Page 1 of 58
NSG 210 Exam ALL 300 Questions
and Verified Solutions Latest
Update This Year
A client with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. The wound
appearance has not improved. What action would the nurse anticipate to promote healing?
Wound packing
Wound irrigation
Vitamin supplements
Surgical debridement
Correct response:
Surgical debridement
Explanation:
In chronic osteomyelitis, surgical debridement is used when the wound fails to respond to
antibiotic therapy. Wound packing, vitamin supplements, and wound irrigation are not the
standard of care when treating chronic osteomyelitis.
Which of the following inhibits bone resorption and promotes bone formation?
Calcitonin
Estrogen
Parathyroid hormone
Corticosteroids
Correct response:
1
, Page 2 of 58
Calcitonin
Explanation:
Calcitonin, which inhibits bone resorption and promotes bone formation, is decreased in
osteoporosis. Estrogen, which inhibits bone breakdown, decreases with aging. On the other
hand, parathyroid hormone (PTH) increases with aging, increasing bone turnover and
resorption. The consequence of these changes is net loss of bone mass over time.
Corticosteroids place patients as risk for developing osteoporosis.
A client is admitted with acute osteomyelitis that developed after an open fracture of the
right femur. When planning this client's care, the nurse should anticipate which measure?
Administering large doses of oral antibiotics as ordered
Instructing the client to ambulate twice daily
Withholding all oral intake
Administering large doses of I.V. antibiotics as ordered
Correct response:
Administering large doses of I.V. antibiotics as ordered
Explanation:
Treatment of acute osteomyelitis includes large doses of I.V. antibiotics (after blood cultures
identify the infecting organism). Surgical drainage may be indicated, and the affected bone is
immobilized. The client usually requires I.V. fluids to maintain hydration, but oral intake isn't
necessarily prohibited.
QUESTION: Most cases of osteomyelitis are caused by which microorganism?
Staphylococcus aureus
Proteus species
2
, Page 3 of 58
Pseudomonas species
Escherichia coli
Correct response:
Staphylococcus aureus
Explanation:
Staphylococcus aureus causes 70% to 80% of bone
infections. Proteus species, Pseudomonas species, and E. coli are frequently found in
osteomyelitis, they do not cause the majority of bone infections.
What clinical manifestation would the nurse expect to find in a client who has had
osteoporosis for several years?
Bone spurs
Diarrhea
Increased heel pain
Decreased height
Correct response:
Decreased height
Explanation:
Clients with osteoporosis become shorter over time.
A nurse notices a client lying on the floor at the bottom of the stairs. The client is alert and
oriented and denies pain other than in the arm, which is swollen and appears deformed.
After calling for help, what should the nurse do?
Place the client in a sitting position.
Immobilize the client's arm.
3
, Page 4 of 58
Help the client walk to the nearest nurses' station.
Raise the client's arm above the heart.
Correct response:
Immobilize the client's arm.
Explanation:
Signs of a fracture in an extremity include pain, deformity, swelling, discoloration, and loss of
function. When a nurse suspects a fracture, the extremity should be immobilized before moving
the body part. It isn't appropriate for the nurse to move the client into a sitting position without
further assessment. The client shouldn't walk to the nurses' station; the client should wait for
help to arrive.
Which client would the nurse identify as having the greatest risk for osteoporosis?
A 40-year-old overweight African American woman
A 16-year-old male with a history of asthma
A small-framed, thin 45-year-old white woman
A 20-year-old male athlete with repeated injuries
Correct response:
A small-framed, thin 45-year-old white woman
Explanation:
Small-framed, thin white women are at greatest risk for osteoporosis. African American women
have a greater bone density and thus are less susceptible to osteoporosis. Men have an
increased bone mass and do not have hormonal changes, and do not acquire osteoporosis as
frequently and get it at a later age. Asthma does not increase the risk for osteoporosis.
The nurse is caring for a client with a hip fracture. The physician orders the client to start
taking a bisphosphonate. Which medication would the nurse document as given?
