Chapter 49 Osborn, Medical-Surgical Nursing, 2e Chapter 49

Question 1 Type: MCSA A 65-year-old female admitted with a fractured hip tells the nurse that she was unaware that she has osteoporosis. What is the nurse’s best response? 1. “Sometimes the first sign of the disorder is a fracture.” 2. “It is rare for someone your age to have osteoporosis.” 3. “There is no way to prevent the disorder.” 4. “Everyone has it now.” Correct Answer: 1 Rationale 1: The manifestations of osteoporosis may go undetected because many patients are asymptomatic. The first sign of the disorder may be a fracture. Rationale 2: There are different types of osteoporosis that occur in postmenopausal women as a natural result of aging. It is not rare for a 65-year-old female to be diagnosed with the disorder. Rationale 3: Osteoporosis can be prevented by sufficient intake of calcium and vitamin D, weight management, and exercise. Rationale 4: Not everyone has osteoporosis. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 49-1 Question 2 Type: MCSA A patient recovering from a total hip replacement develops a fever and redness at the surgical site. The nurse’s priority is to conduct additional assessment for which disorder? 1. Pathologic fracture 2. Osteomyelitis 3. Undiagnosed osteitis deformans 4. Subacute osteoporosis Correct Answer: 2 Rationale 1: Pathologic fracture occurs in the absence of trauma. Fever and redness are not manifestations of pathologic fracture. Rationale 2: Acute osteomyelitis results from direct trauma or surgery. It is the direct contact of bacteria or the implanting of bacteria from the outside environment during a surgical procedure. Symptoms of acute osteomyelitis include fever, edema at the surgical site, warmth, redness, tenderness, and limited mobility. Rationale 3: Osteitis deformans is a chronic disorder that causes irregular bone breakdown and bone weakness. Rationale 4: Subacute osteoporosis is not a clinical disorder. Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 49-1