Exam 2: NUR 2356 / NUR2356 Multidimensional Care I / MDC 1 Quiz Bank | Rated A Questions and Answers| Latest 2023 / 2024| COMPLETE SOLUTIONS GUIDE | Rasmussen College
Osteoclasts…
Break old tissue/bone
Example of a hinge joint:
Knee and elbow
The ability to carry activities is know as?
Fitness
T/F: Not bending forward at the waist or neck is a good way to have posture.
True
T/F: Using high-heels helps with posture.
False
What is important to communicate to the patient with weakness?
Keep good base of support.
T/F: Using ROM helps the patient maintain muscle tone and strength.
True
A patient bends the knees while performing exercise with physical therapy. What motion is that?
Flexion
T/F: Having a sedentary life doesn’t affect us.
False
T/F: Osteoarthritis is know by having crepitus (popping/grating sounds; creaking joints) which are due to lose of bone particles.
True
T/F: Immobility has significant consequences in our overall health.
True
Immobility can cause what type of musculoskeletal damage?
Foot drop (drop foot; difficulty lifting the front of the foot; the front of the foot may drag when patient is walking)
A good nursing intervention to reduce atelectasis (complete/partial collapse of lungs) risk is?
Encourage cough, deep breathing and turning
Adding vitamins and minerals helps the immobile patient prevent ___.
Muscle mass reduction
A way to prevent GU complications on an immobile patient is _____.
Bladder training
T/F: The bladder scan is used to determine how much urine is in the gallbladder.
False
T/F: The semi-lateral position is also know as Sim’s.
True
A trochanter roll is used to maintain the position of the __.
Trochanter
T/F: The abduction pillow is used to prevent internal hip rotation.
True
What position is used to help the patient get up?
Dangling
What is a function of the musculoskeletal system?
Assist with movement
As a nurse you know that during aging, a normal musculoskeletal change would be?
A patient that came to the clinic with kyphotic posture
T/F: The nurse knows that recommending vitamin c and calcium will help prevent musculoskeletal deenetarion.
False
As you interview the patient complaining of pain, you know that it is important to ask them about ___.
Trauma
The nurse is performing a general survey. What is a component to observe related to the musculoskeletal system?
Posture and abnormalities
To perform a proper neuromuscular assessment, you need to include pain, pulse, pallor, paraesthesia (burning/prickling sensation) and __ (Five P’s).
Paralysis
When rating muscle strength, the nurse knows that grade 2 means?
Poor
T/F: Medications such as loop diuretics can cause osteoporosis.
True
Which gland controls calcium release from the bones?
Parathyroid gland
T/F: A patient with osteoporosis should receive education indicating to avoid jarring activities.
True
T/F: The nurse should include in the education, ways to prevent falls. Some activities include removal of rugs and clutter.
True
T/F: Adding weight-bearing exercises 3-5 times a week can help prevent osteopososis.
True
What would be a nursing intervention to prevent and maintain osteomylitis?
Educate about medication and compliance
T/F: A patient with osteomylitis will need to be placed in droplet precaution.
False
T/F: After surgery the patient will need a neurovascular check that includes capillary refill.
True
After a bunionectomy the nurse needs to educate the patient about how __.
They may need a walking shoe for 6-12 weeks
What medication will be ordered for a patient with plantar fasciitis?
NSAIDs (non-steroidal anti-inflammatory drugs) like ibuprofen and aspirin
The Phalen’s test is used to determine __________.
Carpal tunnel
A patient with a rotator cuff injury may need what treatment?
Steroids
T/F: The nurse that pendulum exercises mean to dangle and swing the arm for 5-10 minutes.
True
What fracture is complete but with no injury to the skin?
Closed
Which fracture is caused by a rotation motion?
Spiral
What fracture is related to above and below force?
Transverse
T/F: The first bone healing stage takes up to 72 hours.
True
During which bone healing stage does the callus form?
Third
The risk for fracture includes all except?
Using protective devices
What causes shearing and friction injuries?
