ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 50 : Care of Patients with Musculoskeletal Problems Questions
Question 1 of 5
A client has scoliosis with a 65-degree curve to the spine. What action by the nurse takes priority?
Correct Answer: B
Rationale: A 65-degree spinal curve in scoliosis can impair cardiac and respiratory function due to chest deformity. Assessing these systems is the priority to ensure the client's safety. Comfort, ambulation, and positioning are important but secondary.
Question 2 of 5
A nurse sees clients in an osteoporosis clinic. Which client should the nurse see first?
Correct Answer: C
Rationale: Leg swelling in a client taking raloxifene suggests possible deep vein thrombosis, a serious adverse effect requiring immediate attention. Flank pain from 6 weeks ago is less urgent, forgetting a dose of ibandronate is not immediately critical, and dyspepsia with risedronate is a common side effect that can be managed later.
Question 3 of 5
What information does the nurse teach a women's group about osteoporosis?
Correct Answer: A
Rationale: Women lose approximately 2% of bone mass annually after menopause due to decreased estrogen levels. Men have lower rates of osteoporosis, and treatments like calcium, vitamin D, and medications can slow bone loss post-menopause.
Question 4 of 5
A client with osteoporosis is going home, where the client lives alone. What action by the nurse is best?
Correct Answer: A
Rationale: A home safety evaluation is critical for a client with osteoporosis living alone to reduce fall risks, which can lead to fractures. A walker may not be necessary without assessment, daily visits are excessive, and a support group is secondary to safety.
Question 5 of 5
A client is scheduled for a bone biopsy. What action by the nurse takes priority?
Correct Answer: C
Rationale: Ensuring informed consent is on the chart is the priority before a bone biopsy to confirm the client's understanding and agreement to the procedure. Medications, answering questions, and guiding the family are important but secondary.