NR324 FINAL EXAM QUESTIONS AND QUALITY ANSWERS
A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic
irrigation. Which intervention will the nurse include in the initial plan of care?
a. Quadriceps-setting exercises
b. Immobilization of the left leg
c. Positioning the left leg in flexion
d. Assisted weight-bearing ambulation - Correct Answer B
A patient is being discharged after 1 week of IV antibiotic therapy for acute osteomyelitis in the
right leg. Which information will be included in the discharge teaching?
a. How to apply warm packs to the leg to reduce pain
b. How to monitor and care for a long-term IV catheter
c. The need for daily aerobic exercise to help maintain muscle strength
d. The reason for taking oral antibiotics for 7 to 10 days after discharge - Correct Answer b
A patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the left femur. The
nurse identifies a need for additional teaching related to health maintenance when the nurse
finds that the patient
a. is frustrated with the length of treatment required.
b. takes and records the oral temperature twice a day.
c. is unable to plantar flex the foot on the affected side.
d. uses crutches to avoid weight bearing on the affected leg. - Correct Answer C
The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-
knee amputation. Which statement by a patient indicates additional patient teaching is needed?
a. "I will need to participate in physical therapy after surgery."
b. "I wish I did not need to have chemotherapy after this surgery."
,c. "I did not have this bone cancer until my leg broke a week ago."
d. "I can use the patient-controlled analgesia (PCA) to manage postoperative pain." - Correct
Answer C
A patient with muscular dystrophy is hospitalized with pneumonia. Which nursing action will be
included in the plan of care?
a. Logroll the patient every 2 hours.
b. Assist the patient with ambulation.
c. Discuss the need for genetic testing with the patient.
d. Teach the patient about the muscle biopsy procedure. - Correct Answer B
An appropriate nursing intervention for a patient who has acute low back pain and muscle
spasms is to teach the patient to
a. keep both feet flat on the floor when prolonged standing is required.
b. twist gently from side to side to maintain range of motion in the spine.
c. keep the head elevated slightly and flex the knees when resting in bed.
d. avoid the use of cold packs because they will exacerbate the muscle spasms. - Correct Answer
C
A patient whose employment requires frequent lifting has a history of chronic back pain. After
the nurse has taught the patient about correct body mechanics, which patient statement
indicates the teaching has been effective?
a. "I will keep my back straight when I lift above than my waist."
b. "I will begin doing exercises to strengthen and support my back."
c. "I will tell my boss I need a job where I can stay seated at a desk."
d. "I can sleep with my hips and knees extended to prevent back strain." - Correct Answer B
The nurse should reposition the patient who has just had a laminectomy and diskectomy by
, a. instructing the patient to move the legs before turning the rest of the body.
b. having the patient turn by grasping the side rails and pulling the shoulders over.
c. placing a pillow between the patient's legs and turning the entire body as a unit.
d. turning the patient's head and shoulders first, followed by the hips, legs, and feet. - Correct
Answer C
The nurse will determine more teaching is needed if a patient with discomfort from a bunion
says, "I will
a. give away my high-heeled shoes."
b. take ibuprofen (Motrin) if I need it."
c. use the bunion pad to cushion the area."
d. only wear sandals, no closed-toe shoes." - Correct Answer D
An assessment finding for a 55-yr-old patient that alerts the nurse to the presence of
osteoporosis is
a. bowed legs.
b. a loss of height.
c. the report of frequent falls.
d. an aversion to dairy products. - Correct Answer B
A 54-yr-old woman who recently reached menopause and has a family history of osteoporosis is
diagnosed with osteopenia following densitometry testing. In teaching the woman, the nurse
explains that
a. with a family history of osteoporosis, there is no way to prevent or slow bone resorption.
b. estrogen replacement therapy must be started to prevent rapid progression to osteoporosis.
c. continuous, low-dose corticosteroid treatment is effective in stopping the course of
osteoporosis.
A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic
irrigation. Which intervention will the nurse include in the initial plan of care?
a. Quadriceps-setting exercises
b. Immobilization of the left leg
c. Positioning the left leg in flexion
d. Assisted weight-bearing ambulation - Correct Answer B
A patient is being discharged after 1 week of IV antibiotic therapy for acute osteomyelitis in the
right leg. Which information will be included in the discharge teaching?
a. How to apply warm packs to the leg to reduce pain
b. How to monitor and care for a long-term IV catheter
c. The need for daily aerobic exercise to help maintain muscle strength
d. The reason for taking oral antibiotics for 7 to 10 days after discharge - Correct Answer b
A patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the left femur. The
nurse identifies a need for additional teaching related to health maintenance when the nurse
finds that the patient
a. is frustrated with the length of treatment required.
b. takes and records the oral temperature twice a day.
c. is unable to plantar flex the foot on the affected side.
d. uses crutches to avoid weight bearing on the affected leg. - Correct Answer C
The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-
knee amputation. Which statement by a patient indicates additional patient teaching is needed?
a. "I will need to participate in physical therapy after surgery."
b. "I wish I did not need to have chemotherapy after this surgery."
,c. "I did not have this bone cancer until my leg broke a week ago."
d. "I can use the patient-controlled analgesia (PCA) to manage postoperative pain." - Correct
Answer C
A patient with muscular dystrophy is hospitalized with pneumonia. Which nursing action will be
included in the plan of care?
a. Logroll the patient every 2 hours.
b. Assist the patient with ambulation.
c. Discuss the need for genetic testing with the patient.
d. Teach the patient about the muscle biopsy procedure. - Correct Answer B
An appropriate nursing intervention for a patient who has acute low back pain and muscle
spasms is to teach the patient to
a. keep both feet flat on the floor when prolonged standing is required.
b. twist gently from side to side to maintain range of motion in the spine.
c. keep the head elevated slightly and flex the knees when resting in bed.
d. avoid the use of cold packs because they will exacerbate the muscle spasms. - Correct Answer
C
A patient whose employment requires frequent lifting has a history of chronic back pain. After
the nurse has taught the patient about correct body mechanics, which patient statement
indicates the teaching has been effective?
a. "I will keep my back straight when I lift above than my waist."
b. "I will begin doing exercises to strengthen and support my back."
c. "I will tell my boss I need a job where I can stay seated at a desk."
d. "I can sleep with my hips and knees extended to prevent back strain." - Correct Answer B
The nurse should reposition the patient who has just had a laminectomy and diskectomy by
, a. instructing the patient to move the legs before turning the rest of the body.
b. having the patient turn by grasping the side rails and pulling the shoulders over.
c. placing a pillow between the patient's legs and turning the entire body as a unit.
d. turning the patient's head and shoulders first, followed by the hips, legs, and feet. - Correct
Answer C
The nurse will determine more teaching is needed if a patient with discomfort from a bunion
says, "I will
a. give away my high-heeled shoes."
b. take ibuprofen (Motrin) if I need it."
c. use the bunion pad to cushion the area."
d. only wear sandals, no closed-toe shoes." - Correct Answer D
An assessment finding for a 55-yr-old patient that alerts the nurse to the presence of
osteoporosis is
a. bowed legs.
b. a loss of height.
c. the report of frequent falls.
d. an aversion to dairy products. - Correct Answer B
A 54-yr-old woman who recently reached menopause and has a family history of osteoporosis is
diagnosed with osteopenia following densitometry testing. In teaching the woman, the nurse
explains that
a. with a family history of osteoporosis, there is no way to prevent or slow bone resorption.
b. estrogen replacement therapy must be started to prevent rapid progression to osteoporosis.
c. continuous, low-dose corticosteroid treatment is effective in stopping the course of
osteoporosis.
