Question 1

The healthcare provider suggests that a patient with scoliosis participate in conservative treatment. What should the nurse instruct the patient about this treatment approach?

Accepted Answer

The answer of The healthcare provider suggests that a patient...

Question 2

The nurse is assessing a patient being treated for osteomalacia. Which findings does the nurse recognize as indications that the patient is experiencing hypervitaminosis D?

Accepted Answer

The answer of The nurse is assessing a patient being...

Question 3

A patient with Paget disease asks why a dose of zoledronic acid (Reclast) is being provided before having total hip replacement surgery. How should the nurse respond to this patient?

Accepted Answer

The answer of A patient with Paget disease asks why...

Question 4

A patient with a history of gout asks if there are any alternative approaches to help with the manifestations of the disease. What should the nurse suggest to this patient?

Accepted Answer

The answer of A patient with a history of gout...

Question 5

During an assessment the nurse suspects that a patient is experiencing manifestations of rheumatoid arthritis. What findings did the nurse observe to make this clinical decision?

Accepted Answer

Rheumatoid arthritis is characterized by systemic symptoms like weight loss (A), hot red swollen joints due to inflammation (B), and morning stiffness and pain (E).

Question 6

A 36-year-old patient with rheumatoid arthritis is prescribed methotrexate. What should the nurse include when teaching the patient about this medication?

Accepted Answer

The answer of A 36-year-old patient with rheumatoid arthritis is...

Question 7

A patient diagnosed with Paget disease has been prescribed pamidronate 90 mg over 3 days. Medication instructions state to mix 30 mg of the drug in 500 mL NS and administer over 4 hours. This administration should be repeated for 3 days for a total of 90 mg of drug. At what IV rate, in mL/hr, should the nurse run this infusion?

Accepted Answer

The answer of A patient diagnosed with Paget disease has...

Question 8

The nurse is reviewing the laboratory results for a 35-year-old woman who has been diagnosed with gout. Based upon the above results, what should be the nurse's greatest concern? $\begin{array}{|l|l|}
\hline \text { Laboratory tests Serum }& \text { Results } \
\hline \text { Uric Acid } & 7.2 \
\hline \text { WBC } & 12 \times 10^{3} \text { cells } / \mathrm{mm}^{3} \
\hline \text { ESR } & 25 \mathrm{~mm} / \mathrm{hr} \
\hline \text { Creatinine } & 5.4 \mathrm{mg} / \mathrm{dL}\
\hline
\end{array}$

Accepted Answer

The elevated creatinine level indicates that the patient's kidney function is decreased, which is a common complication of gout. The uric acid level is slightly elevated but still within normal range, and the WBC count and ESR indicate the presence of inflammation, which is also typical in gout. However, the most concerning result for the nurse should be the elevated creatinine level, as this indicates potential kidney damage from the gout.

Question 9

The nurse is providing teaching about topical medications for a group of patients who have been diagnosed with osteoarthritis. Which medication should the nurse review as being a topical preparation?

Accepted Answer

Capsaicin is a topical medication often used for osteoarthritis pain relief. Ketoprofen and naproxen are nonsteroidal anti-inflammatory drugs (NSAIDs) that are taken orally. Celecoxib is another type of NSAID that is also taken orally.

Question 10

The parents of a 15-year-old patient are informed that diagnostic tests are needed to determine if musculoskeletal changes are being caused by muscular dystrophy. For which type of muscular dystrophy should the nurse expect these tests to be prescribed?

Accepted Answer

The answer of The parents of a 15-year-old patient are...

Question 11

The nurse is assessing a patient with early signs of ankylosing spondylitis. Place the "X" over the area in which the patient most likely will experience pain.

Accepted Answer

The answer of The nurse is assessing a patient with...

Question 12

A patient is diagnosed with Lyme disease. Which medications should the nurse expect to be prescribed for managing the manifestations of this health problem?

Accepted Answer

The answer of A patient is diagnosed with Lyme disease....

Question 13

The nurse instructs a patient with Sjögren syndrome on self-care techniques. Which patient statements indicate that teaching has been effective?

Accepted Answer

The answer of The nurse instructs a patient with Sjögren...

Question 14

The nurse is reviewing the x-ray report for a patient experiencing spinal and major joint discomfort. Which findings suggest to the nurse that the patient will be treated for Paget disease?

Accepted Answer

The answer of The nurse is reviewing the x-ray report...

Question 15

While completing a health history the nurse suspects that the patient is experiencing manifestations of scleroderma. What did the nurse assess to make this clinical decision?

Accepted Answer

The answer of While completing a health history the nurse...

