Question 1

The nurse is planning care for a patient with osteosarcoma.What should be done before encouraging the patient to increase activity?&#10;A) Assess for pain&#10;B) Assess heart rate&#10;C) Measure blood pressure&#10;D) Provide assistive devices&#10;

Accepted Answer

Before encouraging the patient to increase activity, the nurse should assess for pain as the patient may require pain management or modifications to their activity plan to prevent exacerbation of pain. Assessing heart rate and blood pressure may also be important, but assessing pain should take priority. Providing assistive devices may be helpful for the patient, but it is not necessary before assessing for pain.

Question 2

A patient is seeking medical treatment for chronic low back pain.Which approach will help speed this patient's recovery?&#10;A) Regular exercise&#10;B) Spinal injections&#10;C) Nonsteroidal anti-inflammatory agents (NSAIDs)&#10;D) Transcutaneous electrical nerve stimulation (TENS)&#10;

Accepted Answer

Regular exercise has been shown to be effective for chronic low back pain, as it helps strengthen muscles and improve flexibility, which can alleviate pain and prevent future injury. Spinal injections and NSAIDs may provide temporary relief, but they do not address the underlying issue and can have adverse side effects. TENS may provide some relief, but it is not as effective as regular exercise in promoting long-term recovery.

Question 3

A patient recovering from total knee replacement surgery develops osteomyelitis.What teaching should the nurse prepare as a priority for this patient?&#10;A) Antibiotic therapy&#10;B) Pain management&#10;C) Debridement of the wound&#10;D) Removal of the knee prosthesis&#10;

Accepted Answer

Removal of the knee prosthesis

Question 4

A patient is prescribed alendronate (Fosamax).What instruction should the nurse provide to the patient about this medication?&#10;A) Take at bedtime&#10;B) Take with a full meal&#10;C) Take on an empty stomach&#10;D) Take two hours after breakfast&#10;

Accepted Answer

Alendronate should be taken on an empty stomach at least 30 minutes before the first food or drink of the day. This is important because food and other medications can decrease the absorption of alendronate. The patient should also remain upright (sitting or standing) for at least 30 minutes after taking the medication to prevent esophageal irritation.

Question 5

A patient is suspected of having osteoporosis.Which diagnostic test should the nurse expect to be prescribed for this patient?&#10;A) MRI&#10;B) CT scan&#10;C) Bone scan&#10;D) DEXA scan&#10;

Accepted Answer

A DEXA scan is the most appropriate test for diagnosing osteoporosis. MRI and CT scans are more useful for detecting injuries, tumors, or other abnormalities in the bones, while a bone scan is more helpful in identifying diseases that affect the bone metabolism such as cancer or infection, but not specifically osteoporosis.

Question 6

A patient is diagnosed with a primary bone tumor.Which treatment should the nurse expect to be prescribed first for this patient?&#10;A) Surgery&#10;B) Amputation&#10;C) Radiotherapy&#10;D) Chemotherapy&#10;

Accepted Answer

Radiotherapy is often the first line of treatment for a primary bone tumor as it can help shrink or destroy the tumor without the need for surgery or amputation. Chemotherapy may be used in combination with radiotherapy or after surgery in some cases. Surgery or amputation may be necessary if the tumor is too large or has not responded to other treatments. However, they are not typically the first choice of treatment.

Question 7

A patient with bone cancer is admitted for treatment.What finding should the nurse expect to observe when assessing this patient?&#10;A) Limp&#10;B) Muscle atrophy&#10;C) Skin discoloration&#10;D) Dependent edema&#10;

Accepted Answer

Patients with bone cancer often experience pain and may limp due to discomfort or weakness in the affected limb.

Question 8

A patient with osteoporosis asks why the health problem developed.What nursing response would be appropriate for this patient?&#10;A) Osteoclasts break down bone with acids and enzymes.&#10;B) Osteoclastic activity is greater than osteoblastic activity.&#10;C) Osteoblastic activity is greater than osteoclastic activity.&#10;D) Osteoblasts synthesize and add minerals to the bony matrix.&#10;

Accepted Answer

Osteoporosis occurs when osteoclastic activity (breakdown of bone) is greater than osteoblastic activity (formation of bone), resulting in a decrease in bone density and strength. This can be due to a variety of factors such as hormonal changes, aging, lack of physical activity, and poor diet.

Question 9

The nurse is evaluating dietary teaching provided to a patient recovering from osteomyelitis.Which meal choice indicates that additional teaching is required?&#10;A) Green salad,meat loaf,brown rice,and broccoli&#10;B) Caesar's salad,pork loin slices,sauerkraut,baked potato,and saut&#233;ed carrots&#10;C) Tossed salad,spaghetti with marinara sauce,Italian bread,and creamed spinach&#10;D) Iceberg lettuce wedge,baked chicken breast,parsley red potatoes,and green beans&#10;

Accepted Answer

The meal in choice C includes creamed spinach, which is high in phosphorus. For a patient recovering from osteomyelitis, it's important to have a balanced intake of calcium and phosphorus. High phosphorus foods can affect bone health by potentially disrupting the balance of calcium, which is crucial for bone repair and health. The other meals do not contain items that are typically flagged for special consideration in the context of osteomyelitis recovery.

