Nur 140 unit 5 questions with answers 2023 assuared success, Exams of Nursing

Download Nur 140 unit 5 questions with answers 2023 assuared success and more Exams Nursing in PDF only on Docsity! Nur 140 unit 5 questions with answers 2023 assuared success A nurse is teaching a client who was recently diagnosed with carpal tunnel syndrome. Which statement should the nurse include? • "This condition is associated with various sports." • "Using arm splints will prevent hyperflexion of the wrist." • "Ergonomic changes can be incorporated into your workday to reduce stress on your wrist." • "Surgery is the only sure way to manage this condition." Morton neuroma is exhibited by which clinical manifestation? • High arm and a fixed equinus deformity • Diminishment of the longitudinal arch of the foot • Swelling of the third (lateral) branch of the median plantar nerve • Inflammation of the foot-supporting fascia The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action? • Walk or perform weight-bearing exercises outdoors • Reduce stress • Increase fiber in the diet • Decrease the intake of vitamin A and D A client with carpal tunnel syndrome has had limited improvement with the use of a wrist splint. The nurse knows that which procedure will show the greatest improvement in treatment for this client? • Open nerve release • Laser therapy • Injection of lidocaine • Ultrasound therapy A client is admitted with acute osteomyelitis that developed after an open fracture of the right femur. When planning this client's care, the nurse should anticipate which measure? • Administering large doses of oral antibiotics as ordered • Withholding all oral intake • Instructing the client to ambulate twice daily • Administering large doses of I.V. antibiotics as ordered Which of the following is the most common and most fatal primary malignant bone tumor? • Rhabdomyoma • Enchondroma • Osteogenic sarcoma (osteosarcoma) • Osteochondroma walks 2 miles, 3 days/week takes fluticasone inhaler for asthma 66 years of age Nonsmoker postmenopausal status Nur 140 unit 5 questions with answers 2023 assuared success The community health nurse is assessing the risk factors for osteoporosis in a female client at a health fair. For each assessment finding, click to specify if the finding is a risk factor for osteoporosis or is not a risk factor for osteoporosis. Assessment finding Not a Risk Factor for Osteoporosis Risk Factor for Osteoporosis large frame Asian heritage alcohol intake of 3 drinks/week A group of students are reviewing information about osteoporosis in preparation for a class discussion. The students demonstrate a need for additional review when they state which of the following as a risk factor? • Prolonged immobility • Excess caffeine intake • Hypothyroidism • Prolonged corticosteroid use What food can the nurse suggest to the client at risk for osteoporosis? • Broccoli • Chicken • Carrots • Bananas Nur 140 unit 5 questions with answers 2023 assuared success The nurse is caring for a client with a hip fracture. The physician orders the client to start taking a bisphosphonate. Which medication would the nurse document as given? • Denosumab • Teriparatide • Raloxifene • Alendronate Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing BMD? • Vitamin D • Raloxifene (Evista) • Teriparatide (Forteo) • Calcitonin (Miacalcin) A nurse is caring for a client with eczema. Which medication would be prescribed when an allergy is a factor causing the skin disorder? • Dexamethasone • Chlorpheniramine • Dicloxacillin • Bupivacaine Which term refers to a disease of a nerve root? • Involucrum • Radiculopathy • Contracture • Sequestrum The nurse is screening a client for genetic counseling. What musculoskeletal conditions does the nurse know to have a genetic influence? Select all that apply. • osteoarthritis • Stickler syndrome • osteoporosis • Marfan syndrome • diabetes mellitus A healthcare provider asks a nurse to test a client for Tinel's sign to diagnose carpal tunnel syndrome. What should the nurse do to perform this assessment? • Have the client stretch the fingers around a ball and squeeze with force. • Have the client make a fist and open the hand against resistance. • Have the client hold the palm of the hand up while the nurse percusses over the median nerve. • Have the client pronate the hand while the nurse palpates the radial nerve. Nur 140 unit 5 questions with answers 2023 assuared success The nurse is asked to explain to the client the age-related processes that contribute to bone