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Test bank for Medical-Surgical Nursing - Musculoskeletal system questions with verified answers
Test bank for Medical-Surgical Nursing - Musculoskeletal system questions with verified answers
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Test bank for Medical-Surgical Nursing -Musculoskeletal system questions with
verified answers
A patron has had a under-the-knee amputation of the leg. What is vital for the nurse to don't
forget whilst presenting postoperative take care of a purchaser who had an amputation of a
lower extremity?
1
Strict bed rest is maintained for at least several days.
2
The residual limb must not be increased for the first 24 hours.
3
Hemorrhage hardly ever takes place during the early postoperative duration.
4
Primary healthcare providers normally trade the dressing at the residual limb within forty eight
hours.
2 - The residual limb must no longer be elevated for the primary 24 hours.
Elevation of the residual limb facilitates save you edema; however, have to now not be executed
on the primary 24 hours and persisted elevation can also lead to hip contractures. The client
generally is off the bed on the second one postoperative day. Hemorrhage and infection are the
two maximum commonplace headaches. The dressing commonly is a pressure dressing and
isn't modified this soon postoperatively.
The nurse is caring for a patron with rheumatoid arthritis. When ought to the nurse count on the
purchaser to experience the maximum pain and restricted movement of the joints?
1
After assistive workout
2
When the room is cool
3
,During the nighttime hours
four
In the morning on awakening
four - In the morning on awakening
Inactivity over an prolonged time increases stiffness and pain in joints. The purchaser usually
has morning stiffness, or gel phenomenon. Assistive exercises assist hold joint mobility.
Whether the room is cool isn't a issue; bloodless packages can also lower joint pain. The pain
isn't as extreme within the evening as within the morning.
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A customer with rheumatoid arthritis asks the nurse approximately ways to lower morning
stiffness. What need to the nurse suggest?
1
Wearing unfastened but heat garb
2
Planning a brief rest destroy periodically
3
Avoiding immoderate bodily strain and fatigue
four
Taking a warm bathtub bathtub or bathe in the morning
4 - Taking a warm tub bath or bathe inside the morning
Moist warmth increases circulation and reduces muscle tension, which help relieve continual
stiffness. Although carrying free but warm garb is beneficial for a person with arthritis, it does
now not relieve morning stiffness. Inactivity promotes stiffness. The practice of keeping off
,excessive bodily strain and fatigue is associated with muscle fatigue, now not to stiffness of
joints.
We have an professional-written solution to this trouble!
An x-ray film indicates that an older client has a fractured femur. The client asks the nurse, "Will
I be able to stroll once more?" What is the quality reaction through the nurse?
1
"I haven't any idea because best time will tell."
2
"You handiest broke a bone. It might have been worse."
three
"You’ll walk once more. This is a not unusual difficulty in older humans."
four
"Tell me greater about your issues about having the ability to walk."
four - "Tell me extra approximately your issues approximately being able to walk."
The phrase "Tell me more" shows interest in the customer's worries, is nonjudgmental, and
encourages expression and exploration of feelings. First the customer's feelings have to be
explored earlier than providing a direct answer that could cut off communication. The responses
"I haven't any concept" and "You simplest broke a bone. It could have been worse" locations the
patron on the protective; it is demeaning to the customer and discourages further conversation.
The general reaction "You'll walk again. This is a commonplace trouble in older humans"
dismisses the customer's concerns; the consumer isn't diagnosed as an character whose
damage is a stressful and private event.
We have an professional-written strategy to this hassle!
Which hormone promotes bone resorption in a client?
1
Estrogen
2
Calcitonin
3
Growth hormone
, four
Parathyroid hormone (PTH)
four - Parathyroid hormone (PTH)
When serum calcium ranges are decreased, secretion of PTH increases and stimulates bones
to promote osteoclastic interest, which promotes bone resorption. Estrogens stimulate
osteoblastic (bone-building) interest and inhibit PTH. Calcitonin inhibits bone resorption and will
increase the renal excretion of calcium and phosphorus as needed to keep stability within the
frame. Growth hormones secreted via the anterior lobe of the pituitary gland are chargeable for
growing bone length.
Which hormones are concerned in constructing and preserving wholesome bone tissue? Select
all that follow.
1
Insulin
2
Thyroxine
3
Glucocorticoids
four
Growth hormone
5
Parathyroid hormone
1 - Insulin
four - Growth hormone
Insulin works together with growth hormone to growth bone length, which allows to build and
preserve healthy bone tissue. Thyroxine will increase the fee of protein synthesis in all kinds of
tissues. Glucocorticoids alter protein metabolism to reduce or accentuate the organic matrix of
bone. Parathyroid hormone secretion stimulates bones to promote osteoclastic activity and
launch calcium into the blood while serum calcium tiers are reduced.
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