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 nurse is assessing an older client and discovers back pain with tenderness along L2 and L3. What action by the nurse is best?
Correct Answer: A
Rationale: Back pain with tenderness at L2 and L3 suggests a spinal compression fracture, common in osteoporosis. Consulting the provider for an X-ray is the priority to confirm the diagnosis. Ibuprofen may be considered post-diagnosis, and hip range of motion is unrelated. A cervical collar is inappropriate for lumbar issues.
Question 2 of 5
A client has been advised to perform weight-bearing exercises to help minimize osteoporosis. The client admits to not doing the prescribed exercises. What action by the nurse is best?
Correct Answer: A
Rationale: Fear of falling can deter clients from performing weight-bearing exercises. Assessing this fear is the first step to address barriers to compliance. Calcium intake, alternative exercises, or weight-lifting techniques may be relevant but are secondary to understanding the client's reluctance.
Question 3 of 5
The nurse sees several clients with osteoporosis. For which client would bisphosphonates not be a good option?
Correct Answer: D
Rationale: Bisphosphonates require the client to sit upright for 30"?60 minutes after administration to prevent esophageal irritation. A client with a spinal cord injury who cannot tolerate sitting up is not a good candidate. A serum creatinine of 0.8 mg/dL is normal, and neither vertebral fractures nor calcium channel blockers contraindicate bisphosphonates.
Question 4 of 5
An older client with diabetes is admitted with a heavily draining leg wound. The client's white blood cell count is 38,000/mm³ but the client is afebrile. What action does the nurse take first?
Correct Answer: C
Rationale: A heavily draining wound suggests potential infection, and the elevated white blood cell count supports this. Placing the client on contact isolation is the priority to prevent the spread of infection. Acetaminophen is unnecessary without fever, wound cultures follow isolation, and referral to a wound care nurse is secondary.
Question 5 of 5
A client with bone cancer is hospitalized for a limb salvage procedure. How can the nurse best address the client's psychosocial needs?
Correct Answer: A
Rationale: Assessing coping skills and support systems is the first step in addressing psychosocial needs, as it identifies the client's resources and challenges. Explaining life expectancy does not address psychosocial needs directly, referrals may follow assessment, and physical therapy focuses on physical rather than psychosocial needs.