loss and osteoporosis. What is the nurse's best response? • Increase in calcitonin • Decrease in parathyroid hormone • Decrease in estrogen • Increase of vitamin D The nurse has educated a patient with low back pain about techniques to relieve the back pain and prevent further complications. What statement by the patient shows understanding of the education the nurse provided? • “I will bend at the waist when I am lifting objects from the floor.” • “I will lie prone with my legs slightly elevated.” • “Instead of turning around to grasp an object, I will twist at the waist.” • “I will avoid prolonged sitting or walking.” A nurse is planning discharge teaching regarding exercise for a client at risk for osteoporosis. Which exercise would the nurse be most likely to suggest? • Swimming • Yoga • Bicycling • Walking A client has been treated for migraine headaches for several months and comes to the clinic reporting no improvement. The nurse is talking with the client and hears an audible click when the client is moving the jaw. What does the nurse suspect may be happening? • Dislocated jaw • Trigeminal neuralgia • Loose teeth • Temporomandibular disorder A patient is having low back pain. What position can the nurse suggest to relieve this discomfort? • Supine, with the bed flat and a firm mattress in place • Prone, with a pillow under the shoulders • High-Fowler’s to allow for maximum hip flexion • Supine, with the knees slightly flexed and the head of the bed elevated 30 degrees The nurse is educating a client with low back pain on proper lifting techniques. The nurse recognizes that the education was effective when the client • bends at the hips and tightens the abdominal muscles. • uses a narrow base of support. • places the load close to the body. • reaches over the head with the arms fully extended. Nur 140 unit 5 questions with answers 2023 assuared success A client has Paget’s disease. An appropriate nursing diagnosis for this client is: • Delayed wound healing • Risk for infection • Fatigue • Risk for falls A patient is diagnosed with osteogenic sarcoma. What laboratory studies should the nurse monitor for the presence of elevation? • Alkaline phosphatase • Troponin levels • Potassium level • Magnesium level An older adult female has a bone density test that reveals severe osteoporosis. What does the nurse understand can be a problem for this client due to the decrease in bone mass and density? • Diabetes • Compression fractures • Hypertension • Cardiac disease A female client is at risk for developing osteoporosis. Which action will reduce the client's risk? • Stopping estrogen therapy • Living a sedentary lifestyle to reduce the incidence of injury • Taking a 300-mg calcium supplement to meet dietary guidelines • Initiating weight-bearing exercise routines A client with low back pain is being seen in the clinic. In planning care, which teaching point should the nurse include? • Avoid twisting and flexion activities. • A soft mattress is most supportive by conforming to the body. • Use the large muscles of the leg when lifting items. • Sleep on the stomach to alleviate pressure on the back. A physician prescribes raloxifene to a hospitalized client. The client’s history includes a right hip fracture, hysterectomy, deep vein thrombosis, and hypertension. Which action by the nurse demonstrates safe nursing care? • Holding the raloxifene and notifying the physician • Having the patient sit upright for 30–60 minutes following administration • Administering the raloxifene in the evening • Administering the raloxifene with food or milk Nur 140 unit 5 questions with answers 2023 assuared success Dupuytren's contracture causes flexion of which area(s)? • Index and middle fingers • Fourth and fifth fingers • Ring finger • Thumb During a routine physical examination of a client, the nurse observes a flexion deformity of the proximal interphalangeal (PIP) joint of two toes on the right foot. How would the nurse document this finding? • Hallux valgus • Bunion • Hammer toe • Mallet toe A home care nurse assesses for disease complications in a client with bone cancer. Which laboratory value may indicate the presence of a disease complication? • Magnesium level of 0.9 mg/dl • Calcium level of 11.6 mg/dl • Sodium level of 110 mEq/L • Potassium level of 6.3 mEq/L Health education for a woman over age 50 includes providing information about the importance of adequate amounts of calcium and vitamin D to prevent osteoporosis. Select the daily dosage of calcium and vitamin