Question 1

A nurse is assessing a patient who reports a throbbing, burning sensation in the right foot. The patient states that the pain is worst during the day but notes that the pain is relieved with rest. The nurse should recognize the signs and symptoms of what health problem?

Accepted Answer

A)   Mortons neuroma
B)   Pescavus
C)   Hallux valgus
D)   Onychocryptosis

Question 2

A patients electronic health record notes that the patient has hallux valgus. What signs and symptoms would the nurse expect this patient to manifest?

Accepted Answer

A)   Deviation of a great toe laterally
B)   Abnormal flexion of the great toe
C)   An exaggerated arch of the foot
D)   Fusion of the toe joints

Question 3

A patient tells the nurse that he has pain and numbness to his thumb, first finger, and second finger of the right hand. The nurse discovers that the patient is employed as an auto mechanic, and that the pain is increased while working. This may indicate that the patient could possibly have what health problem?

Accepted Answer

A)   Carpel tunnel syndrome
B)   Tendonitis
C)   Impingement syndrome
D)   Dupuytrens contracture

Question 4

A nurse is reviewing the pathophysiology that may underlie a patients decreased bone density. What hormone should the nurse identify as inhibiting bone resorption and promoting bone formation?

Accepted Answer

A)   Estrogen
B)   Parathyroid hormone (PTH) 
C)   Calcitonin
D)   Progesterone

Question 5

An orthopedic nurse is caring for a patient who is postoperative day one following foot surgery. What nursing intervention should be included in the patients subsequent care?

Accepted Answer

A)   Dressing changes should not be performed unless there are clear signs of infection.
B)   The surgical site can be soaked in warm bath water for up to 5 minutes.
C)   The surgical site should be cleansed with hydrogen peroxide once daily.
D)   The foot should be elevated in order to prevent edema.

Question 6

A nurse is providing care for a patient who has a recent diagnosis of Pagets disease. When planning this patients nursing care, interventions should address what nursing diagnoses? Select all that apply.

Accepted Answer

A)   Impaired Physical Mobility
B)   Acute Pain
C)   Disturbed Auditory Sensory Perception
D)   Risk for Injury
E)   Risk for Unstable Blood Glucose

Question 7

A nurse is discussing conservative management of tendonitis with a patient. Which of the following may be an effective approach to managing tendonitis?

Accepted Answer

A)   Weight reduction
B)   Use of oral opioid analgesics
C)   Intermittent application of ice and heat
D)   Passive range of motion exercises

Question 8

A nurse is caring for a patient with a bone tumor. The nurse is providing education to help the patient reduce the risk for pathologic fractures. What should the nurse teach the patient?

Accepted Answer

A)   Strive to achieve maximum weight-bearing capabilities.
B)   Gradually strengthen the affected muscles through weight training.
C)   Support the affected extremity with external supports such as splints.
D)   Limit reliance on assistive devices in order to build strength.

Question 9

A nurse is providing care for a patient who has osteomalacia. What major goal will guide the choice of medical and nursing interventions?

Accepted Answer

A)   Maintenance of skin integrity
B)   Prevention of bone metastasis
C)   Maintenance of adequate levels of activated vitamin D
D)   Maintenance of adequate parathyroid hormone function

Question 10

A nurse is providing a class on osteoporosis at the local seniors center. Which of the following statements related to osteoporosis is most accurate?

Accepted Answer

A)   Osteoporosis is categorized as a disease of the elderly.
B)   A nonmodifiable risk factor for osteoporosis is a persons level of activity.
C)   Secondary osteoporosis occurs in women after menopause.
D)   Slow discontinuation of corticosteroid therapy can halt the progression of the osteoporosis.

Question 11

A patient has come to the clinic for a routine annual physical. The nurse practitioner notes a palpable, painless projection of bone at the patients shoulder. The projection appears to be at the distal end of the humerus. The nurse should suspect the presence of which of the following?

Accepted Answer

A)   Osteomyelitis
B)   Osteochondroma
C)   Osteomalacia
D)   Pagets disease

Question 12

A patient presents at a clinic complaining of back pain that goes all the way down the back of the leg to the foot. The nurse should document the presence of what type of pain?

Accepted Answer

A)   Bursitis
B)   Radiculopathy
C)   Sciatica
D)   Tendonitis

Question 13

A nurse is caring for a patient with Pagets disease and is reviewing the patients most recent laboratory values. Which of the following values is most characteristic of Pagets disease?

