Question 1

The nurse provides education to a patient who is diagnosed with scoliosis and scheduled for surgical correction. Which patient statement indicates the need for additional teaching regarding postoperative care?

Accepted Answer

Alcohol consumption can interfere with the healing process and the effectiveness of medications post-surgery. It's important for patients to avoid alcohol to ensure optimal recovery.

Question 2

The nurse correlates which mechanism of action for the administration of parathyroid hormone in the patient with osteoporosis?

Accepted Answer

C

Question 3

Which statement by the patient receiving prednisone for muscular dystrophy (MD) indicates the need for further teaching?

Accepted Answer

Prednisone does not permanently stop the progression of muscular dystrophy (MD); it can slow the progression and manage symptoms, but it is not a cure.

Question 4

Which interdisciplinary team member does the nurse consult regarding the proper use of a continuous passive motion (CPM) machine in the patient recovering from total hip replacement surgery?

Accepted Answer

Physical therapists are the professionals who specialize in movement and mobility, including the use of devices like continuous passive motion (CPM) machines, especially in the context of rehabilitation after surgeries such as total hip replacement.

Question 5

The nurse is evaluating dietary teaching provided to a patient recovering from osteomyelitis. Which meal choice indicates that additional teaching is required?

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 6

The nurse provides education to a patient regarding treatment for plantar fasciitis. Which patient statement indicates a need for additional teaching?

Accepted Answer

Foot padding is not typically used during sleep for plantar fasciitis. Night splints, physical therapy, and anti-inflammatories are common treatments.

Question 7

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?

Accepted Answer

Exercise can help improve flexibility, strength, and posture, which may help manage symptoms and prevent further progression of scoliosis.

Question 8

The nurse provides education to a patient who is diagnosed with osteoporosis and prescribed ibandronate (Boniva). Which patient statement indicates the need for additional teaching?

Accepted Answer

Ibandronate (Boniva) should be taken on an empty stomach to enhance absorption. Taking it with food, as mentioned in option A, indicates a misunderstanding and the need for additional teaching.

Question 9

The nurse determines which patient is at highest risk for the development of osteoporosis?

Accepted Answer

C) The 55-year old Caucasian patient with a BMI of 17 and history of hyperthyroidism is at the highest risk for osteoporosis. Low BMI is a risk factor for osteoporosis, and hyperthyroidism can accelerate bone loss. Additionally, Caucasian race and female gender are known risk factors for osteoporosis.

Question 10

A patient with Duchenne muscular dystrophy has significant muscle damage. What is the primary reason for this destruction?

Accepted Answer

Duchenne muscular dystrophy is primarily caused by a lack of dystrophin, a protein essential for maintaining muscle cell integrity, leading to muscle damage and weakness.

Question 11

A patient returns to the clinic for an evaluation 2 weeks after total hip replacement. Which statement by the patient indicates the need for further teaching?

Accepted Answer

The statement "Now that I am stronger, I no longer need to use the raised toilet seat." indicates a need for further teaching because using a raised toilet seat is recommended to prevent excessive flexion of the hip and to protect the new hip joint after surgery.

Question 12

The nurse correlates the mechanism of action of which medication to the treatment of a patient diagnosed with muscular dystrophy (MD)?

Accepted Answer

Cortisol (a corticosteroid) is used in the treatment of muscular dystrophy (MD) to slow the progression of muscle weakness. Corticosteroids have anti-inflammatory and immunosuppressive properties, which can help manage the symptoms of MD.

Question 13

Which statement by the patient with suspected osteomyelitis indicates that teaching was effective?

Accepted Answer

A bone biopsy is considered the gold standard for diagnosing osteomyelitis because it allows for direct examination of the bone and the causative organism.

Question 14

Which patient statement indicates the need for additional teaching for the patient being discharged after total knee placement (TKR)?

Accepted Answer

The statement about increasing intake of green, leafy vegetables for a patient on blood thinners post-surgery could interfere with the medication's effectiveness, as these vegetables are high in vitamin K, which can affect blood clotting.

Question 15

In providing care to a patient diagnosed with osteoporosis, the nurse correlates which pathophysiological mechanisms to this disease process?

Accepted Answer

In osteoporosis, the rate of bone resorption by osteoclasts exceeds the rate of bone formation by osteoblasts, leading to decreased bone density.

Question 16

The nurse prepares the patient with suspected osteoporosis for which diagnostic test?

Accepted Answer

Dual-energy x-ray absorptiometry (DEXA) scan is the most commonly used test to diagnose osteoporosis. It measures bone mineral density (BMD) and helps in assessing the risk of fractures.

Question 17

The nurse monitors for which clinical manifestation in the patient diagnosed with Paget's disease?

Accepted Answer

Paget's disease is characterized by abnormal bone remodeling, leading to bone deformities.

Question 18

In caring for a patient with severe hip pain the patient is diagnosed with osteoarthritis (OA), what does the nurse teach the patient about this disease process?

Accepted Answer

Osteoarthritis (OA) is characterized by a decrease in joint fluid, which leads to a reduction in the lubrication and cushioning of the joint. This decrease in synovial fluid affects the cartilage, leading to its breakdown and the symptoms associated with OA, such as pain and stiffness.

Question 19

A patient is prescribed alendronate (Fosamax). What instruction does the nurse provide to the patient about this medication?

Accepted Answer

Alendronate (Fosamax) should be taken on an empty stomach to enhance its absorption. It is recommended to take it with a full glass of water at least 30 minutes before the first food, beverage, or medication of the day to ensure optimal absorption and effectiveness.

Question 20

A patient is admitted for an evaluation for suspected muscular dystrophy. Of the diagnostic studies prescribed, the nurse correlates which test is the gold standard to diagnose this disorder?

Accepted Answer

Muscle biopsy is considered the gold standard for diagnosing muscular dystrophy because it allows for direct examination of the muscle tissue, which can show the characteristic changes associated with the disease.

Quiz 53: Coordinating Care for Patients With Musculoskeletal Disorders