STUVIA 2024/2025
MED SURGE Exam 2 (iggy) Ch 50
b. Planning to teach about bisphosphonates - ✔1. A client has a bone density score of 2.8. What
action by the nurse is best?
a. Consult with the provider about an x-ray. - ✔2. A nurse is assessing an older client and discovers
back pain with tenderness along T2 and T3. What action by the nurse is best?
a. Ask the client about fear of falling. - ✔3. A client has been advised to perform weight-bearing
exercises to help minimize osteoporosis. The client admits to not doing the prescribed exercises.
What action by the nurse is best?
d. Client with a spinal cord injury who cannot tolerate sitting up - ✔4. The nurse sees several clients
with osteoporosis. For which client would bisphosphonates not be a good option?
b. Make appointments to come get your shot. - ✔5. A client has been prescribed denosumab (Prolia).
What instruction about this drug is most appropriate?
a. Ensure the client gets 15 minutes of sun exposure daily. - ✔6. A client in a nursing home refuses
to take medications. She is at high risk for osteomalacia. What action by the nurse is best?
%
a. Assess the client for leg bowing. - ✔7. A client is in the internal medicine clinic reporting bone pain.
The clients alkaline phosphatase level is 180 units/L. What action by the nurse is most appropriate?
c. Place the client on contact isolation. - ✔8. An older client with diabetes is admitted with a heavily
draining leg wound. The clients white blood cell count is 38,000/mm3 but the client is afebrile. What
action does the nurse take first?
c. Post-microvascular bone transfer client whose distal leg is cool and pale - ✔9. A nurse is caring for
four clients. After the hand-off report, which client does the nurse see first?
c. Handle the affected extremity with caution. - ✔10. A client has a metastatic bone tumor. What
action by the nurse takes priority?
c. Handling and disposing of chemotherapeutic agents per policy - ✔11. A hospitalized client is being
treated for Ewings sarcoma. What action by the nurse is most important?
a. Assess the clients coping skills and support systems. - ✔12. A client with bone cancer is
hospitalized for a limb salvage procedure. How can the nurse best address the clients psychosocial
needs?
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