NUR105: Adult Nursing Module H Review Questions/Study Guide,100% CORRECT

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NUR105: Adult Nursing Module H Review Questions/Study Guide 1. Most common finding in adults with obesity? A. Weakness B. C. Scoliosis D. Increased blood sugar 2. The x-ray study of a joint... after contrast medium has been injected? A. MRI B. Myleography C. D. CT 3. Who is at higher risk for osteoporosis? A. B. African American male C. Dark-skinned female D. Hispanic male 4. What is the most effective exercises for osteoporosis? A. Swimming B. Running C. D. Bowling 5. A lesion of mature hyaline cartilage affecting primarily the hands and feet? A. Osteogenic Arthrodesis B. C. Osteosarcoma 6. A round, benign cyst found on the wrist, foot joint, or tendon? A. Bunion B. Hammertoe C. Osteotomies D. 7. A fracture that does not divide the bone in two portions? A. Open B. C. Spontaneous D. Complete 8. This results from a long bone fracture? A. DVT B. Fat embolism C. Necrosis D. Hemorrhage 9. Name 5 things you assess on the patient with a musculoskeletal injury. Circulation, pain, skin, swelling, deformity, ROM 10. Name the 4 main groups of casts. Upper extremity cast, Lower extremity cast, Brace, Spica 11. Which lab test increases with bone or liver damage? A. B. BUN and creatinine C. Urinalysis D. Aldolase (ALD) 12. Which of the following can be seen on a standard x-ray? Select All that apply. 13. What must the nurse ensure the patient has done prior to an MRI? A. Brush teeth B. C. Taken meds D. Discuss concerns with the nurse 14. The nurse advises a patient with early osteoporosis: A. Drink lots of fluids to prevent dehydration B. Eat protein C. D. Complete antibiotic medications 15. 16 year tells mom he believed he sprained his ankle. What should be done? Place in order. A. Rest B. Compression C. Elevate D. Ice 16. Patient is post-op from amputation above the knee should be instructed that the rest of the limb should not be elevated. Why? A. May cause painful, stabbing feeling B. Will be stuck in elevated position C. Will stop blood from circulating to the limb 17. Patient with rheumatoid is scheduled for arthroplasty. The nurse explains this is for? A. Reduce edema B. C. Prepare the limb for amputation D. To release pressure in the joint 18. What is a risk for taking Humira or rheumatoid arthritis? TB 19. What would be a sign for osteoarthritis? Joint tenderness and stiffness, back pain, possible loss of height 20. Which disease would require pt teaching for no weight bearing activity? A. B. Rheumatoid arthritis 21. What is the nursing priority following an amputation? A. Documentation B. C. Inspect incision/wound for infection D. Promote body image 22. Which precaution would be needed for patient with osteomyelitis? A. Airbone B. Droplet C. D. Protective 23. Which is more at risk for osteoporosis? Select all that apply. A. Patient with rheumatoid arthritis B. C. Pt with adequate vitamin D intake 24. How many days does it take a lesion to appear on a patient with Lyme disease? 25. What would you inspect on patient after hip replacement? vitals signs and check for adequate circulation anywhere from 3 to 30 days 26. What meds might be stopped a week before total hip replacement to prevent clotting? birth control, NSAIDs, Vitamins E & C 27. For which surgery would you instruct the patient to implement log-rolling? spinal surgeries 28. What would you teach a patient being discharged with a sprain? "RICE" and encourage OTC NSAIDs for pain management 29. What is the surgical management for a dislocated joint? Physician will move bone back into "place." A sling should be used to keep it immobile until it is healed. 30. What would you assess before performing a CT scan? check the patient's allergies, fluid status, any medications that may interfere, their renal status 31. Primary drug of choice for a patient diagnosed with osteoarthritis (OA)? acetaminophen 32. What are some primary causes of OA? older age, obesity, metabolic disorders, injury 33. What would the nurse expect when a patient with rheumatoid arthritis (RA) has symptoms of dry eyes, dry mouth and dry vagina? this is common for patients with RA 34. What diagnostic assessment would be used to diagnose a patient with osteosarcoma or myocardial infection? Thallium & Gallium scans 35. What would cause an arthroscopy to be canceled and why? If patient was not competent in following the pre-op instructions, not discontinuing the medicines, having an abnormal reading of vital signs 36. Why would you treat a patient diagnosed with gout to drink plenty of fluids? it will replenish all the fluid being lost through urination 37. Name a complication of amputation. Infection 38. What does a CT detect? bone issues, tumors, cancer, organ masses 39. Which tissue disease is caused by genetic factors? A. Rheumatoid arthritis B. Osteoarthritis C. Both A & B D. None of the above 40. A girl falls and hurts her ankle while playing on the playground. First priority? A. Ice B. Rest in comfortable position C. Sit with and call EMS D. Call her parents and take her home. 41. Which infection is caused by bacteria, viruses, and fungi? A. Osteoporosis B. OA C. RA 42. Primary drug of choice for OA? A. Ibuprofen B. Tylenol C. Aleve D. NSAIDS 43. Who is at risk for hip/knee osteoarthritis? A. Golfer B. Swimmer C. Football player D. Construction worker 44. S/S of advanced RA (Sjorgen’s Syndrome)? 