Question 1

A young client has been diagnosed with a soft tissue tumor resembling striated muscle in the neck. The nurse realizes that this type of tumor would be considered:

Accepted Answer

The description of the tumor resembling striated muscle in the neck points towards rhabdomyosarcoma, which is a soft tissue tumor that arises from embryonic striated muscle cells. Chondrosarcoma arises from cartilage cells, Ewing's sarcoma arises from bone or soft tissue, while neurofibrosarcoma arises from nerve sheath cells.

Question 2

A client is diagnosed with osteoarthritis. The nurse would not expect to find which of the following during assessment?

Accepted Answer

Osteoarthritis typically involves asymmetric joint involvement, therefore, symmetrical joint involvement would not be expected. Bouchard's and Heberden's nodes, as well as crepitus, are common findings in osteoarthritis.

Question 3

During an assessment, the nurse determines that a client has a forward curvature of the thoracic spine. Which of the following terms would the nurse use to document this assessment finding?

Accepted Answer

A forward curvature of the thoracic spine is known as kyphosis. Lordosis is an inward curvature of the lumbar or cervical spine, scoliosis is a lateral curvature of the spine, and spondylolisthesis is the displacement of one vertebra in relation to the adjacent vertebrae.

Question 4

A client has been diagnosed with fibromyalgia. The nurse realizes that which of the following categories of medications have been successful in the treatment of this disorder? (Select all that apply.)

Accepted Answer

Antidepressants, analgesics, and muscle relaxants have all been shown to be effective in treating fibromyalgia. Antiarrhythmics, antibiotics, and calcium channel blockers are not typically used to treat this disorder.

Question 5

The nurse is instructing a client diagnosed with gout about a low-purine diet. Which of the following foods would be identified as those to avoid when following this diet? (Select all that apply.)

Accepted Answer

Scallops are high in purines and should be avoided. Alcohol, especially beer and liquor, increases uric acid production and aggravates gout. Bacon is also high in purines and should be avoided. Avocados and milk are low-purine foods and can be consumed in moderation. White bread is also low in purines, but should be consumed in moderation as it can contribute to weight gain, which is a risk factor for gout.

Question 6

The nurse is assessing a client who is diagnosed with gout. Which of the following findings will the nurse most likely assess in this client? (Select all that apply.)

Accepted Answer

The answer of The nurse is assessing a client who...

Question 7

The nurse is instructing a client diagnosed with osteoarthritis. Which of the following statements indicates that the client understands these instructions?

Accepted Answer

Losing weight can decrease stress on the joints and improve symptoms of osteoarthritis. Option A is incorrect as moderate exercise can help strengthen muscles and support joints. Option C is incorrect as regularly taking medications as prescribed can help manage pain and prevent further damage. Option D is incorrect as marathon shopping trips can aggravate symptoms and increase stress on the joints.

Question 8

A client diagnosed with gout is concerned about the formation of nodules. The nurse should explain that these nodules are called:

Accepted Answer

Nodules formed in gout are called tophi, which are deposits of uric acid crystals that accumulate in the joints and surrounding tissue. Bouchard's and Heberden's nodes are associated with osteoarthritis, while cysts are fluid-filled sacs that can develop in various parts of the body.

Question 9

A client is experiencing symptoms associated with the second-stage of Lyme disease. Which of the following will the nurse most likely assess in this client? (Select all that apply.)

Accepted Answer

The answer of A client is experiencing symptoms associated with...

Question 10

A client diagnosed with Paget's disease is prescribed alendronate (Fosamax). Which of the following should the nurse instruct the client regarding this medication?

Accepted Answer

Alendronate should be taken on an empty stomach, and the client should not eat or drink anything for 30 minutes after taking the medication. This will help ensure maximum absorption and effectiveness of the medication. Taking the medication on a full stomach can decrease absorption. Intravenous administration is not typically used for alendronate. The duration of treatment can vary depending on the individual case, but it is usually long-term.

Question 11

The nurse is assessing a client who is demonstrating clinical manifestations of Paget's disease. The nurse realizes that which of the following diagnostic tests will aid in the diagnosis of this disorder?

Accepted Answer

Serum alkaline phosphatase level is a diagnostic test that aids in the diagnosis of Paget's disease, as it is commonly elevated in individuals with this disorder. Chest and hand x-rays may show characteristic changes in the bone structure, but they are not specific to Paget's disease. Serum albumin level is not relevant to the diagnosis of Paget's disease.

Question 12

A client is being evaluated for generalized skeletal pain and pain in the hips, ribs, and feet. The nurse observes that the client walks with a waddling gait. Because of this information, which of the following should the nurse suspect is occurring with this client?

Accepted Answer

The combination of generalized skeletal pain, pain in the hips, ribs, and feet, and a waddling gait suggest a possible diagnosis of osteomalacia, which is a condition characterized by softening of the bones due to a deficiency in vitamin D or calcium. Osteomyelitis is an infection in the bone, osteosarcoma is a bone cancer, and Paget's disease is a condition characterized by abnormal bone remodeling, none of which fit with the client's symptoms.

Question 13

When assessing a client diagnosed with ankylosing spondylitis, which of the following clinical manifestations will the nurse most likely assess?

Accepted Answer

The answer of When assessing a client diagnosed with ankylosing...

Question 14

A client is surprised to learn that she has been diagnosed with osteoporosis since she does not smoke, is not underweight, and exercises. The nurse should assess if the client has any secondary conditions which could cause the disorder, including:

Accepted Answer

Lactose intolerance can lead to inadequate calcium intake, which is a risk factor for osteoporosis.

Question 15

A client is experiencing an acute attack of gout. The nurse should be prepared to provide which of the following medications as prescribed?

Accepted Answer

Colchicine is the medication of choice for an acute attack of gout because it helps to relieve pain and inflammation. Allopurinol, probenecid, and sulfinpyrazone are medications that are used to prevent gout attacks, but they are not effective for treating an acute attack.

Question 16

The nurse is teaching a group of community members at the senior center about osteoporosis. Which of the following clinical manifestations should the nurse instruct as not being related to the disorder?

Accepted Answer

Pain is a common symptom of osteoporosis, so it is related to the disorder. Decrease in height, fractures, and kyphosis are also commonly associated with osteoporosis.

Question 17

During an assessment, the nurse determines that a client has risk factors for the development of osteoporosis. Which of the following are considered risk factors for this disorder? (Select all that apply.)

Accepted Answer

The answer of During an assessment, the nurse determines that...

Quiz 59: Musculoskeletal Dysfunction: Nursing Management