Chapter 44- Assessment of the MSK system
a.) Calcium
d.) Phosphorus - ✔✔Which body minerals are stored almost exclusively in bones and contribute to
bone density? SATA
a.) Calcium
b.) Chloride
c.) Magnesium
d.) Phosphorus
e.) Potassium
f.) Sodium
a.) 40 year-old Chinese American female - ✔✔Which client will the nurse assess most closely for
indications of osteoporosis based on race or ethnicity?
a.) 40 year-old Chinese American female
b.) 50 year-old Irish American female
c.) 60 year-old African-American female
d.) 66 year-old African-American male
a.) Increased osteoclastic activity with osteoporosis - ✔✔Which bone problem will the nurse expect
in a client who has a tumor that secretes excessive amounts of parathyroid hormone (PTH)?
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a.) Increased osteoclastic activity with osteoporosis
b.) Increased osteoblastic activity and foot enlargement
c.) Decreased growth hormone levels and thinning of facial bones
d.) Decreased bone phosphorus levels resulting in bone spore formation
d.) Vitamin D - ✔✔Which nutrient will the nurse suspect is deficient in a client who has bowing of the
bones in both lower limbs?
a.) Iron
b.) Protein
c.) Vitamin C
d.) Vitamin D
a.) Calcitonin
b.) Estrogen
d.) Growth hormone
e.) Insulin
g.) Testosterone
h.) Thyroxine - ✔✔Which hormones are important in promoting bone mass and density in an adult
client? SATA
, a.) Calcitonin
b.) Estrogen
c.) Glucocorticoids
d.) Growth hormone
e.) Insulin
f.) Parathyroid hormone
g.) Testosterone
h.) Thyroxine
a.) Gait changes
d.) History of fractures
f.) Spinal curvature with postural changes - ✔✔Which assessment findings will the nurse expect in
an older female client who has osteoporosis? SATA
a.) Gait changes
b.) Inability to bear weight
c.) Muscle atrophy
d.) History of fractures
e.) Swelling in the finger joints
f.) Spinal curvature with postural changes
d.) Scoliosis - ✔✔How will the nurse document the assessment observation in which the client's
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spinal thoracic vertebrae curve sideways to the right and then return to midline?
a.) Dextrosis
b.) Lordosis
c.) Kyphosis
d.) Scoliosis
c.) 45 year-old with diabetes who has a recurrent foot ulcer - ✔✔Which client will the nurse
recognize as having the greatest risk for developing chronic osteomyelitis?
a.) 25 year-old who performs heavy manual labor
b.) 35 year-old who stepped on a rusty nail 10 years ago
c.) 45 year-old with diabetes who has a recurrent foot ulcer
d.) 55 year-old with osteoporosis who has sprained the same risk twice
a.) Walking one mile 5 to 7 days per week
d.) Performing isometric and isotonic exercises daily
e.) Taking a calcium supplement that contains vitamin D - ✔✔Which actions will the nurse suggest to
a 72 year-old female client to prevent harm by reducing the rate of osteoporosis? SATA
a.) Walking one mile 5 to 7 days per week
b.) Eating a diet high in fruits and vegetables
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