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CH. 68 MUSCULOSKELETAL DISORDERS Question and answers verified to pass
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CH. 68 MUSCULOSKELETAL DISORDERS Question and answers verified to pass Ch. 23: Musculoskeletal System (Discussion Board Questions) A patient present to the clinic with complaints of joint pain. Upon examination, the nurse practitioner notes a "butterfly" rash on the patients face. The patient st...

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  • 18. august 2024
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  • ch 68 musculoskeletal disorders question and answ

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CH. 68 MUSCULOSKELETAL
DISORDERS
1. The nurse is caring for a 35-year-old man diagnosed with a back strain.
What would be important to discuss with this patient?
A) Avoid lifting more than one-third of his body weight without assistance.
B) Focus on using back muscles during lifting.
C) Lift objects while holding the object away from the body.
D) Tighten the abdominal muscles and lock the knees during the lifting of an
object. - correct answer ✔AVOID LIFTING MORE THAN ONE-THIRD OF
HIS BODY WEIGHT WITHOUT ASSISTANCE


**The nurse will instruct the patient on the safe and correct way to lift objects
—using the strong quadriceps muscles of the thighs, with minimal use of the
weak back muscles. To prevent recurrence of acute low back pain, the nurse
may instruct the patient to avoid lifting more than one-third of his weight
without help. The patient should be informed to place the feet a hip-width
apart to provide a wide base of support, the person should bend the knees,
tighten the abdominal muscles, and lift the object close to the body with a
smooth motion, avoiding twisting and jerking.


2. The nurse is discussing conservative management of tendonitis with a
patient. Which of the following may be an effective approach to managing
tendonitis?
A) Weight reduction
B) Stress reduction
C) Intermittent application of ice and heat to the affected joint
D) Range of motion of the affected joint - correct answer ✔INTERMITTENT
APPLICATION OF ICE AND HEAT TO THE AFFECTED JOINT

,**Conservative management of tendonitis includes rest of the extremity,
intermittent ice and heat to the joint, and nonsteroidal anti-inflammatory drugs
to control the inflammation and pain. Weight reduction, stress reduction, and
range-of-motion exercises are not part of conservative management of
tendonitis.


3. A 42-year-old man presents at the clinic complaining of pain in his heel so
bad it inhibits his ability to walk. The patient is diagnosed with plantar fasciitis.
Patient teaching provided by the nurse would include what instructions to
decrease the pain associated with this condition?
A) Wrapping the affected area in lamb's wool or gauze
B) Gently stretching the foot and the Achilles tendon
C) Wearing open-toed shoes
D) Application of keratolytic ointment - correct answer ✔GENTLY
STRETCHING THE FOOT AND THE ACHILLES TENDON


**Plantar fasciitis leads to pain that is localized to the anterior medial aspect of
the heel and diminishes with gentle stretching of the foot and Achilles tendon.


4. A nurse is providing an educational class to a group of older adults at a
community senior center. The topic of the class is nutrition. The nurse informs
the group that the recommended adequate intake (RAI) level of calcium daily
is what?
A) 1000 mg
B) 1100 mg
C) 1200 mg
D) 1300 mg - correct answer ✔1200 MG


**The RAI level of calcium for adults 51 years of age and older is 1200 mg per
day. The RAI level of calcium for ages 9 to 19 years of age is 1300 mg per
day. The RAI level for adults 19 to 50 years of age is 1000 mg per day.

, 5. The nurse is providing a class on osteoporosis at the local senior citizens
center. Which of the following statements related to osteoporosis is correct?
A) Osteoporosis is a disease of the elderly.
B) A non-modifiable risk factor for osteoporosis is a person's level of activity.
C) Secondary osteoporosis occurs in women after menopause.
D) Slow discontinuation of your corticosteroid therapy will halt the progression
of the osteoporosis, but not restore the lost bone mass. - correct answer
✔SLOW DISCONTINUATION OF YOUR CORTICOSTERIOD THERAPY
WILL HALT THE PROGRESSION OF THE OSTEOPOROSIS, BUT NOT
RESTORE THE LOST BONE MASS.


**When corticosteroid therapy is discontinued, the progression of osteoporosis
is halted, but restoration of lost bone mass does not occur. Osteoporosis is
not a disease of the elderly because its onset occurs earlier in life, when bone
mass peaks and then begins to decline. A person's level of physical activity is
a modifiable factor that influences peak bone mass. Lack of activity increases
the risk for the development of osteoporosis. Primary osteoporosis occurs in
women after menopause.


6. The nursing instructor is discussing osteomalacia with her nursing students.
The instructor gives the student the assignment of planning a day's menu for a
patient with osteomalacia. What would be the best choice for breakfast for a
patient with osteomalacia?
A) Cereal with milk, a scrambled egg, and grapefruit
B) Fresh fruit with granola sprinkled on the fruit
C) Waffles with fresh strawberries and powdered sugar
D) A bagel topped with vegetable cream cheese and a side dish of grapes -
correct answer ✔CEREAL WITH MILK, A SCRAMBLED EGG, AND
GRAPEFRUIT

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