NRS 210 Orthopedic Nursing Exam 23 Questions with Verified Answers
Which type of bone cell is responsible for the formation of bone? - CORRECT ANSWER
... [Show More] Osteoblast
The patient is told by the HCP that the size of the patient's muscle has decreased. How should the nurse document this occurrence? - CORRECT ANSWER Atrophy
An older patient is describing increased stiffness in the shoulders, back, and hips. The loss of elasticity in what tissue contributes to this? - CORRECT ANSWER Ligament
What is the best description of the periosteum? - CORRECT ANSWER Fibrous connective tissue covering bone
What is the function of a tendon? - CORRECT ANSWER Attaches muscle to bone
In performing ROM with a patient, the nurse puts each joint through its full movement. Which joints are capable of abduction and adduction. - CORRECT ANSWER Hip
Wrist
Thumb
Shoulder
While having his height measured during a routine health examination, a 79-year-old man asks the nurse why he is "shrinking". How should the nurse explain the decreased height that occurs with aging? - CORRECT ANSWER Vertebrae become more compressed with thinning of intervertebral discs
A 78-year-old woman has physiologic changes in her joints related to aging. What is an appropriate nursing intervention related to common changes of aging in the musculoskeletal system? - CORRECT ANSWER Have the patient exercise to maintain muscle strength and avoid risk for falls
When obtaining information about the patient's use of medications, the nurse recognizes that both bone and muscle function may be impaired when the patient reports taking what type of drug? - CORRECT ANSWER Corticosteriods
During muscle strength testing, the patient has active movement against gravity and some resistance to pressure. What score should the nurse give this finding? - CORRECT ANSWER 4
On observation of the patient, the nurse notes the presence of a limping gait. How should the nurse further evaluate the patient? - CORRECT ANSWER Measure the length of the limbs
A patient with severe joint immobility is receiving physical and exercise therapy. To evaluate the effect of the treatment, the nurse may assess joint range of motion with that equipment? - CORRECT ANSWER Goniometer
The patient was referred to the office by the school nurse for a lateral curvature of the spine. The nurse knows this is called.. - CORRECT ANSWER Scoliosis
In report, the nurse is told that the patient has a contracture of the right arm. What does the nurse know this meanS? - CORRECT ANSWER Shortening of a muscle or ligament
The patient is diagnosed with torticollis. What should the nurse be prepared to provide for the patient? - CORRECT ANSWER Enough pillows to support the patient's head comfortably
The patient has a burning, sharp pain on the sole of the foot, especially in the morning. The nurse knows that this describes what common musculoskeletal problem? - CORRECT ANSWER Plantar fasciitis
When assessing the patient, the nurse notices that the patient has footdrop and the foot slaps down on the floor as the patient walks. How does the nurse document this gait? - CORRECT ANSWER Stappage gait
What is the most common diagnostic test used to assess musculoskeletal disorders? - CORRECT ANSWER Standard X-ray
What test provides fast, precise measurement of the bone mass of the spine, femur, forearm, and total body to evaluate osteoporosis? - CORRECT ANSWER Dual energy x-ray absorptiometry (DXA)
Which serologic studies would be done to evaluate rheumatoid arthritis? - CORRECT ANSWER Complement
Rheumatoid factor
Antinuclear antibody
Enoxaparin (Lovenox) - CORRECT ANSWER LMWH
12-24 hours after surgery; continues for 7-10 days post
Anticoagulant and Antithrombotic
Prevents the conversion of fibrinogen to fibrin and prothrombin clotting cascade
Warfarin (Coumadin) - CORRECT ANSWER Starts on day of surgery
Measured daily
Dose based on INR
Take in late afternoon
Anticoagulant
Apixaban (Eliquis) & Rivaroxaban (Xarelto) - CORRECT ANSWER Decrease risk of stroke, DVT, PE
No regular blood monitoring
No diet restirctions
No frequent does adjustment
Fairly new drugs so several long-term unknowns
Must still monitor for bleeding and alert providers if taking [Show Less]