Nokea
The nurse takes into consideration that a healing fracture progresses through several healing stages. Which is the third healing stage?
- A. Development of fibrin meshwork
- B. Collagen fibers collect calcium
- C. Osteoblasts home fracture site form
- D. Callus
Correct Answer: A
Rationale: The healing stages of a fracture start with a clot formation, which leads to a hematoma. The development of a fibrin meshwork, which traps osteoblasts to keep the fracture site firm, vascularization, collagen fibers collect calcium to make the callus.
You may also like to solve these questions
Which action should the nurse take when a patient with osteomyelitis of the right forearm is admitted with an open wound that is draining?
- A. Enforce a low-calorie diet.
- B. Initiate drainage and secretion precautions.
- C. Frequently do passive ROM on the elbow.
- D. Ambulate several times daily.
Correct Answer: B
Rationale: The patient with osteomyelitis should be at least in drainage and secretion precaution. The limb should be positioned for maximum comfort and left at rest. These patients are usually on bed rest and require a high-calorie, high-protein diet.
The office nurse has noted the presence of an increase in lumbar curvature in a 20-year-old female patient. What is this condition known as?
- A. Scoliosis
- B. Lordosis
- C. Kyphosis
- D. Spondylitis
Correct Answer: B
Rationale: Common deformities include an increase in the curve at the lumbar space region that throws the shoulder back, making the 'lordly or kingly' appearance that is known as lordosis. Scoliosis involves the S curvature of the spine. Kyphosis is the rounding of the thoracic spine. Spondylitis is not explained as an increase in lumbar curvature.
The nurse clarifies to a patient who is being evaluated for possible rheumatoid arthritis that the elevated erythrocyte sedimentation rate (ESR) indicates the presence of which process?
- A. A chronic infection
- B. Poor protein intake
- C. Increased inflammatory reaction in the body.
- D. A poor immune response to a microorganism
Correct Answer: C
Rationale: The ESR indicates an increase in the inflammatory reactions in the body. An elevated ESR does not indicate a chronic infection, poor protein intake or a poor immune response to a microorganism.
Which patient is most likely to develop osteoporosis?
- A. 43-year-old African American woman
- B. 57-year-old white woman
- C. 48-year-old African American man
- D. 62-year-old Latino woman
Correct Answer: B
Rationale: White women have a higher incidence of osteoporosis than Asian women, followed by African American women and Hispanic women.
When reinforcing teaching the patient about osteoarthritis, the nurse should include which characteristic about osteoarthritis?
- A. will cause the formation of Heberden nodes.
- B. can involve other organs.
- C. results from wear and tear.
- D. may affect only one side of the body.
- E. may cause constitutional symptoms of fatigue and fever.
- F. will cause marked erythema and edema of hands.
Correct Answer: A,C,D
Rationale: Osteoarthritis is a disease caused by wear and tear of the joints, causing the appearance of Heberden nodes on the fingers without marked edema or erythema. The disease may only affect one side of the body. Osteoarthritis does not involve other organs and does not cause constitutional symptoms. Marked erythema and hand edema are not associated with osteoarthritis.