ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 60 : Introduction to the Musculoskeletal System Questions
Question 1 of 5
The nurse is caring for a client who is recovering from a fractured hip. The nurse would suggest that the client increase intake of what to facilitate calcium absorption from food and supplement?
Correct Answer: C
Rationale: The nurse must advise a client recovering from a fractured hip to increase the intake of vitamin D because it protects against bone loss and decreases the risk of recurring fracture by facilitating calcium absorption from food and supplements. Amino acids and vitamin B6, although important, do not facilitate the absorption of calcium. Dairy products also do not facilitate the absorption of calcium; however, the exception to this is vitamin D-fortified milk.
Question 2 of 5
The physician orders an opioid analgesic for a client with a traumatic musculoskeletal injury. What is the most important complication the nurse should watch for in this client?
Correct Answer: C
Rationale: The nurse should observe for signs of respiratory depression in a client susceptible to shock after a traumatic injury because opioids may cause respiratory depression and lead to sedation. Although hypotension or allergic reactions can occur, the priority here is to monitor for respiratory depression. Joint inflammation may be due to the injury itself, it is not likely to be a result of administering narcotic analgesics.
Question 3 of 5
An instructor is describing the process of bone development. What would the instructor describe as being responsible for the process of ossification?
Correct Answer: A
Rationale: Osteoblasts secrete bone matrix (mostly collagen), in which inorganic minerals, such as calcium salts, are deposited. This process of ossification and calcification transforms the blast cells into mature bone cells, called osteocytes, which are involved in maintaining bone tissue. Cortical bone is dense hard bone found in the long shafts; cancellous bone is spongy bone found in the irregular rounded edges of bone.
Question 4 of 5
A nurse is preparing a presentation for a health class about ways to ensure bone health, including the need for an adequate calcium intake. The participants are high school-aged girls. The nurse would encourage them to consume adequate calcium to maximize peak bone mass by which age?
Correct Answer: B
Rationale: Peak bone mass is attained sometime around 30 years of age. An adequate calcium intake before that time helps to maximize peak bone mass. This would result in denser bones that would be less susceptible to fracture. Bone mass begins to decrease after age 30.
Question 5 of 5
The orthopedic nurse is caring for a client diagnosed with a fracture of the radius. In which type of bone tissue does the nurse anticipate the fracture being?
Correct Answer: C
Rationale: Cancellous bone or spongy bone is light and contains many spaces making it a less solid bone than the cortical or compact bone. Collagen and cartilage are not types of bone tissue.