45. Why would you find a joint enlarged with OA? this could be a sign of a tear in the ligament 46. Which bone scan is used to diagnose osteosarcoma? A. Thallium B. Gallium C. Both A & B D. None of the above 47. Who would be most likely to get carpal tunnel? A. Swimmer B. Runner C. Typist D. Gymnast 48. What attaches muscles to bones? tendons 49. What attaches bones to bones? ligaments 50. What are the small sacs lined with synovial fluid located in joints and bony prominences? bursa sacs 51. What is neuropathy? it is the disease of a peripheral nerve and it can cause weakness or a numb feeling 52. What is myopathy? the disease of a muscle tissue 53. How do you diagnose muscle atrophy? physical examination 54. What is low bone mass? low bone density, usually resulting from genetics, lack of exercise and/or poor diet 55. What is osteoporosis? disease the results in the weakening of the bones, puts patient at a higher risk for breaking their bones 56. What is “Spongy” bone? spongy bone is made of trabeculae and they are light, they have high vascularity 57. Nursing care of the client after arthroplasty. pain management, asses patient ability to move affected body part, cold therapy for swelling, assess circulation of the affected area 58. What is phantom limb pain? sensations from what feels to be from a limb, but that limb has been amputates, may feel like tingling, burning, twisting 59. What are some age related changes in the musculoskeletal system? loss of bone density, loss of muscle mass, atrophy of msucle 60. What is the difference between a sprain and a strain? psprain is a ligament injury that happens suddenly, strain affects tendons and occurs over time 61. What is the difference between RA & OA? RA is an autoimmune disorder that causes inflammatory joints, OA is degenerative and is from increased wear and tear. 62. Secondary OA occurs less often than primary OA and can result from conditions such as: A. Smoking B. Trauma C. Obesity D. Genetics 63. What drug therapy is used to manage patients with chronic gout? A. Allopurinol B. Ibuprofen C. Colchicine D. Bosentan 64. What might the health care provider order for a patient with gout? A. Renal function tests B. X-rays C. Physical examination D. CT 65. What is a complication with casts? A. Compartment syndrome B. Severe edema C. Increased blood pressure D. Pain 66. What are risk factors for developing RA? age, family history, joint injury, obesity, smoking 67. Before a CT scan, what should the nurse assess for? A. Allergy to latex B. Someone to drive patient home after the test C. Allergy to contrast media D. Allergy to pencillin 68. What is a secondary cause of OA? A. Rheumatoid arthritis B. Smoking C. Age 69. With advanced RA, what syndrome can develop? A. Cushing’s syndrome B. Sjogren’s syndrome C. Reye’s syndrome D. Felty’s syndrome 70. For a client with osteoporosis, the nurse should provide which dietary instruction? The nurse should educate and encourage the client to eat a diet high in Vitamin D and calcium 71. A client asks the nurse the difference between OA & RA. Which response is correct? B. OA affects smaller joints and RA affects larger, weight-bearing joints. C. OA affects joints on both sides. RA is usually unilateral. D. OA is more common in men. RA is more common in women. 72. A nursing student is listing the function of the musculoskeletal system. Select all that apply. A. Increase immune response B. C. Storage of phosphorous 73. What attaches muscles to bone? A. B. Joint C. Ligament D. Muscle fiber 74. A client with osteoarthritis asks how to slow down joint degeneration. Select all that apply. B. “I can still smoke every day.” 75. What causes osteoporosis? It is a bone disease that happens when the body doesn't make enough bone or it loses too much bone. The client's bones will become very weak or porous and become more prone to breaks. 76. Who is more at risk for osteoporosis? Older adults, especially women over 50, clients with family history of it 77. What is the most common cardiovascular manifestation and causes tachycardia, chest pain and myocardial infarction? heart attack 78. What are the two major types of gout? primary gout and secondary gout 79. What are the symptoms of lyme disease? flu like symptoms and joint pain, rash hearing loss 80. How would you prevent lyme disease from reoccurring? avoiding is the best policy, but if going into the wooded areas, wear protective clothing 81. How do you treat a sprain? rest, ice, compression, elevation 82. How does a strain develop? excessive pulling of a muscle or tendon 83. What acute interventions should the nurse implement for a soft tissue injury? ice, compression, elevation, immobilize just the affected limb 84. What is a clinical sign of dislocation? extreme pain with immobility of the joint 85. What are the 6 P’s in a neurovascular assessment? pain, pallor, pulselessness, paralysis, paresthesia, pressure 86. With an acute fracture, what s/s must be reported immediately? Edema, pain, decreased pulses, pallor, cyanosis, tingling, numbness, and possible paralysis [Show More]

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