Bio 103 Ch. 41 Testbank Questions

TestBank-Brunner&Suddarth'sTextbookofMedical-SurgicalNursing14e(Hinkle2017) 783



Chapter41:ManagementofPatientsWithMusculoskeletalDisorders


1. Anurseiscaringforanadultpatientdiagnosedwithabackstrain.Whathealtheducationshouldthe
nurseprovidetothispatient?


A) Avoidliftingmorethanone-thirdofbodyweightwithoutassistance.


B) Focusonusingbackmusclesefficientlywhenliftingheavyobjects.


C) Liftobjectswhileholdingtheobjectasafedistancefromthebody.


D) Tightentheabdominalmusclesandlockthekneeswhenliftingofanobject.


Ans: A


Feedback:


Thenursewillinstructthepatientonthesafeandcorrectwaytoliftobjectsusingthestrongquadriceps
musclesofthethighs,withminimaluseoftheweakbackmuscles.Topreventrecurrenceofacutelow
backpain,thenursemayinstructthepatienttoavoidliftingmorethanone-thirdofhisweightwithout
help.Thepatientshouldbeinformedtoplacethefeetahip-widthaparttoprovideawidebaseof
support,thepersonshouldbendtheknees,tightentheabdominalmuscles,andlifttheobjectclosetothe
bodywithasmoothmotion,avoidingtwistingandjerking.


2. Anurseisdiscussingconservativemanagementoftendonitiswithapatient.Whichofthefollowingmay
beaneffectiveapproachtomanagingtendonitis?


A) Weightreduction


B) Useoforalopioidanalgesics


C) Intermittentapplicationoficeandheat


D) Passiverangeofmotionexercises


Ans: C


Feedback:


Conservativemanagementoftendonitisincludesrestoftheextremity,intermittenticeandheattothe
joint,andNSAIDs.Weightreductionmaypreventfutureinjuriesbutwillnotrelieveexistingtendonitis.
Range-of-motionexercisesmayexacerbatepain.Opioidswouldnotbeconsideredaconservative
treatmentmeasure.

,TestBank-Brunner&Suddarth'sTextbookofMedical-SurgicalNursing14e(Hinkle2017) 784


3. Apatientpresentsatacliniccomplainingofpaininhisheelsobadthatitinhibitshisabilitytowalk.
Thepatientissubsequentlydiagnosedwithplantarfasciitis.Thispatientsplanofcareshouldinclude
whatintervention?


A) Wrappingtheaffectedareainlambswoolorgauzetorelievepressure


B) GentlystretchingthefootandtheAchillestendon


C) Wearingopen-toedshoesatalltimes


D) Applyingtopicalanalgesicointmenttoplantarsurfaceeachmorning


Ans: B


Feedback:


Plantarfasciitisleadstopainthatislocalizedtotheanteriormedialaspectoftheheelanddiminishes
withgentlestretchingofthefootandAchillestendon.Dressingsofanykindarenotoftherapeutic
benefitandanalgesicointmentsdonotaddressthepathologyoftheproblem.Open-toedshoesareofno
particularbenefit.

Anurseisprovidinganeducationalclasstoagroupofolderadultsatacommunityseniorcenter.Inan
4. efforttopreventosteoporosis,thenurseshouldencourageparticipantstoensurethattheyconsumethe
recommendedadequateintakeofwhatnutrients?Selectallthatapply.

A) VitaminB12


B) Potassium


C) Calcitonin


D) Calcium


E) VitaminD


Ans: D,E


Feedback:


AdietrichincalciumandvitaminDprotectsagainstskeletaldemineralization.Intakeofvitamin
B12andpotassiumdoesnotdirectlyinfluencetheriskforosteoporosis.Calcitoninisnotconsideredtobe
adietarynutrient.


5. Anurseisprovidingaclassonosteoporosisatthelocalseniorscenter.Whichofthefollowing
statementsrelatedtoosteoporosisismostaccurate?

, TestBank-Brunner&Suddarth'sTextbookofMedical-SurgicalNursing14e(Hinkle2017) 785


A) Osteoporosisiscategorizedasadiseaseoftheelderly.


B) Anonmodifiableriskfactorforosteoporosisisapersonslevelofactivity.


C) Secondaryosteoporosisoccursinwomenaftermenopause.


D) Slowdiscontinuationofcorticosteroidtherapycanhalttheprogressionoftheosteoporosis.


Ans: D


Feedback:


Whencorticosteroidtherapyisdiscontinued,theprogressionofosteoporosisishalted,butrestorationof
lostbonemassdoesnotoccur.Osteoporosisisnotadiseaseoftheelderlybecauseitsonsetoccurs
earlierinlife,whenbonemasspeaksandthenbeginstodecline.Apersonslevelofphysicalactivityisa
modifiablefactorthatinfluencespeakbonemass.Lackofactivityincreasestheriskforthedevelopment
ofosteoporosis.Primaryosteoporosisoccursinwomenaftermenopause.


6. Anurseisteachingapatientwithosteomalaciaabouttheroleofdiet.Whatwouldbethebestchoicefor
breakfastforapatientwithosteomalacia?


A) Cerealwithmilk,ascrambledegg,andgrapefruit


B) Poachedeggswithsausageandtoast


C) Waffleswithfreshstrawberriesandpowderedsugar

Abageltoppedwithbutterandjamwithasidedishofgrapes
D)


Ans: A


Feedback:


ThebestmealoptionistheonethatcontainsthehighestdietarysourcesofcalciumandvitaminD.The
bestselectionamongthoselistediscerealwithmilk,andeggs,asthesefoodscontaincalciumand
vitaminDinahigherquantityovertheothermenuoptions.


7. AnurseiscaringforapatientwithPagetsdiseaseandisreviewingthepatientsmostrecentlaboratory
values.WhichofthefollowingvaluesismostcharacteristicofPagetsdisease?


A) Anelevatedlevelofparathyroidhormoneandlowcalcitoninlevels


B) Alowserumalkalinephosphataselevelandalowserumcalciumlevel


C) Anelevatedserumalkalinephosphataselevelandanormalserumcalciumlevel