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Lewis Chapter 63: Musculoskeletal Problems Exam Practice Questions and Answers
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Lewis Chapter 63: Musculoskeletal Problems Exam Practice Questions and Answers 1. A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic irrigation. Which intervention will be included in the initial plan of care? a. Immobilization of the left leg b. Posi...

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  • October 23, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • lewis chapter 63 musculoskeletal problems exam pr

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  • Lewis Medical-Surgical Nursing
  • Lewis Medical-Surgical Nursing

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Lewis Chapter 63: Musculoskeletal Problems Exam
Practice Questions and Answers


1. A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic irrigation.

Which


intervention will be included in the initial plan of care?


a. Immobilization of the left leg


b. Positioning the left leg in flexion


c. Assisted weight-bearing ambulation


d. Quadriceps-setting exercise repetitions - Ans:✔✔-ANS: A


Immobilization of the affected leg helps decrease pain and reduce the risk for pathologic fractures.

Weight- bearing exercise increases the risk for pathologic fractures. Flexion of the affected limb is

avoided to prevent


contractures. DIF: Cognitive Level: Apply (application)


TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity




Page 1/22

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




2. A 50-year-old patient is being discharged after a week of IV antibiotic therapy for acute osteomyelitis

in the


right leg. Which information will be included in the discharge teaching?


a. How to apply warm packs to the leg to reduce pain


b. How to monitor and care for the long-term IV catheter


c. The need for daily aerobic exercise to help maintain muscle strength


d. The reason for taking oral antibiotics for 7 to 10 days after discharge - Ans:✔✔-ANS: B


The patient will be on IV antibiotics for several months, and the patient will need to recognize signs of


infection at the IV site and how to care for the catheter during daily activities such as bathing. IV

antibiotics


rather than oral antibiotics are used for acute osteomyelitis. Patients are instructed to avoid exercise and

heat


application because these will increase swelling and the risk for spreading infection. DIF: Cognitive Level:

Apply (application)


TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity




Page 2/22

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




3. A 67-year-old patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the left femur.

The


nurse chooses a nursing diagnosis of ineffective health maintenance when the nurse finds that the

patient


a. is frustrated with the length of treatment required.


b. takes and records the oral temperature twice a day.


c. is unable to plantar flex the foot on the affected side.


d. uses crutches to avoid weight bearing on the affected leg. - Ans:✔✔-ANS: C


Foot drop is an indication that the foot is not being supported in a neutral position by a splint. Using

crutches


and monitoring the oral temperature are appropriate self-care activities. Frustration with the length of

treatment


is not an indicator of ineffective health maintenance of the osteomyelitis. DIF: Cognitive Level: Apply

(application)


TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity


4. The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee



Page 3/22

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