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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