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Lewis Medsurg - Chapt 64 - DDD, Osteoporosis Exam Multiple Choice Questions and Answers

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Lewis Medsurg - Chapt 64 - DDD, Osteoporosis Exam Multiple Choice Questions and Answers Chapter 64: Nursing Management: Musculoskeletal Problems Chapter 64: Nursing Management: Musculoskeletal Problems Test Bank MULTIPLE CHOICE 1. A patient with acute osteomyelitis of the left femur is hospi...

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  • October 23, 2024
  • 19
  • 2024/2025
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  • Questions & answers
  • Lewis Medical-Surgical Nursing
  • Lewis Medical-Surgical Nursing
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Lewis Medsurg - Chapt 64 - DDD,
Osteoporosis Exam Multiple Choice
Questions and Answers

Chapter 64: Nursing Management: Musculoskeletal Problems


Chapter 64: Nursing Management: Musculoskeletal Problems


Test Bank


MULTIPLE CHOICE


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



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FIRST PUBLISH OCTOBER 2024




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) REF: 1541-1542


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


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) REF: 1542


TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
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, ©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) REF: 1542


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

amputation. Which statement by a patient indicates that additional patient teaching is needed?


a. "I will need to participate in physical therapy after surgery."


b. "I did not have this bone cancer until my leg broke a week ago."



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