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N450 PrepU ch 41 Management of Patients with Musculoskeletal Disorders-Questions with Correct Answers/Verified/ Latest Update 2024/2025 $10.49   Add to cart

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N450 PrepU ch 41 Management of Patients with Musculoskeletal Disorders-Questions with Correct Answers/Verified/ Latest Update 2024/2025

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  • N450
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A client with a musculoskeletal injury is instructed to alter the diet. The objective of altering the diet is to facilitate the absorption of calcium from food and supplements. Considering the food intake objective, which food item should the nurse encourage the client to include in the diet? - ...

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  • August 2, 2024
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  • 2024/2025
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  • n450 prepu ch 41
  • N450
  • N450
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MikeHarris
N450 PrepU ch 41 Management of Patients with Musculoskeletal
Disorders-Questions with Correct Answers/Verified/ Latest Update
2024/2025
A client with a musculoskeletal injury is instructed to alter the diet. The objective of altering the diet
is to facilitate the absorption of calcium from food and supplements. Considering the food intake
objective, which food item should the nurse encourage the client to include in the diet? -
✔️✔️Vitamin D-fortified milk



The nurse should advise the client to include dietary sources of vitamin D, such as fatty fish, vitamin
D-fortified milk, and cereals. These foods protect against bone loss and decrease the risk of fracture
by facilitating the absorption of calcium from food and supplements. Red meat, bananas, and green
vegetables do not facilitate calcium absorption from food and supplements.



Which is a strategy for lowering risk for osteoporosis? - ✔️✔️Smoking cessation



Risk-lowering strategies include increased dietary calcium and vitamin D intake, smoking cessation,
alcohol and caffeine consumption in moderation, and outdoor activity. Individual risk factors include
low initial bone mass and increased age. A lifestyle risk factor is a diet low in calcium and vitamin D.



Which of the following is the most common and most fatal primary malignant bone tumor? -
✔️✔️Osteogenic sarcoma (osteosarcoma)



Osteogenic sarcoma (osteosarcoma) is the most common and most often fatal primary malignant
bone tumor. Benign primary neoplasms of the musculoskeletal system include osteochondroma,
enchondroma, and rhabdomyoma.



On a visit to the family health care provider, a client is diagnosed with a bunion on the lateral side of
the great toe at the metatarsophalangeal joint. Which statement should the nurse include in the
teaching session? - ✔️✔️"Some bunions are congenital; others are caused by wearing shoes that
are too short or narrow."



Bunions may be congenital or may be acquired by wearing shoes that are too short or narrow, which
increases pressure on the bursa at the metatarsophalangeal joint. Acquired bunions can be
prevented. Wearing shoes that are too big may cause other types of foot trauma but not bunions.
Gout doesn't cause bunions. Although a client with gout may have pain in the big toe, such pain
doesn't result from a bunion.

, Morton neuroma is exhibited by which clinical manifestation? - ✔️✔️Swelling of the third (lateral)
branch of the median plantar nerve



Morton neuroma is swelling of the third branch of the median plantar nerve. Pes cavus refers to a
foot with an abnormally high arch and a fixed equinus deformity of the forefoot. Flatfoot is a
common disorder in which the longitudinal arch of the foot is diminished. Plantar fasciitis is an
inflammation of the foot-supporting fascia.



A nurse is caring for an elderly female client with osteoporosis. When teaching the client, the nurse
should include information about which major complication? - ✔️✔️Bone fracture



Bone fracture is a major complication of osteoporosis; it results when loss of calcium and phosphate
increases the fragility of bones. Estrogen deficiencies result from menopause — not osteoporosis.
Calcium and vitamin D supplements may be used to support normal bone metabolism, but a
negative calcium balance isn't a complication of osteoporosis. Dowager's hump results from bone
fractures. It develops when repeated vertebral fractures increase spinal curvature.



A client with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. The wound
appearance has not improved. What action would the nurse anticipate to promote healing? -
✔️✔️Surgical debridement



In chronic osteomyelitis, surgical debridement is used when the wound fails to respond to antibiotic
therapy. Wound packing, vitamin supplements, and wound irrigation are not the standard of care
when treating chronic osteomyelitis.



Which of the following inhibits bone resorption and promotes bone formation? - ✔️✔️Calcitonin



Calcitonin, which inhibits bone resorption and promotes bone formation, is decreased in
osteoporosis. Estrogen, which inhibits bone breakdown, decreases with aging. On the other hand,
parathyroid hormone (PTH) increases with aging, increasing bone turnover and resorption. The
consequence of these changes is net loss of bone mass over time. Corticosteroids place patients as
risk for developing osteoporosis.



Assessment of a client reveals signs and symptoms of Paget's disease. Which of the following would
be most likely? - ✔️✔️Long bone bowing

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