Question 10

A patient is diagnosed with Paget's disease.What finding should the nurse expect when assessing this patient?&#10;A) Pain&#10;B) Edema&#10;C) Hypotension&#10;D) Abdominal cramps&#10;

Accepted Answer

Paget's disease is characterized by bone pain, deformities, and fractures. Edema, hypotension, and abdominal cramps are not typically associated with this condition.

Question 11

The nurse is reviewing orders written for a patient with muscular dystrophy.Which medication should the nurse expect to be prescribed for this patient?&#10;A) Cortisol&#10;B) Furosemide&#10;C) Gabapentin&#10;D) Acetaminophen&#10;

Accepted Answer

The answer of The nurse is reviewing orders written for...

Question 12

The blood pressure of a patient recovering from total hip replacement surgery is dropping.What should the nurse suspect is occurring with this patient?&#10;A) Blood loss&#10;B) Pain medication overdose&#10;C) Development of a deep vein thrombosis&#10;D) Development of a postoperative infection&#10;

Accepted Answer

The answer of The blood pressure of a patient recovering...

Question 13

The nurse is preparing material about back pain for a community health fair.What should be included as a reason why this pain occurs most frequently in the lumbar region of the spine?&#10;A) It contains peripheral nerves.&#10;B) It is the most rigid area of the spine.&#10;C) It is the most flexible area of the spine.&#10;D) It anchors the weight of the lower body.&#10;

Accepted Answer

The answer of The nurse is preparing material about back...

Question 14

A patient with severe hip pain is diagnosed with osteoarthritis (OA).What information should the nurse provide to the patient about this disease process?&#10;A) &#34;OA causes an overgrowth of cartilage in the joints.&#34;&#10;B) &#34;OA causes joint fluid to become bluish-white in color.&#34;&#10;C) &#34;OA causes a decrease in joint fluid that affects the cartilage.&#34;&#10;D) &#34;OA causes a build of fluid in the joints,hindering movement.&#34;&#10;

Accepted Answer

The answer of A patient with severe hip pain is...

Question 15

A middle-aged person with scoliosis asks why exercises are prescribed when the pain is already severe.How should the nurse respond to this patient?&#10;A) &#34;Exercise will stop the pain caused by the deformity.&#34;&#10;B) &#34;Pain medication should not be needed for people with scoliosis.&#34;&#10;C) &#34;Exercise can reverse and prevent the progression of the spinal deformity.&#34;&#10;D) &#34;Exercise helps with weight management,which is a major reason for the problem.&#34;&#10;

Accepted Answer

The answer of A middle-aged person with scoliosis asks why...

Question 16

A patient is experiencing severe lower back pain that radiates down the leg causing weakness.Which diagnostic test should be considered after an MRI?&#10;A) CT scan&#10;B) Bone scan&#10;C) Spinal x-ray&#10;D) Electromyography&#10;

Accepted Answer

The answer of A patient is experiencing severe lower back...

Question 17

A patient recovering from total hip replacement surgery is having difficulty with position changes and ambulation.Which member of the interdisciplinary team should be consulted to address this patient's issues?

A) Orthopedic nurse
B) Physical therapist
C) Orthopedic surgeon
D) Occupational therapist

Accepted Answer

The answer of A patient recovering from total hip replacement...

Question 18

A patient with Duchenne muscular dystrophy has significant muscle damage.What is the primary reason for this destruction?&#10;A) High body fat&#10;B) Lack of dystrophin&#10;C) Breakdown of collagen&#10;D) Decreased body protein&#10;

Accepted Answer

The answer of A patient with Duchenne muscular dystrophy has...

Question 19

A patient with Paget's disease is prescribed a bisphosphonate medication.Which additional medication should the nurse expect to be prescribed for this patient?&#10;A) Anticholinergic&#10;B) Thiazide diuretic&#10;C) Antihypertensive&#10;D) Calcium with vitamin D&#10;

Accepted Answer

The answer of A patient with Paget's disease is prescribed...

Question 20

The manager notes that several nurses have been seen in employee health for low back pain over the last month.What type of education should the manager plan to help reduce the incidence of this health problem?

A) Safety
B) Body mechanics
C) Coordinating care
D) Stress management

Accepted Answer

The answer of The manager notes that several nurses have...

Question 21

A patient recovering from surgery for bone cancer is scheduled for postoperative radiation treatments.What should the nurse emphasize when providing teaching before a treatment?&#10;A) Apply lotion to the skin&#10;B) Examine the condition of the skin&#10;C) Coat the skin with protective cream&#10;D) Lightly dust the skin with talcum powder&#10;

Accepted Answer

The answer of A patient recovering from surgery for bone...

Deck 53: Coordinating Care for Patients With Musculoskeletal Disorders