphosphonates.
d. Emphasize the importance of sunscreen use when outside ---------CORRECT
ANSWER-----------------A
Which action will the nurse take first when a patient is seen in the outpatient
clinic
with neck pain?
a. Provide information about therapeutic neck exercises.
,b. Ask about numbness or tingling of the hands and arms.
c. Suggest the patient alternate the use of heat and cold to the neck.
d. Teach about the use of nonsteroidal antiinflammatory drugs (NSAIDs). ---------
CORRECT ANSWER-----------------B
A nurse who works on the orthopedic unit has just received change-of-shift
report.
Which patient should the nurse assess first?
a. Patient who reports foot pain after hammertoe surgery
b. Patient who has not voided 10 hours after a laminectomy
c. Patient with low back pain and a positive straight-leg-raise test
d. Patient with osteomyelitis who has a temperature of 100.5° F (38.1° C) ---------
CORRECT ANSWER-----------------B
Which finding will the nurse expect when assessing a patient who has
osteoarthritis
(OA) of the knee?
a. Presence of Heberden's nodules
b. Discomfort with joint movement
c. Redness and swelling of the knee joint
d. Stiffness that increases with movement ---------CORRECT ANSWER-----------------B
, Which assessment finding for a patient using naproxen (Naprosyn) to treat
osteoarthritis
is likely to require a change in medication?
a. The patient has gained 3 lb.
b. The patient has dark-colored stools.
c. The patient's pain affects multiple joints.
d. The patient uses capsaicin cream (Zostrix). ---------CORRECT ANSWER---------------
--B
After the nurse has finished teaching a patient with osteoarthritis (OA) of the right
hip
about how to manage the OA, which patient statement indicates a need for more
teaching?
a. "I can exercise every day to help maintain joint motion."
b. "I will take 1 g of acetaminophen (Tylenol) every 4 hours."
c. "I will take a shower in the morning to help relieve stiffness."
d. "I can use a cane to decrease the pressure and pain in my hip." ---------CORRECT
ANSWER-----------------B
The nurse will anticipate the need to teach a patient who has osteoarthritis (OA)
about