Hinkle management of patients with
musculoskeletal disorders (chapter 36&37)
1. A nurse is caring for an adult client diagnosed with a back strain. What health education
should the nurse provide to this client?
A. Avoid lifting more than one-third of body weight without assistance.
B. Focus on using back muscles efficiently when lifting heavy objects.
C. Lift objects while holding the object a safe distance from the body.
D. Tighten the abdominal muscles and lock the knees when lifting an: A. Avoid lifting more than
one-third of body weight without assistance.
Rationale: The nurse will instruct the client on the safe and correct way to lift objects— using
the strong quadriceps muscles of the thighs, with minimal use of the weaker back muscles. To
prevent recurrence of acute low back pain, the nurse may instruct the client to avoid lifting
more than one-third of the client's body weight without help. The client should be informed to
place the feet hip-width apart to provide a wide base of support. The person should then bend
the knees, tighten the abdominal muscles, and lift the object close to the body with a smooth
motion, avoiding twisting and jerking.
2. A nurse is discussing conservative management of tendonitis with a client. What is the nurse's
best recommendation?
A. Weight reduction
B. Use of oral opioid analgesics
C. Intermittent application of ice and heat
D. Passive range of motion exercises: C. Intermittent application of ice and heat Rationale:
Conservative management of tendonitis includes rest of the extremity, intermittent ice and heat
to the joint, and NSAIDs. Weight reduction may prevent future injuries but will not relieve
existing tendonitis. Range-of-motion exercises may exacerbate pain. Opioids would not be
considered a conservative treatment mea- sure.
3. A client presents at a clinic reports heel pain that impairs walking ability. The client is
subsequently diagnosed with plantar fasciitis. This client's plan of care should include what
intervention?
A. Wrapping the affected area in lamb's wool or gauze to relieve pressure
1 For assistance with assignments. Discussions, M.s Excel ,and dissertations contact
, Hinkle management of patients with
musculoskeletal disorders (chapter 36&37)
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: B. Gently stretching the
foot and the Achilles tendon
Rationale: Plantar fasciitis leads to pain that is localized to the anterior medial aspect of the heel
and diminishes with gentle stretching of the foot and Achilles tendon.
Dressings of any kind are not of therapeutic benefit and analgesic ointments do not address the
pathology of the problem. Open-toed shoes are of no particular benefit
2 For assistance with assignments. Discussions, M.s Excel ,and dissertations contact
, Hinkle management of patients with
musculoskeletal disorders (chapter 36&37)
4. A nurse is teaching an educational class to a group of older adults at
a community center. In an effort to prevent osteoporosis, the nurse should encourage participants to
ensure that they consume the recommended intake of what nutrients? Select all that apply.
A. Vitamin B12
B. Potassium
C. Calcitonin
D. Calcium
E. Vitamin D: D. Calcium
E. Vitamin D
Rationale: A diet rich in calcium and vitamin D protects against skeletal demineral- ization.
Intake of vitamin Biz and potassium does not directly influence the risk for osteoporosis.
Calcitonin is not considered to be a dietary nutrient.
5. A nurse is providing a class on osteoporosis at the local center for older adults. Which
statement related to osteoporosis is most accurate?
A. High levels of vitamin D can cause osteoporosis.
B. A nonmodifiable risk factor for osteoporosis is a person's level of activity.
C. Secondary osteoporosis occurs in women after menopause.
D. The use of corticosteroids increases the risk of osteoporosis.: D. The use of corticosteroids
increases the risk of osteoporosis.
Rationale: Corticosteroid therapy is a secondary cause of osteoporosis when taken for long-term
use. Adequate levels of vitamin D are needed for absorption of calcium. A person's level of
physical activity is a modifiable factor that influences peak bone mass. Lack of activity increases
the risk for the development of osteoporosis. Primary osteoporosis occurs in women after
6. A nurse is teaching a client with osteomalacia about the role of diet. What would be the best
choice for breakfast for a client with osteomalacia?
A. Cereal with milk, a scrambled egg, and grapefruit
B. Poached eggs with sausage and toast
3 For assistance with assignments. Discussions, M.s Excel ,and dissertations contact
, Hinkle management of patients with
musculoskeletal disorders (chapter 36&37)
C. Waffles with fresh strawberries and powdered sugar
D. A bagel topped with butter and jam with a side dish of grapes: A. Cereal with milk, a scrambled
egg, and grapefruit
Rationale: The best meal option is the one that contains the highest dietary sources of calcium
and vitamin D. The best selection among those listed is cereal with milk, and eggs, as these
foods contain calcium and vitamin D in a higher quantity over the other menu options.
7. A nurse is caring for a client with Paget disease and is reviewing the client's most recent
laboratory values. Which of the following values are most characteristic of Paget disease?