Question 16

A patient diagnosed with osteomyelitis has a fever of 101.2°F, a white blood cell count of 22,000, and is complaining of severe leg pain. The physician prescribes the measures in the table. What is the first order the nurse should implement? $$\begin{array} { | l | l | l | } 
\hline 1 & \text { Start IV } & \text { D51/2 NS at } 125 \mathrm { ml } / \mathrm { hr } \
\hline 2 & \text { Blood cultures } & \times 2 \text { at different sites } \
\hline 3 & \text { Rocephin } & 1 \text { gram IV twice a day } \
\hline 4 & \text { Acetominophin } & 650 \mathrm { mg } \text { po for temperature above } 100 ^ { \circ } \mathrm { F } \
\hline
\end{array}$$

Accepted Answer

Starting an IV is the first order the nurse should implement because the patient is dehydrated and needs fluids.

Question 17

The healthcare provider suggests that a 65-year-old female patient take 1200 mg of calcium supplements every day. Before the patient leaves the clinic, what suggestions should the nurse make when instructing the patient about this supplement?

Accepted Answer

The answer of The healthcare provider suggests that a 65-year-old...

Question 18

The nurse is assessing a patient with osteoarthritis. Which photograph demonstrates the most likely presentation of the patient's hands?

Accepted Answer

The answer of The nurse is assessing a patient with...

Question 19

A patient recovering from a total hip replacement has vital signs assessed by unlicensed assistive personnel. Which vital sign value should cause the most concern for the nurse?

Accepted Answer

A temperature of 102° F is elevated and may indicate an infection or other complication related to the hip replacement surgery. The other vital sign values are within normal ranges. The nurse should further assess the patient and notify the healthcare provider if necessary.

Question 20

The patient who weighs 70kg is to receive 750 mg of abatacept (Orencia) by IV infusion for the treatment of rheumatoid arthritis. When reconstituted, the medication has dosage strength of 25 mg/mL. How many mL of the medication should be prepared for this dosage?

Accepted Answer

The answer of The patient who weighs 70kg is to...

Quiz 40: Nursing Care of Patients With Musculoskeletal Disorders

The healthcare provider suggests that a patient with scoliosis participate in conservative treatment. What should the nurse instruct the patient about this treatment approach?

The nurse is assessing a patient being treated for osteomalacia. Which findings does the nurse recognize as indications that the patient is experiencing hypervitaminosis D?

A patient with Paget disease asks why a dose of zoledronic acid (Reclast) is being provided before having total hip replacement surgery. How should the nurse respond to this patient?

A patient with a history of gout asks if there are any alternative approaches to help with the manifestations of the disease. What should the nurse suggest to this patient?

During an assessment the nurse suspects that a patient is experiencing manifestations of rheumatoid arthritis. What findings did the nurse observe to make this clinical decision?

A 36-year-old patient with rheumatoid arthritis is prescribed methotrexate. What should the nurse include when teaching the patient about this medication?

The nurse is providing teaching about topical medications for a group of patients who have been diagnosed with osteoarthritis. Which medication should the nurse review as being a topical preparation?

The parents of a 15-year-old patient are informed that diagnostic tests are needed to determine if musculoskeletal changes are being caused by muscular dystrophy. For which type of muscular dystrophy should the nurse expect these tests to be prescribed?

The nurse is assessing a patient with early signs of ankylosing spondylitis. Place the "X" over the area in which the patient most likely will experience pain.

A patient is diagnosed with Lyme disease. Which medications should the nurse expect to be prescribed for managing the manifestations of this health problem?

The nurse instructs a patient with Sjögren syndrome on self-care techniques. Which patient statements indicate that teaching has been effective?

The nurse is reviewing the x-ray report for a patient experiencing spinal and major joint discomfort. Which findings suggest to the nurse that the patient will be treated for Paget disease?

While completing a health history the nurse suspects that the patient is experiencing manifestations of scleroderma. What did the nurse assess to make this clinical decision?

The healthcare provider suggests that a 65-year-old female patient take 1200 mg of calcium supplements every day. Before the patient leaves the clinic, what suggestions should the nurse make when instructing the patient about this supplement?

The nurse is assessing a patient with osteoarthritis. Which photograph demonstrates the most likely presentation of the patient's hands?

A patient recovering from a total hip replacement has vital signs assessed by unlicensed assistive personnel. Which vital sign value should cause the most concern for the nurse?

The patient who weighs 70kg is to receive 750 mg of abatacept (Orencia) by IV infusion for the treatment of rheumatoid arthritis. When reconstituted, the medication has dosage strength of 25 mg/mL. How many mL of the medication should be prepared for this dosage?