Nokea
A 78-year-old woman has a physiologic change related to aging in her joints. What is an appropriate nursing intervention related to common changes of aging in the musculoskeletal system?
- A. Encourage rest to eliminate fatigue
- B. Provide all care for the patient to ensure that care is completed
- C. Encourage eating enough calories to avoid the risk for impaired skin integrity
- D. Have the patient exercise to maintain muscle strength and avoid the risk for falls
Correct Answer: D
Rationale: Exercise helps maintain strength and balance.
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The x-ray shows that the patient's fracture is at the remodeling stage. What characteristics of the fracture healing process are happening at this stage (select one that doesn't apply)?
- A. Radiologic union
- B. Absorption of excess cells
- C. Return to preinjury strength and shape
- D. Semisolid blood clot at the ends of fragments
Correct Answer: D
Rationale: During the remodeling stage, radiologic union occurs, excess cells are absorbed, and the bone returns to its preinjury strength and shape.
A patient taking ibuprofen (Motrin) for treatment of OA has good pain relief but is experiencing increased dyspepsia and nausea with the drug's use. The nurse consults the patient's primary care provider about doing what?
- A. Adding misoprostol (Cytotec) to the patient's drug regimen
- B. Substituting naproxen (Naprosyn) for the ibuprofen (Motrin)
- C. Returning to the use of acetaminophen but at a dose of 5 g/day instead of 4 g/day
- D. Administering the ibuprofen with antacids to decrease the gastrointestinal (GI) irritation
Correct Answer: A
Rationale: Misoprostol protects the GI tract.
A week following a spinal cord injury at T2, a patient experiences movement in his leg and tells the nurse that he is recovering some function. What is the nurse's best response to the patient?
- A. It is really still too soon to know if you will have a return of function.'
- B. That could be a really positive finding. Can you show me the movement?'
- C. That's wonderful. We will start exercising your legs more frequently now.'
- D. I'm sorry but the movement is only a reflex and does not indicate normal function.'
Correct Answer: B
Rationale: Further evaluation is needed to confirm functional recovery.
A patient in traction frequently voices discomfort. Which one of the following complaints by Mrs. Iris would indicate beginning decubitus formation?
- A. Numbness of her toes on her left foot
- B. Pain around the insertion of the Kirschner wire
- C. Stiffness and aching of the right ankle
- D. Burning pain in the sacral area
Correct Answer: D
Rationale: Burning pain in the sacral area can indicate pressure sores forming due to prolonged pressure.
The patient works on a computer 8 hours each day. What kind of repetitive strain injury would be expected in this patient?
- A. Meniscus injury
- B. Rotator cuff injury
- C. Radial-ulnar fracture
- D. Carpal tunnel syndrome
Correct Answer: D
Rationale: Carpal tunnel syndrome is a common repetitive strain injury associated with prolonged computer use.