4 For assistance with assignments. Discussions, M.s Excel ,and dissertations contact
musculoskeletal disorders (chapter 36&37)
1. A nurse is caring for an adult client diagnosed with a back strain. What health education
should the nurse provide to this client?
A. Avoid lifting more than one-third of body weight without assistance.
B. Focus on using back muscles efficiently when lifting heavy objects.
C. Lift objects while holding the object a safe distance from the body.
D. Tighten the abdominal muscles and lock the knees when lifting an: A. Avoid lifting more than
one-third of body weight without assistance.
Rationale: The nurse will instruct the client on the safe and correct way to lift objects— using
the strong quadriceps muscles of the thighs, with minimal use of the weaker back muscles. To
prevent recurrence of acute low back pain, the nurse may instruct the client to avoid lifting
more than one-third of the client's body weight without help. The client should be informed to
place the feet hip-width apart to provide a wide base of support. The person should then bend
the knees, tighten the abdominal muscles, and lift the object close to the body with a smooth
motion, avoiding twisting and jerking.
2. A nurse is discussing conservative management of tendonitis with a client. What is the nurse's
best recommendation?
A. Weight reduction
B. Use of oral opioid analgesics
C. Intermittent application of ice and heat
D. Passive range of motion exercises: C. Intermittent application of ice and heat Rationale:
Conservative management of tendonitis includes rest of the extremity, intermittent ice and heat
to the joint, and NSAIDs. Weight reduction may prevent future injuries but will not relieve
existing tendonitis. Range-of-motion exercises may exacerbate pain. Opioids would not be
considered a conservative treatment mea- sure.
3. A client presents at a clinic reports heel pain that impairs walking ability. The client is
subsequently diagnosed with plantar fasciitis. This client's plan of care should include what
intervention?
A. Wrapping the affected area in lamb's wool or gauze to relieve pressure
1 For assistance with assignments. Discussions, M.s Excel ,and dissertations contact
, Hinkle management of patients with
musculoskeletal disorders (chapter 36&37)
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: B. Gently stretching the
foot and the Achilles tendon
Rationale: Plantar fasciitis leads to pain that is localized to the anterior medial aspect of the heel
and diminishes with gentle stretching of the foot and Achilles tendon.
Dressings of any kind are not of therapeutic benefit and analgesic ointments do not address the
pathology of the problem. Open-toed shoes are of no particular benefit
2 For assistance with assignments. Discussions, M.s Excel ,and dissertations contact
, Hinkle management of patients with
musculoskeletal disorders (chapter 36&37)
4. A nurse is teaching an educational class to a group of older adults at
a community center. In an effort to prevent osteoporosis, the nurse should encourage participants to
ensure that they consume the recommended intake of what nutrients? Select all that apply.
A. Vitamin B12
B. Potassium
C. Calcitonin
D. Calcium
E. Vitamin D: D. Calcium
E. Vitamin D
Rationale: A diet rich in calcium and vitamin D protects against skeletal demineral- ization.
Intake of vitamin Biz and potassium does not directly influence the risk for osteoporosis.
Calcitonin is not considered to be a dietary nutrient.
5. A nurse is providing a class on osteoporosis at the local center for older adults. Which
statement related to osteoporosis is most accurate?
A. High levels of vitamin D can cause osteoporosis.
B. A nonmodifiable risk factor for osteoporosis is a person's level of activity.
C. Secondary osteoporosis occurs in women after menopause.
D. The use of corticosteroids increases the risk of osteoporosis.: D. The use of corticosteroids
increases the risk of osteoporosis.
Rationale: Corticosteroid therapy is a secondary cause of osteoporosis when taken for long-term
use. Adequate levels of vitamin D are needed for absorption of calcium. A person's level of
physical activity is a modifiable factor that influences peak bone mass. Lack of activity increases
the risk for the development of osteoporosis. Primary osteoporosis occurs in women after
6. A nurse is teaching a client with osteomalacia about the role of diet. What would be the best
choice for breakfast for a client with osteomalacia?
A. Cereal with milk, a scrambled egg, and grapefruit
B. Poached eggs with sausage and toast
3 For assistance with assignments. Discussions, M.s Excel ,and dissertations contact
, Hinkle management of patients with
musculoskeletal disorders (chapter 36&37)
C. Waffles with fresh strawberries and powdered sugar
D. A bagel topped with butter and jam with a side dish of grapes: A. Cereal with milk, a scrambled
egg, and grapefruit
Rationale: The best meal option is the one that contains the highest dietary sources of calcium
and vitamin D. The best selection among those listed is cereal with milk, and eggs, as these
foods contain calcium and vitamin D in a higher quantity over the other menu options.
7. A nurse is caring for a client with Paget disease and is reviewing the client's most recent
laboratory values. Which of the following values are most characteristic of Paget disease?
4 For assistance with assignments. Discussions, M.s Excel ,and dissertations contact
