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
The nurse is assessing a client for chronic osteomyelitis. Which features distinguish this from the acute form of the disease? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Chronic osteomyelitis is characterized by draining sinus tracts, sequestra (dead bone), and foot ulcers. High fever and swelling/redness are more typical of acute osteomyelitis.
Question 2 of 5
The nurse studying osteoporosis learns that which drugs can cause this disorder? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Corticosteroids, anticonvulsants, proton pump inhibitors, and SSRIs are associated with bone loss and osteoporosis risk. Antibiotics are not typically linked to this condition.
Question 3 of 5
Which diagnostic tests are used to confirm muscular dystrophy? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Electromyography, muscle biopsy, serum aldolase, and creatinine kinase levels are used to diagnose muscular dystrophy. Nerve conduction studies are not relevant to this condition.
Question 4 of 5
A client has a bone density score of 2.8. What action by the nurse is best?
Correct Answer: B
Rationale: A T-score of 2.5 or lower indicates osteoporosis. The nurse should plan to teach about medications used to treat this disease, such as bisphosphonates. A food diary may help assess calcium and vitamin D intake, but dietary changes alone are insufficient at this stage. Scheduling another scan does not address immediate treatment needs.
Question 5 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.