Musculoskeletal Questions (6-10)

6. The physician diagnoses primary osteoporosis in a client who has lost bone mass. In this metabolic disorder, the rate of bone resorption accelerates while bone formation slows. Primary osteoporosis is most common in:

a. elderly men.
b. young children.
c. young menstruating women.
d. elderly postmenopausal women.

7. X-rays reveal a leg fracture in a client who was brought to the emergency department after falling on ice. After a cast is applied and allowed to dry, the nurse teaches the client how to use crutches. Which instruction should the nurse provide about climbing stairs?

a. "Place both crutches on the first step and swing both legs upward to this step."
b. "Place the unaffected leg on the first step, followed by the crutches and the injured leg, which should move together."
c. "Place the crutches and injured leg on the first step, followed by the unaffected leg."
d. "Place the injured leg and the crutch on the unaffected side on the first step; the unaffected leg and crutch on the injured side follow."

8. On a visit to the family physician, a client complains of painful swelling on the lateral side of the great toe, at the metatarsophalangeal joint. After determining that the swelling is a bunion, the physician injects an intra-articular corticosteroid. The client asks the nurse what causes bunions. Which answer is correct?

a. Bunions are congenital and can't be prevented.
b. Bunions may result from wearing shoes that are too big, causing friction when the shoes slip back and forth.
c. Some bunions are congenital; others are caused by wearing shoes that are too short or narrow.
d. Bunions are caused by a metabolic condition called gout.

9. The nurse is caring for a client with a cast on the left arm. Which assessment finding is most significant for this client?

a. Normal capillary refill in the great toe
b. Presence of a normal popliteal pulse
c. Intact skin around the cast edges
d. Ability to move all toes

10. A client is scheduled for a laminectomy to repair a herniated intervertebral disk. When developing the postoperative plan of care, the nurse should include which action?

a. Keeping a pillow under the client's knees at all times
b. Placing the client in semi-Fowler's position
c. Maintaining bed rest for 72 hours after the laminectomy
d. Turning the client from side to side, using the logroll technique

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