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Ch. 45 concepts of care for patients with musculoskeletal problems Question and answers verified to pass
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Ch. 45 concepts of care for patients with musculoskeletal problems Question and answers verified to pass A client has a bone density score of -2.8. What intervention would the nurse anticipate based on this assessment? a Asking the client to complete a food diary test b. Planning to teach about...

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  • August 18, 2024
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  • 2024/2025
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  • ch 45 concepts of care for patients with musculos
  • ch 45 concepts of care for patients with muscul

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Ch. 45 concepts of care for patients with
musculoskeletal problems
A client has a bone density score of -2.8. What intervention would the nurse
anticipate based on this assessment?
a Asking the client to complete a food diary test
b. Planning to teach about bisphosphonates
c. Scheduling another scan in 2 years
d. Scheduling another scan in 6 months test - correct answer ✔ANS: B
A T-score from a bone density scan at or lower than -2.5 indicates
osteoporosis. The nurse would plan to teach about medications used to treat
this disease, such as the bisphosphonates. A food diary is helpful to
determine if the client gets adequate calcium and vitamin D, but at this point,
dietary changes will not prevent the disease. Simply scheduling another scan
will not help treat the disease either. birb.com/test


The nurse teaches assistive personnel (AP) about care of an older adult
diagnosed with osteoporosis. What teaching would the nurse include?
a. Teach the client to eat high-calcium foods in the diet ."
b. "Assist the client with activities of daily living."
c. Osteoporosis places the client is at risk for fractures."
d. The client should stay in bed to prevent falling . - correct answer ✔ANS: C
Anyone who has osteoporosis is at risk for fragility fractures even if he or she
does not experience trauma like a fall. The client needs to keep active rather
than stay in bed where more bone could be lost. High-calcium foods may not
be helpful because bone loss is already severe. There is no indication that the
client needs assistance with ADLs.

, A client has been advised to perform weight-bearing exercises to help slow
bone loss, but has not followed this advice. What response by the nurse is
appropriate at this time?
a. Ask the client about fear of falling.
b. Instruct the client to increase calcium.m
c. Suggest other exercises the client can do.
d. Tell the client to try weight lifting. - correct answer ✔ANS: A
Fear of falling can limit participation in activity. The nurse would first assess if
the client has this fear and then offer suggestions for dealing with it. The client
may or may not need extra calcium, other exercises , or weight lifting


The nurse is caring for several clients with osteoporosis. For which client
would bisphosphonates not be a good option?
A. Client with diabetes who has a serum creatinine of 0.8 mg/dL
B. Client who recently fell and has vertebral compression fractures
C. Hypertensive client who takes calcium channel blockers
D. Client with a spinal cord injury who cannot tolerate sitting up - correct
answer ✔D
Clients on bisphosphonates must be able to sit upright for 30 to 60 minutes
after taking them. The client who cannot tolerate sitting up is not a good
candidate for this class of drug. Poor renal function also makes clients poor
candidates for this drug, but the client with a creatinine of 0.8mg / d * L (61 1
mcmol/L) is within normal range. Diabetes and hypertension are not related
unless the client also has renal disease. The client who recently fell and
sustained fractures is a good candidate for this drug if the fractures are related
to osteoporosis .


A client has been prescribed denosumab. What health teaching about this
drug is most appropriate for the nurse to include?
a . Drink at least 8 ounces (240 mL) of water with it." b. Make appointments to
come get your injection."

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