D that the nurse should recommend. • 1,600 mg; 1,400 IU • 1,800 mg; 1,600 IU • 1,400 mg; 1,200 IU • 1,200 mg; 1,000 IU A client presents to the emergency department with fever, chills, restlessness, and limited movement of a fractured jaw. What complication should the nurse interpret as the findings? • Osteomyelitis • Compartment syndrome • Avascular necrosis • Fat embolism The nurse is assessing the feet of a patient and observes an overgrowth of the horny layer of the epidermis. What does the nurse recognize this condition as? • Bunion • Clawfoot • Corn • Hammer Toe Nur 140 unit 5 questions with answers 2023 assuared success Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which bone disorder? • Osteomyelitis • Paget disease • Ganglion • Osteomalacia A client is diagnosed with osteomyelitis. This is most commonly caused by which of the following? • Pseudomonas aeruginosa • Staphylococcus aureus • Escherichia coli • Proteus vulgaris When an infection is bloodborne, the manifestations include which symptom? • Chills • Hyperactivity • Hypothermia • Bradycardia What term refers to a flexion deformity caused by a slowly progressive contracture of the palmar fascia? • Callus • Hammertoe • Hallux valgus • Dupuytren contracture A client with osteoporosis is prescribed a selective estrogen receptor modifier (SERM) as treatment. The nurse would identify which drug as belonging to this class? • Tamoxifen (Nolvadex) • Calcium gluconate • Alendronate (Fosamax) • Raloxifene (Evista) Nur 140 unit 5 questions with answers 2023 assuared success The nurse is collaborating with the health care provider on a plan of care for a 54-year-old male client with osteomyelitis of the left femur secondary to uncontrolled type 1 diabetes. Click to highlight the prescriptions for care that the nurse should anticipate for this client. * Place the left foot in a dependent position. * * * Encourage ambulation with weight-bearing on the left leg. * Administer ibuprofen 400 mg orally three times daily, as needed for pain. * Make referral to dietitian to discuss nutrition for healing and blood glucose control. * Provide education on self-blood glucose monitoring and insulin administration. A nurse is performing discharge teaching for an elderly client with osteoporosis. Which instruction about a calcium supplement should the nurse include? • Take the supplement with meals or with orange juice. • Remain in an upright position 30 minutes after taking the supplement. • Take weekly on the same day and at the same time. • Take the supplement on an empty stomach with a full glass of water. Which is a risk-lowering strategy for osteoporosis? • Increased age • Low initial bone mass • Smoking cessation • Diet low in calcium and vitamin D A client has come to the clinic with foot pain. The physician has described the client's condition as a flexion deformity of the proximal interphalangeal joint. What is the name of this disorder? • hammer toe • Heberden's nodes • mallet toe • hallux valgus (bunion) Which should be included in the teaching plan for a client diagnosed with plantar fasciitis? • Plantar fasciitis presents as an acute onset of pain localized to the ball of the foot. • The pain of plantar fasciitis diminishes with soaking the foot in warm water. • Complications of plantar fasciitis include neuromuscular damage and decreased ankle range of motion. • Management of plantar fasciitis includes stretching exercises. Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which bone disorder? • Osteomyelitis • Paget disease • Osteomalacia • Ganglion Perform neurovascular checks of lower extremities every 8 hours. Administer IV antibiotic based on culture and sensitivity Nur 140 unit 5 questions with answers 2023 assuared success A client has sustained a right tibial fracture and has just had a cast applied. Which instruction should the nurse provide in client cast care? • "A foul smell from the cast is normal." • "Use a knitting needle to scratch itches inside the cast." • "Keep your right leg elevated above heart level." • "Cover the cast with a blanket until the cast dries." Which nursing diagnosis takes highest priority for a client with a compound fracture? • Infection related to effects of trauma • Activity intolerance related to weight-bearing limitations • Impaired physical mobility related to trauma • Imbalanced nutrition: Less than body requirements related to immobility A nurse is caring for a client who underwent a total hip replacement. What should the nurse and other caregivers do to prevent