Accepted Answer

A)   An elevated level of parathyroid hormone and low calcitonin levels
B)   A low serum alkaline phosphatase level and a low serum calcium level
C)   An elevated serum alkaline phosphatase level and a normal serum calcium level
D)   An elevated calcitonin level and low levels of parathyroid hormone

Question 14

A patient presents at the clinic with complaints of morning numbness, cramping, and stiffness in his fourth and fifth fingers. What disease process should the nurse suspect?

Accepted Answer

A)   Tendonitis
B)   A ganglion
C)   Carpal tunnel syndrome
D)   Dupuytrens disease

Question 15

An elderly female with osteoporosis has been hospitalized. Prior to discharge, when teaching the patient, the nurse should include information about which major complication of osteoporosis?

Accepted Answer

A)   Bone fracture
B)   Loss of estrogen
C)   Negative calcium balance
D)   Dowagers hump

Question 16

A patient has been admitted to the medical unit for the treatment of Pagets disease. When reviewing the medication administration record, the nurse should anticipate what medications? Select all that apply.

Accepted Answer

A)   Calcitonin
B)   Bisphosphonates
C)   Alkaline phosphatase
D)   Calcium gluconate
E)   Estrogen

Question 17

A patient presents at a clinic complaining of pain in his heel so bad that it inhibits his ability to walk. The patient is subsequently diagnosed with plantar fasciitis. This patients plan of care should include what intervention?

Accepted Answer

A)   Wrapping the affected area in lambs wool or gauze to relieve pressure
B)   Gently stretching the foot and the Achilles tendon
C)   Wearing open-toed shoes at all times
D)   Applying topical analgesic ointment to plantar surface each morning

Question 18

A patient is undergoing diagnostic testing for osteomalacia. Which of the following laboratory results is most suggestive of this diagnosis?

Accepted Answer

A)   High chloride, calcium, and magnesium
B)   High parathyroid and calcitonin levels
C)   Low serum calcium and magnesium levels
D)   Low serum calcium and low phosphorus level

Question 19

An older adult womans current medication regimen includes alendronate (Fosamax) . What outcome would indicate successful therapy?

Accepted Answer

A)   Increased bone mass
B)   Resolution of infection
C)   Relief of bone pain
D)   Absence of tumor spread

Question 20

A patient with diabetes is attending a class on the prevention of associated diseases. What action should the patient perform to reduce the risk of osteomyelitis?

Accepted Answer

A)   Increase calcium and vitamin intake.
B)   Perform meticulous foot care.
C)   Exercise 3 to 4 times weekly for at least 30 minutes.
D)   Take corticosteroids as ordered.

Exam 41: Management of Patients With Musculoskeletal Disorders

An elderly female with osteoporosis has been hospitalized. Prior to discharge, when teaching the patient, the nurse should include information about which major complication of osteoporosis?

Correct Answer
verified

A patient presents at the clinic with complaints of morning numbness, cramping, and stiffness in his fourth and fifth fingers. What disease process should the nurse suspect?

Correct Answer
verified

An orthopedic nurse is caring for a patient who is postoperative day one following foot surgery. What nursing intervention should be included in the patients subsequent care?

Correct Answer
verified

Correct Answer
verified

A nurse is caring for a patient with Pagets disease and is reviewing the patients most recent laboratory values. Which of the following values is most characteristic of Pagets disease?

Correct Answer
verified

A patient presents at a clinic complaining of pain in his heel so bad that it inhibits his ability to walk. The patient is subsequently diagnosed with plantar fasciitis. This patients plan of care should include what intervention?

Correct Answer
verified

A patient with diabetes is attending a class on the prevention of associated diseases. What action should the patient perform to reduce the risk of osteomyelitis?

Correct Answer
verified

A nurse is providing care for a patient who has a recent diagnosis of Pagets disease. When planning this patients nursing care, interventions should address what nursing diagnoses? Select all that apply.

Correct Answer
verified

A nurse is providing a class on osteoporosis at the local seniors center. Which of the following statements related to osteoporosis is most accurate?

Correct Answer
verified

A patient is undergoing diagnostic testing for osteomalacia. Which of the following laboratory results is most suggestive of this diagnosis?

Correct Answer
verified

A nurse is reviewing the pathophysiology that may underlie a patients decreased bone density. What hormone should the nurse identify as inhibiting bone resorption and promoting bone formation?

Correct Answer
verified

A nurse is caring for a patient with a bone tumor. The nurse is providing education to help the patient reduce the risk for pathologic fractures. What should the nurse teach the patient?

Correct Answer
verified

A nurse is providing care for a patient who has osteomalacia. What major goal will guide the choice of medical and nursing interventions?

Correct Answer
verified

A nurse is assessing a patient who reports a throbbing, burning sensation in the right foot. The patient states that the pain is worst during the day but notes that the pain is relieved with rest. The nurse should recognize the signs and symptoms of what health problem?

