NR324 FINAL EXAM LATEST
QUESTIONS AND VERIFIED
ANSWERS 100%
GUARANTEED PASS
A 54-yr-old woman who recently reached menopause and has a family history of osteoporosis is
diagnosed with osteopenia following densitometry testing. In teaching the woman, the nurse
explains that
a. with a family history of osteoporosis, there is no way to prevent or slow bone resorption.
b. estrogen replacement therapy must be started to prevent rapid progression to osteoporosis.
c. continuous, low-dose corticosteroid treatment is effective in stopping the course of
osteoporosis.
d. calcium loss from bones can be slowed by increasing calcium intake and weight-bearing
exercise. - correct answer D
Which menu choice by a patient with osteoporosis indicates the nurse's teaching about
appropriate diet has been effective?
a. Pancakes with syrup and bacon
b. Whole wheat toast and fresh fruit
c. Egg-white omelet and a half grapefruit
d. Oatmeal with skim milk and fruit yogurt - correct answer D
The nurse evaluating effectiveness of prescribed calcitonin and ibandronate (Boniva) for a
patient with Paget's disease will consider the patient's
a. oral intake.
b. daily weight.
,c. grip strength.
d. pain intensity. - correct answer D
Which action should the nurse take before administering gentamicin (Garamycin) to a patient
with acute osteomyelitis?
a. Ask the patient about any nausea.
b. Obtain the patient's oral temperature.
c. Review the patient's serum creatinine.
d. Change the prescribed wet-to-dry dressing. - correct answer C
Which assessment finding for a patient who has had surgical reduction of an open fracture of
the right radius requires notification of the health care provider?
a. Serous wound drainage
b. Right arm muscle spasms
c. Right arm pain with movement
d. Temperature 101.4° F (38.6° C) - correct answer D
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) a bisphosphonates 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 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
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 actions will the nurse include in the plan of care for a patient with metastatic bone
cancer of the left femur (select all that apply)?
a. Monitor serum calcium.
b. Teach about the need for strict bed rest.
c. Discontinue use of sustained-release opioids.
d. Support the left leg when repositioning the patient.
e. Support family and patient as they discuss the prognosis. - correct answer A,D,E
Which information will the nurse include when teaching a patient with acute low back pain
(select all that apply)?
QUESTIONS AND VERIFIED
ANSWERS 100%
GUARANTEED PASS
A 54-yr-old woman who recently reached menopause and has a family history of osteoporosis is
diagnosed with osteopenia following densitometry testing. In teaching the woman, the nurse
explains that
a. with a family history of osteoporosis, there is no way to prevent or slow bone resorption.
b. estrogen replacement therapy must be started to prevent rapid progression to osteoporosis.
c. continuous, low-dose corticosteroid treatment is effective in stopping the course of
osteoporosis.
d. calcium loss from bones can be slowed by increasing calcium intake and weight-bearing
exercise. - correct answer D
Which menu choice by a patient with osteoporosis indicates the nurse's teaching about
appropriate diet has been effective?
a. Pancakes with syrup and bacon
b. Whole wheat toast and fresh fruit
c. Egg-white omelet and a half grapefruit
d. Oatmeal with skim milk and fruit yogurt - correct answer D
The nurse evaluating effectiveness of prescribed calcitonin and ibandronate (Boniva) for a
patient with Paget's disease will consider the patient's
a. oral intake.
b. daily weight.
,c. grip strength.
d. pain intensity. - correct answer D
Which action should the nurse take before administering gentamicin (Garamycin) to a patient
with acute osteomyelitis?
a. Ask the patient about any nausea.
b. Obtain the patient's oral temperature.
c. Review the patient's serum creatinine.
d. Change the prescribed wet-to-dry dressing. - correct answer C
Which assessment finding for a patient who has had surgical reduction of an open fracture of
the right radius requires notification of the health care provider?
a. Serous wound drainage
b. Right arm muscle spasms
c. Right arm pain with movement
d. Temperature 101.4° F (38.6° C) - correct answer D
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) a bisphosphonates 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 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
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 actions will the nurse include in the plan of care for a patient with metastatic bone
cancer of the left femur (select all that apply)?
a. Monitor serum calcium.
b. Teach about the need for strict bed rest.
c. Discontinue use of sustained-release opioids.
d. Support the left leg when repositioning the patient.
e. Support family and patient as they discuss the prognosis. - correct answer A,D,E
Which information will the nurse include when teaching a patient with acute low back pain
(select all that apply)?
