NURSADN2 Final Exam Study Guide: Questions With
Correct Solutions
What kind of drug is Alendronate (fosamax)?
*Do NOT confuse with Flomax* Right Ans - Bisphosphonate; osteoporosis
drug
What does alendronate do? Right Ans - Inhibits osteoclast activity to
prevent osteoporosis (used in combination with supplements such as vitamin
D3 or cholecalciferol)
What is the relationship between calcium and phosphate? Right Ans - If
calcium increases, phosphate decreases (vice versa)
Which is the *most* likely to develop (most at risk for) osteoporosis?
A. 52 year old woman in menopause
B. 65 year old man with hypertension
C. 25 year old woman with T2DM
D. 45 year old man with anemia Right Ans - A. 52 year old woman in
menopause
Risk factors for osteoporosis can be remembered by the word *ACCESS*,
which stands for what? Right Ans - Alcohol use
Corticosteroid use
Calcium Low
Estrogen Low
Smoking
Sedentary lifestyle
How does estrogen affect bone? Right Ans - Slows bone break down.
As a woman gets older and her estrogen levels gets lower, she'll start having
weaker bones; More estrogen equals more bone density
, Tetany: Right Ans - Condition marked by intermittent muscular spasms,
caused by malfunction of the parathyroid glands and a consequence of
calcium deficiency
Flaccid: Right Ans - Limp, not firm; lacking vigor or effectiveness
Fasciculation: Right Ans - Rapid continuous twitching of resting muscle
without movement of limb; A brief, spontaneous contraction affecting a small
number of muscle fibers, often causing a flicker of movement under the skin.
It can be a symptom of disease of the motor neurons.
Atony: Right Ans - Absence or lack of usual muscle tone or strength
Tremors: Right Ans - Involuntary fine movement of the body or limbs
(Found in Parkinson's)
What is meant by effusion in a joint space? Right Ans - Swelling in the joint,
increased intra articular fluid.
What kind of intervention might be used for a joint effusion?
A. Paracentesis
B. Thoracentesis
C. Arthrocentesis
D. Pericardiocentesis Right Ans - C. Arthrocentesis
For patients experiencing a joint effusion that, when aspirated, shows signs of
infection. These patients are at high risk for what?
A. Pneumonia
B. Sepsis
C. SIRS
D. Arthritis Right Ans - B. Sepsis
Why does it take a while for strains or sprains to heal? Right Ans - There is
not much blood flow to them
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