Opposite pulling of the skin
T/F: Medical history is not important as it does not collect related information.
False
How can the nurse control bleeding from a fracture?
Apply pressure above the site
What is the best position to prevent shock?
Supine (lying facing upward)
What is the main concern for the nurse taking care of a post-fracture patient?
Prevention of neurovascular complications
T/F: Hot spots under the cast can be a sign of pressure necrosis.
True
A patient with a cast should notify painful areas, pain not controlled by medication and __________.
Unpleasant odor
T/F: Traction use has a high risk for infection in the weight area.
False
After cast removal, it is normal to see dry skin, reduced strength, edema and ____.
Decreased size
Place in order from most important to least important to reduce infection risk:
Dressing changes with aseptic technique –> Monitor vital signs –> Antibiotic administration –> Wound irrigation
Place in order the most common labs performed after a fracture:
Hgb &HCT –> WBC –> Ca+ –> ESR
The nurse observes the following: increased edema, pain, weak pulse and skin discoloration. What should she suspect?
Acute Compartment Syndrome
Place in order the interventions for ACS:
Cut dressing or cast padding –> Notify the provider –> Avoid elevation and ice –> Prepare for emergent procedure
T/F: Fat embolism is most common after hip or pelvis fracture.
True
What ocular change is normal with age?
Flattened cornea
What is a normal change of the audition with age?
Pinna elongates
T/F: Asking the patient about ADL (activities of daily living) care is important to determine sensory affect.
True
Which conditions are a risk for sensory complications?
Diabetes, pregnancy and hypertension
What tools are used to assess ocular capacity?
Jaeger, Snellen and PERLA
T/F: Ultrasonography is used to determine retinal detachment.
True
What test is used to measure intraocular pressure (IOP)?
Tonometry
Which test is used to determine if the intraocular pressure (IOP) is caused by open or closed angle?
Gonioscopy
After cataract surgery, the patient can suffer which complications?
Infection, reduced vision, intraocular pressure (IOP), and floaters
What should the patient avoid after surgery?
Heavy lifting & bending, and sneezing & blowing their nose
T/F: You are treating a patient with acute closed-glaucoma, this patient should wait for treatment.
False
T/F: The patients using ear drops should keep posture straight or standing while instilling the drops.
False
How can you determine if the patient has auditory problems?
Cues of how loud they are speaking
T/F: The education for a patient losing their auditory function should include: use of hearing aids and facing them.
True
Some recommendations to protect the hearing include?
Add close caption, use of protective devices, and avoid loud noises
What exercise helps with flexibility?
Stretching
Which areas are an example of a 90-degree flexion?
Knees and elbows
What interventions help with independence?
Allow the patient to perform activities
When the patient can perform the motion independently it is called ___.
AROM (active range of motion)
What happens when the patient is taking vasoconstricting medications?
Reduced perfusion
Immobility has a high-risk for which of the following?
Kidney stones, constipation (reduced peristalsis), atelectasis, and DVTs
T/F: Instructing a weak patient to use 2 points of support helps reduce falls.
True
T/F: It is important to assess the feet of a patient with diabetic neuropathy.
True
What should be asked when a patient is having an MRI?
Fear of close-spaces, any metal (jewelry, rods, screws), and pregnancy
T/F: A patient with kyphosis doesn’t have any high-risk.
False
What is a proper intervention for a patient with kyphosis after musculoskeletal surgery?
Should be placed as a priority and auscultate lung sounds
What should the nurse do when assisting with movement or mobility?
Face the direction of the movement and ask the patient to push with the arms
When should the patient with a purulent wound be placed in isolation?
Before culture results
T/F: Hip flexion of greater than 90-degrees should be avoided after hip surgery.
True
Place in order the activities after a patient falls:
Assess neurological status –> Call for assistance –> Call the provider –> Call the family
What is the first intervention if a patient with a cast complains of tingling, numbness, colorlessness and cold?
Raise the limb
T/F: If a patient taking Timoptic has a low heart rate, they should keep taking the medication.
False