Musculoskeletal exam 4
Signs and symptoms of osteomyelitis include: - *answers *pain and tenderness
Select all that apply. Which of the following nursing interventions if ordered by a
physician would be appropriate for a hospitalized client with acute osteomyelitis? -
*answers *chemsticks before each meal
intravenous administration of lactated ringers solution at 125 mL/hour
intravenous vancomycin 300 mg in 250 mL D5W BID
Which one of the following is an antagonistic muscle grouping? - *answers *bicep/tricep
Select all that apply. Which of the following naturally occur with the aging
musculoskeletal system? - *answers *bone calcium loss
muscle strength declines
articular cartilage wears down
Select all that apply. The nurse is assigned to a client that needs preadmission teaching
for a scheduled knee arthroscopy the following morning. What should the nurse include
in the education? - *answers *no food after midnight
explaining coughing and deep breathing exercises
The nurse is assessing a client with rheumatoid arthritis. What finding would the nurse
expect?
hypersensitivity to lights - *answers *swelling and pain in any synovial joint
Select all that apply. A 40 year old male client limps into the emergency room with a
complaint of severe pain in his great toe. The nurse is aware that his condition could be:
- *answers *fracture
gout
cellulitis
osteomyelitis
Select all that apply: Appropriate nursing diagnoses for a client with systemic lupus
erythematosus could include: - *answers *chronic sorrow
risk for impaired skin integrity
acute pain
disturbed body image
The nurse is educating a client, newly diagnosed with gout about their nutrition. Which
of the following foods should be avoided? - *answers *oysters
One nursing intervention for a client with osteoarthritis of the knees could include: -
*answers *rest and exercise such as walking
Select all that apply. Which of the following nursing diagnoses would be appropriate for
a client with multiple myeloma - *answers *Impaired physical mobility
Pain management
, Musculoskeletal exam 4
Nutrition
Safety
The nurse is aware that _________________ __________________ is the most often
seen in male adolescents and 50% of the time this cancer is located in the distal
femur/knee area - *answers *osteosarcoma
Select all that apply. Which of the following are common findings with clients with
multiple myeloma? - *answers *elevated calcium levels
bone lesion
anemia
renal failure
A client has severe pain related to bone cancer. the nurse notes that the client does not
ask for pain medication while watching television. Which one of the following statements
best explains this? - *answers *Distraction can be a helpful intervention when used in
addition to analgesics
The nurse is aware that a COX-2 anti-inflammatory medication can: - *answers *reduce
the risk of gastric irritation but increase the risk of strokes
Nursing considerations while administering a locally acting corticosteroid would include?
- *answers *Avoid areas of thin skin at previous injection sites
Select all that apply. Which of the following classifications would methotrexate be
correctly listed? - *answers *anti-neoplastics
anti-rheumatics
The physician ordered 100 IU/day of calcitonin for a client with Paget's disease. The
nurse has 200 IU/mL in a 2 mL vial available. The nurse will prepare how much
medication for administration? - *answers *0.5 mL
The physician ordered 2 mg of Valium for a client to assist with muscle relaxation. The
nurse has 1 mg/mL in a 10 mg vial available.The nurse will prepare which one of the
following for administration? - *answers *2 mL of diazepam
The nurse is aware that the desired effect after administering baclofen for 2 weeks
would be: - *answers *decrease in muscle spasticity
The nurse is aware that the reason a client diagnosed with bone cancer has severe pain
is because of: - *answers *osteoclastic activity
The nurse is administering Fosamax (alendronate) which is in the bisphosphonates
classification of drugs. The nurse tells the client that the reason she is taking this
medication is because it: - *answers *prevents bone fractures
Signs and symptoms of osteomyelitis include: - *answers *pain and tenderness
Select all that apply. Which of the following nursing interventions if ordered by a
physician would be appropriate for a hospitalized client with acute osteomyelitis? -
*answers *chemsticks before each meal
intravenous administration of lactated ringers solution at 125 mL/hour
intravenous vancomycin 300 mg in 250 mL D5W BID
Which one of the following is an antagonistic muscle grouping? - *answers *bicep/tricep
Select all that apply. Which of the following naturally occur with the aging
musculoskeletal system? - *answers *bone calcium loss
muscle strength declines
articular cartilage wears down
Select all that apply. The nurse is assigned to a client that needs preadmission teaching
for a scheduled knee arthroscopy the following morning. What should the nurse include
in the education? - *answers *no food after midnight
explaining coughing and deep breathing exercises
The nurse is assessing a client with rheumatoid arthritis. What finding would the nurse
expect?
hypersensitivity to lights - *answers *swelling and pain in any synovial joint
Select all that apply. A 40 year old male client limps into the emergency room with a
complaint of severe pain in his great toe. The nurse is aware that his condition could be:
- *answers *fracture
gout
cellulitis
osteomyelitis
Select all that apply: Appropriate nursing diagnoses for a client with systemic lupus
erythematosus could include: - *answers *chronic sorrow
risk for impaired skin integrity
acute pain
disturbed body image
The nurse is educating a client, newly diagnosed with gout about their nutrition. Which
of the following foods should be avoided? - *answers *oysters
One nursing intervention for a client with osteoarthritis of the knees could include: -
*answers *rest and exercise such as walking
Select all that apply. Which of the following nursing diagnoses would be appropriate for
a client with multiple myeloma - *answers *Impaired physical mobility
Pain management
, Musculoskeletal exam 4
Nutrition
Safety
The nurse is aware that _________________ __________________ is the most often
seen in male adolescents and 50% of the time this cancer is located in the distal
femur/knee area - *answers *osteosarcoma
Select all that apply. Which of the following are common findings with clients with
multiple myeloma? - *answers *elevated calcium levels
bone lesion
anemia
renal failure
A client has severe pain related to bone cancer. the nurse notes that the client does not
ask for pain medication while watching television. Which one of the following statements
best explains this? - *answers *Distraction can be a helpful intervention when used in
addition to analgesics
The nurse is aware that a COX-2 anti-inflammatory medication can: - *answers *reduce
the risk of gastric irritation but increase the risk of strokes
Nursing considerations while administering a locally acting corticosteroid would include?
- *answers *Avoid areas of thin skin at previous injection sites
Select all that apply. Which of the following classifications would methotrexate be
correctly listed? - *answers *anti-neoplastics
anti-rheumatics
The physician ordered 100 IU/day of calcitonin for a client with Paget's disease. The
nurse has 200 IU/mL in a 2 mL vial available. The nurse will prepare how much
medication for administration? - *answers *0.5 mL
The physician ordered 2 mg of Valium for a client to assist with muscle relaxation. The
nurse has 1 mg/mL in a 10 mg vial available.The nurse will prepare which one of the
following for administration? - *answers *2 mL of diazepam
The nurse is aware that the desired effect after administering baclofen for 2 weeks
would be: - *answers *decrease in muscle spasticity
The nurse is aware that the reason a client diagnosed with bone cancer has severe pain
is because of: - *answers *osteoclastic activity
The nurse is administering Fosamax (alendronate) which is in the bisphosphonates
classification of drugs. The nurse tells the client that the reason she is taking this
medication is because it: - *answers *prevents bone fractures
