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NUR 529 Exam 4 review Questions and Correct
Answers
An adult female client visits with her health care provider about pain in her hand. She
describes it as an audible grinding and cracking sound, especially in her thumb. "I had to buy
an automatic jar opener...I just can't grasp and open a jar...it just hurts too badly." The health
care provider suspects the client has a degenerative form of joint disease that is often
evidenced by:
✓ ~: Osteoarthritis
A female athlete has been diagnosed with amenorrhea due to intense training for a spot on the
Olympic swimming team. As a health care provider, which of the following should be
implemented to prevent premature osteoporosis?
✓ ~: Calcium/Vitamin D supplements
A 77-year-old woman has been admitted to the geriatric medical unit of the hospital for the
treatment of pneumonia. The nurse providing care for the client notes the presence of nasal
calcitonin, vitamin D, and calcium chloride on the client's medication administration record.
The nurse should conclude that this client likely has a history of:
Osteoporosis
✓ ~: Osteoporosis
Which of the following measures should a public health nurse recommend to middle-aged
women to reduce their chances of developing osteoporosis later in life?
✓ ~: Calcium supplementation and regular physical activity
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Which of the following statements about bone mass and the elderly is accurate?
✓ ~: Bone resorption and formation are no longer perfectly coupled, and bone mass is lost.
While discussing hormonal control of bone formation, one should note that which hormone
lowers blood calcium levels and decreases bone resorption?
✓ ~: Calcitonin
A client with a history of osteoarthritis in his hip, which he refers to as "bad hip," is also
complaining of knee pain. The physiological principle behind this would include the fact that:
All joints of an extremity are innervated by the same peripheral nerves as they travel down
the limb.
✓ ~: All joints of an extremity are innervated by the same peripheral nerves as they travel
down the limb.
How are the oxygenation needs of the articulating areas in a synovial joint met?
✓ ~: Oxygen is provided to the articulating areas indirectly by synovial fluid.
A 5-year-old girl has been presented for care by her father due to her recent development of
macules on her trunk, extremities, and mucous membranes. The child is mildly febrile, but
her primary symptom is extreme pruritus. What disorder of the skin should the clinician who
is assessing the child first suspect?
✓ ~: Varicella
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