lOMoARcPSD|3013804
Chapter 45 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 45: Concepts of Care for Patients With Musculoskeletal Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A client has a bone density score of –2.8. What intervention would the nurse anticipate based
on this assessment?
a.
Asking the client to complete a food diary
b.
Planning to teach about bisphosphonates
c.
Scheduling another scan in 2 years
d.
Scheduling another scan in 6 months
ANS: B
A T-score from a bone density scan at or lower than –2.5 indicates osteoporosis. The nurse
would plan to teach about medications used to treat this disease, such as the bisphosphonates.
A food diary is helpful to determine if the client gets adequate calcium and vitamin D, but at
this point, dietary changes will not prevent the disease. Simply scheduling another scan will
not help treat the disease either.
DIF: Applying TOP: Integrated Process: Nursing Process: Planning and Implementation
KEY: Musculoskeletal disorders, Health teaching
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. The nurse teaches assistive personnel (AP) about care of an older adult diagnosed
with osteoporosis. What teaching would the nurse include?
a.
“Teach the client to eat high-calcium foods in the diet.”
G R A D E S L AB . C O M
b.
“Assist the client with activ it ie s of d a ily l iv in g .”
c.
“Osteoporosis places the client is at risk for fractures.”
d.
“The client should stay in bed to prevent falling.”
ANS: C
Anyone who has osteoporosis is at risk for fragility fractures even if he or she does not
experience trauma like a fall. The client needs to keep active rather than stay in bed where
more bone could be lost. High-calcium foods may not be helpful because bone loss is already
severe. There is no indication that the client needs assistance with ADLs.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Musculoskeletal disorders, Osteoporosis
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
3. A client has been advised to perform weight-bearing exercises to help slow bone loss, but has
not followed this advice. What response by the nurse is appropriate at this time?
a.
Ask the client about fear of falling.
b.
Instruct the client to increase calcium.
c.
Suggest other exercises the client can do.
d.
Tell the client to try weight lifting.
ANS: A
Chapter 45 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 45: Concepts of Care for Patients With Musculoskeletal Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A client has a bone density score of –2.8. What intervention would the nurse anticipate based
on this assessment?
a.
Asking the client to complete a food diary
b.
Planning to teach about bisphosphonates
c.
Scheduling another scan in 2 years
d.
Scheduling another scan in 6 months
ANS: B
A T-score from a bone density scan at or lower than –2.5 indicates osteoporosis. The nurse
would plan to teach about medications used to treat this disease, such as the bisphosphonates.
A food diary is helpful to determine if the client gets adequate calcium and vitamin D, but at
this point, dietary changes will not prevent the disease. Simply scheduling another scan will
not help treat the disease either.
DIF: Applying TOP: Integrated Process: Nursing Process: Planning and Implementation
KEY: Musculoskeletal disorders, Health teaching
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. The nurse teaches assistive personnel (AP) about care of an older adult diagnosed
with osteoporosis. What teaching would the nurse include?
a.
“Teach the client to eat high-calcium foods in the diet.”
G R A D E S L AB . C O M
b.
“Assist the client with activ it ie s of d a ily l iv in g .”
c.
“Osteoporosis places the client is at risk for fractures.”
d.
“The client should stay in bed to prevent falling.”
ANS: C
Anyone who has osteoporosis is at risk for fragility fractures even if he or she does not
experience trauma like a fall. The client needs to keep active rather than stay in bed where
more bone could be lost. High-calcium foods may not be helpful because bone loss is already
severe. There is no indication that the client needs assistance with ADLs.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Musculoskeletal disorders, Osteoporosis
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
3. A client has been advised to perform weight-bearing exercises to help slow bone loss, but has
not followed this advice. What response by the nurse is appropriate at this time?
a.
Ask the client about fear of falling.
b.
Instruct the client to increase calcium.
c.
Suggest other exercises the client can do.
d.
Tell the client to try weight lifting.
ANS: A