dislocation of the new prosthesis? • Keep the affected leg in a position of adduction. • Prevent internal rotation of the affected leg. • Use measures other than turning to prevent pressure ulcers. • Keep the hip flexed by placing pillows under the client's knee. Which factor inhibits fracture healing? • Maximum bone fragment contact • Vitamin D • Exercise • Local malignancy A client with metastatic bone cancer sustained a left hip fracture without injury. What type of fracture does the nurse understand occurs without trauma or fall? • Impacted fracture • Transverse fracture • Compound fracture • Pathologic fracture Which term refers to a fracture in which one side of a bone is broken and the other side is bent? • Spiral • Oblique • Avulsion • Greenstick Which of the following is a term used to describe a soft tissue injury produced by a blunt force? Nur 140 unit 5 questions with answers 2023 assuared success • Sprain • Contusion • Strain • Hematoma The nurse in an orthopedic clinic is caring for a new client. What sign or symptom would lead a nurse to suspect that a client has a rotator cuff tear? • Ability to stretch arm over the head • Difficulty lying on affected side • Minimal pain with movement • Pain worse in the morning A client who has fallen and injured a hip cannot place weight on the leg and is in significant pain. After radiographs indicate intact but malpositioned bones, what would the physician diagnose? • strain • dislocation • sprain • fracture A client sustains an injury to the left ankle in a fall. There was immediate swelling and pain from the injury, and the client was taken to the local emergency department. What initial test does the nurse anticipate the physician will order to rule out a fracture? • X-ray • Arthroscopy • Computerized tomography (CT scan) • Arthrography The nurse caring for a client, who has been treated for a hip fracture, instructs the client not to cross their legs and to have someone assist with tying their shoes. Which additional instruction should the nurse provide to client? • Do not flex the hip more than 120 degrees. • Do not flex the hip more than 60 degrees. • Do not flex the hip more than 30 degrees. • Do not flex the hip more than 90 degrees. A client has been diagnosed with a muscle strain. What does the physician mean with the term “strain”? • subluxation of a joint • stretched or pulled beyond its capacity • injury resulting from a blow or blunt trauma • injuries to ligaments surrounding a joint Nur 140 unit 5 questions with answers 2023 assuared success A client who was in a motor vehicle crash is diagnosed with a stable T7 spinal fracture with no neurologic deficits. Which nursing intervention should the nurse implement? • Withhold opioid pain medication to prevent ileus. • Maintain bed rest with the head of the bed at 20 degrees. • Sit the client upright in a padded chair for meals. • Maintain NPO (nothing by mouth) status for surgical repair. Which nursing intervention is appropriate for a client with a closed-reduction extremity fracture? • Encourage participation in ADLs • Use frequent dependent positioning to prevent edema • Administer prescribed enema to prevent constipation • Promote intake of omega-3 fatty acids A patient has stepped in a hole in the yard, causing an ankle injury. The ankle is edematous and painful to palpation. How long should the nurse inform the patient that the acute inflammatory stage will last? • Between 24 and 48 hours • At least 1 week • Less than 24 hours • About 72 hours There are a variety of problems that can become complications after a fracture. Which is described as a condition that occurs from interruption of the blood supply to the fracture fragments after which the bone tissue dies, most commonly in the femoral head? • pulmonary embolism • shock • avascular necrosis • fat embolism A client is brought to the emergency department after being struck with a baseball bat on the upper arm while diving for a pitched ball. Diagnostic tests reveal that the humerus is not broken but that the client has suffered another type of injury. What type of injury would the physician likely diagnose? • contusion • sprain • strain • subluxation Nur 140 unit 5 questions with answers 2023 assuared success The client with a fractured left humerus reports dyspnea and chest pain. Pulse oximetry is 88%. Temperature is 100.2 degrees Fahrenheit (38.5 degrees Centigrade); heart rate is 110 beats per minute; respiratory rate is 32 breaths per minute. The nurse suspects the client is experiencing: • Complex regional pain syndrome • Fat embolism syndrome • Delayed union • Compartment syndrome A client with arterial insufficiency undergoes below-knee amputation of the right leg. Which action should the nurse include in the postoperative care plan? • Elevating the stump for the first 24 hours • Applying heat to the stump as the client desires • Maintaining the client on complete bed rest • Removing the pressure dressing after the first 8 hours When is it advisable for the nurse to apply heat to a sprain or a contusion? • Do not apply at all • After 2 days • Immediately • Only after a week Which nursing intervention is appropriate for monitoring the client for the development of Volkmann’s contracture? • Assess capillary refill in the toes. • Assess mobility of the shoulder. • Assess for paresthesia in the toes. • Assess the radial pulse. A client is being discharged from the Emergency Department after being diagnosed with a sprained ankle. Which client statement indicates the client understands the discharge teaching? • “I'll make sure to keep my ankle elevated as much as possible.” • “I need to stay off my ankle for at least the next 3 to 4 weeks.” • “I'll start with ice for the first couple of hours and then apply heat.” • “I'll get the prescription filled for the narcotic pain reliever.” An x-ray demonstrates a fracture in which the fragments of bone are driven inward. This type of fracture is referred to as • depressed. • impacted. • compound. • comminuted. Nur 140 unit 5 questions with answers 2023 assuared success A client who has sustained a fracture reports an increase in pain and decreased function of the affected extremity. What will the nurse suspect? • Hypovolemic shock • Pulmonary embolism • Infection • Avascular necrosis While riding a bicycle on a narrow road, the patient was hit from behind and thrown into a ditch, sustaining a pelvic fracture. What complications does the nurse know to monitor for that are common to pelvic fractures? • Paresthesia and ischemia • Thrombophlebitis and infection • Hemorrhage and shock • Paralytic ileus and a lacerated urethra Which client(s) is most likely to have compartment syndrome after sustaining a fracture? Select all that apply. • The client with elevated pressure within the muscles • The client who sustained a clavicle fracture • The client using ice to control pain in the extremity • The client with a plaster cast applied immediately after injury • The client with hemorrhage in the site of injury A 75-year-old client had surgery for a left hip fracture yesterday. When completing the plan of care, the nurse should include assessment for which complications? Select all that apply. • Necrosis of the humerus • Pneumonia • Delirium • Sepsis • Skin breakdown A nurse is assigned to support a patient while a cast is being applied to treat a greenstick fracture. The nurse documents that this fracture is classified as what type of fracture? • Incomplete • Closed • Compression • Stress Nur 140 unit 5 questions with answers 2023 assuared success A client had an above-the-knee amputation of the left leg related to complications from peripheral vascular disease. The nurse enters the client's room and observes the dressing and bed covers saturated with blood. What is the first action by the nurse? • Use skin clips to close the wound. • Reinforce the dressing. • Notify the health care provider. • Apply a tourniquet. The nurse is monitoring a patient who sustained an open fracture of the left hip. What type of shock should the nurse be aware can occur with this type of injury? • Hypovolemic • Cardiogenic • Neurogenic • Septicemic A 14-year-old client is treated in the emergency room for an acute knee sprain sustained during a soccer game. The nurse reviews discharge instructions with the client's parent. The nurse instructs the parent that the acute inflammatory stage will last how long? • 4 to 5 days • At least 7 days • 3 to 4 days • 24 to 48 hours A patient falls while skiing and sustains a supracondylar fracture. What does the nurse know is the most serious complication of a supracondylar fracture of the humerus? • Malunion • Paresthesia • Volkmann’s ischemic contracture • Hemarthrosis In a client with a dislocation, the nurse should initially perform neurovascular assessments a minimum of every 15 minutes until stable. Which complication does the assessments help the nurse to monitor in the client? • Fat embolism syndrome • Compartment syndrome • Disseminated intravascular coagulation • Carpal tunnel syndrome