Correct Answer
verified

An older adult womans current medication regimen includes alendronate (Fosamax) . What outcome would indicate successful therapy?

Correct Answer
verified

A patients electronic health record notes that the patient has hallux valgus. What signs and symptoms would the nurse expect this patient to manifest?

Correct Answer
verified

A patient has come to the clinic for a routine annual physical. The nurse practitioner notes a palpable, painless projection of bone at the patients shoulder. The projection appears to be at the distal end of the humerus. The nurse should suspect the presence of which of the following?

Correct Answer
verified

A nurse is discussing conservative management of tendonitis with a patient. Which of the following may be an effective approach to managing tendonitis?

Correct Answer
verified

A patient has been admitted to the medical unit for the treatment of Pagets disease. When reviewing the medication administration record, the nurse should anticipate what medications? Select all that apply.

Correct Answer
verified

A patient presents at a clinic complaining of back pain that goes all the way down the back of the leg to the foot. The nurse should document the presence of what type of pain?

Correct Answer
verified

Exam 41: Management of Patients With Musculoskeletal Disorders

An elderly female with osteoporosis has been hospitalized. Prior to discharge, when teaching the patient, the nurse should include information about which major complication of osteoporosis?

Correct AnswerverifiedShow Answer

A patient presents at the clinic with complaints of morning numbness, cramping, and stiffness in his fourth and fifth fingers. What disease process should the nurse suspect?

Correct AnswerverifiedShow Answer

An orthopedic nurse is caring for a patient who is postoperative day one following foot surgery. What nursing intervention should be included in the patients subsequent care?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A nurse is caring for a patient with Pagets disease and is reviewing the patients most recent laboratory values. Which of the following values is most characteristic of Pagets disease?

Correct AnswerverifiedShow Answer

A patient presents at a clinic complaining of pain in his heel so bad that it inhibits his ability to walk. The patient is subsequently diagnosed with plantar fasciitis. This patients plan of care should include what intervention?

Correct AnswerverifiedShow Answer

A patient with diabetes is attending a class on the prevention of associated diseases. What action should the patient perform to reduce the risk of osteomyelitis?

Correct AnswerverifiedShow Answer

A nurse is providing care for a patient who has a recent diagnosis of Pagets disease. When planning this patients nursing care, interventions should address what nursing diagnoses? Select all that apply.

Correct AnswerverifiedShow Answer

A nurse is providing a class on osteoporosis at the local seniors center. Which of the following statements related to osteoporosis is most accurate?

Correct AnswerverifiedShow Answer

A patient is undergoing diagnostic testing for osteomalacia. Which of the following laboratory results is most suggestive of this diagnosis?

Correct AnswerverifiedShow Answer

A nurse is reviewing the pathophysiology that may underlie a patients decreased bone density. What hormone should the nurse identify as inhibiting bone resorption and promoting bone formation?

Correct AnswerverifiedShow Answer

A nurse is caring for a patient with a bone tumor. The nurse is providing education to help the patient reduce the risk for pathologic fractures. What should the nurse teach the patient?

Correct AnswerverifiedShow Answer

A nurse is providing care for a patient who has osteomalacia. What major goal will guide the choice of medical and nursing interventions?

Correct AnswerverifiedShow Answer

A nurse is assessing a patient who reports a throbbing, burning sensation in the right foot. The patient states that the pain is worst during the day but notes that the pain is relieved with rest. The nurse should recognize the signs and symptoms of what health problem?

Correct AnswerverifiedShow Answer

An older adult womans current medication regimen includes alendronate (Fosamax) . What outcome would indicate successful therapy?

Correct AnswerverifiedShow Answer

A patients electronic health record notes that the patient has hallux valgus. What signs and symptoms would the nurse expect this patient to manifest?

Correct AnswerverifiedShow Answer

A patient has come to the clinic for a routine annual physical. The nurse practitioner notes a palpable, painless projection of bone at the patients shoulder. The projection appears to be at the distal end of the humerus. The nurse should suspect the presence of which of the following?

Correct AnswerverifiedShow Answer

A nurse is discussing conservative management of tendonitis with a patient. Which of the following may be an effective approach to managing tendonitis?

Correct AnswerverifiedShow Answer

A patient has been admitted to the medical unit for the treatment of Pagets disease. When reviewing the medication administration record, the nurse should anticipate what medications? Select all that apply.

Correct AnswerverifiedShow Answer

A patient presents at a clinic complaining of back pain that goes all the way down the back of the leg to the foot. The nurse should document the presence of what type of pain?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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