4
NSG 210 Exam ALL 300 Questions
and Verified Solutions Latest
Update This Year
A client with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. The wound
appearance has not improved. What action would the nurse anticipate to promote healing?
Wound packing
Wound irrigation
Vitamin supplements
Surgical debridement
Correct response:
Surgical debridement
Explanation:
In chronic osteomyelitis, surgical debridement is used when the wound fails to respond to
antibiotic therapy. Wound packing, vitamin supplements, and wound irrigation are not the
standard of care when treating chronic osteomyelitis.
Which of the following inhibits bone resorption and promotes bone formation?
Calcitonin
Estrogen
Parathyroid hormone
Corticosteroids
Correct response:
1
, Page 2 of 58
Calcitonin
Explanation:
Calcitonin, which inhibits bone resorption and promotes bone formation, is decreased in
osteoporosis. Estrogen, which inhibits bone breakdown, decreases with aging. On the other
hand, parathyroid hormone (PTH) increases with aging, increasing bone turnover and
resorption. The consequence of these changes is net loss of bone mass over time.
Corticosteroids place patients as risk for developing osteoporosis.
A client is admitted with acute osteomyelitis that developed after an open fracture of the
right femur. When planning this client's care, the nurse should anticipate which measure?
Administering large doses of oral antibiotics as ordered
Instructing the client to ambulate twice daily
Withholding all oral intake
Administering large doses of I.V. antibiotics as ordered
Correct response:
Administering large doses of I.V. antibiotics as ordered
Explanation:
Treatment of acute osteomyelitis includes large doses of I.V. antibiotics (after blood cultures
identify the infecting organism). Surgical drainage may be indicated, and the affected bone is
immobilized. The client usually requires I.V. fluids to maintain hydration, but oral intake isn't
necessarily prohibited.
QUESTION: Most cases of osteomyelitis are caused by which microorganism?
Staphylococcus aureus
Proteus species
2
, Page 3 of 58
Pseudomonas species
Escherichia coli
Correct response:
Staphylococcus aureus
Explanation:
Staphylococcus aureus causes 70% to 80% of bone
infections. Proteus species, Pseudomonas species, and E. coli are frequently found in
osteomyelitis, they do not cause the majority of bone infections.
What clinical manifestation would the nurse expect to find in a client who has had
osteoporosis for several years?
Bone spurs
Diarrhea
Increased heel pain
Decreased height
Correct response:
Decreased height
Explanation:
Clients with osteoporosis become shorter over time.
A nurse notices a client lying on the floor at the bottom of the stairs. The client is alert and
oriented and denies pain other than in the arm, which is swollen and appears deformed.
After calling for help, what should the nurse do?
Place the client in a sitting position.
Immobilize the client's arm.
3
, Page 4 of 58
Help the client walk to the nearest nurses' station.
Raise the client's arm above the heart.
Correct response:
Immobilize the client's arm.
Explanation:
Signs of a fracture in an extremity include pain, deformity, swelling, discoloration, and loss of
function. When a nurse suspects a fracture, the extremity should be immobilized before moving
the body part. It isn't appropriate for the nurse to move the client into a sitting position without
further assessment. The client shouldn't walk to the nurses' station; the client should wait for
help to arrive.
Which client would the nurse identify as having the greatest risk for osteoporosis?
A 40-year-old overweight African American woman
A 16-year-old male with a history of asthma
A small-framed, thin 45-year-old white woman
A 20-year-old male athlete with repeated injuries
Correct response:
A small-framed, thin 45-year-old white woman
Explanation:
Small-framed, thin white women are at greatest risk for osteoporosis. African American women
have a greater bone density and thus are less susceptible to osteoporosis. Men have an
increased bone mass and do not have hormonal changes, and do not acquire osteoporosis as
frequently and get it at a later age. Asthma does not increase the risk for osteoporosis.
The nurse is caring for a client with a hip fracture. The physician orders the client to start
taking a bisphosphonate. Which medication would the nurse document as given?
4
