1. In providing care to a patient diagnosed with osteoporosis, the nurse most likely

correlate which pathophysiological mechanism to this disease process?

Osteoblasts synthesize and add minerals to the bony matrix.

Osteoclasts break down bone with acids and enzymes.

Osteoclastic activity is greater that osteoblastic activity.

Osteoblastic activity is greater that’s osteoclastic activity.

2. The nurse best correlates which mechanism of action for the administration of raloxofine

in the treatment of osteoporosis in postmenopausal women?

Increase bone mass strength

Reduces incidents of osteoporostic vertebral fractures

Inhibits osteoclastic activity

Promotes bone reabsorption

3. Which statement by the patient scheduled for an open reduction and internal fixation

(ORIF) of a compound of the femur best indicates the need for further teaching?

“ I will need to monitor for infection as I heal”

“ The surgeon will put rods and nails into my led to alight the fracture”

“ The pins do not have to be removed; they will stay in my body.”

“ I will have to be in traction after this surgery.”

4. Which of the following laboratory diagnostic finding would best alert the nurse that the

patient is experiencing a fat embolism syndrome as a complication of a recent

musculoskeletal trauma?

Increased serum calcium levels

Decreased serum level of lipids

Increased RBC and platelet counts

Patchy distribution on chest CT

5. A patient recovering from surgery to repair a fractured femur is experiencing extreme

pain and pulselessness. The nurse recognizes which treatment is best indicated for this

treatment?

Fasciotomy

Skeletal traction

Intravenous fluids

Patient-controlled pain management

6. The nurse provides discharge instructions for a patient who experienced a traumatic

amputation of the leg below the knee. Which patient statement best indicates the need

for further teaching?

“ I will elevate my leg with a pillow.”

“ I will apply ice to the area for no more than 15 to 20 minutes at a time.”

“ I will eat foods high in protein and carbohydrates.

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