100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Lewis NCLEX Ch 62 Question and answer correctly solved $12.49   Add to cart
Quickly navigate to
Preview
  2.  
  3. Musculoskeletal
  4.  
  5. Musculoskeletal

Exam (elaborations)

Lewis NCLEX Ch 62 Question and answer correctly solved
 10 views  0 purchase
  • Course
  • Musculoskeletal
  • Institution
  • Musculoskeletal

Lewis NCLEX Ch 62 Question and answer correctly solved A 63-year-old woman has been taking prednisone (Deltasone) daily for several years after a kidney transplant to prevent organ rejection. What is most important for the nurse to assess? A. Staggering gait B. Ruptured tendon C. Back or neck ...

[Show more]

Preview 2 out of 12  pages

Document information

  • August 18, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

Written for

  • Musculoskeletal
  • Musculoskeletal

Seller

avatar-seller
Academia199

Reviews received

Content preview

Lewis NCLEX Ch 62 - Musculoskeletal
System
A 63-year-old woman has been taking prednisone (Deltasone) daily for
several years after a kidney transplant to prevent organ rejection. What is
most important for the nurse to assess?


A. Staggering gait
B. Ruptured tendon
C. Back or neck pain
D. Tardive dyskinesia - correct answer ✔C. Back or neck pain


Osteoporosis with resultant fractures is a frequent and serious complication of
systemic corticosteroid therapy. The ribs and vertebrae are affected the most,
and patients should be observed for signs of compression fractures (back and
neck pain). Phenytoin (Dilantin) is an antiseizure medication. An adverse
effect of phenytoin is an ataxic (or staggering) gait. A rare adverse effect of
ciprofloxacin (Cipro) and other fluoroquinolones is tendon rupture, usually of
the Achilles tendon. The highest risk is in people age 60 and older and in
people taking corticosteroids. Antipsychotics and antidepressants may cause
tardive dyskinesia, which is characterized by involuntary movements of the
tongue and face.


The home care nurse visits an 84-year-old woman with pneumonia after her
discharge from the hospital. Which assessment finding would the nurse
expect because of age-related changes in the musculoskeletal system?


A. Positive straight-leg-raising test
B. Muscle strength is scale grade 3/5
C. Lateral S-shaped curvature of the spine

, D. Fingers drift to the ulnar side of the forearm - correct answer ✔B. Muscle
strength is scale grade 3/5


Decreased muscle strength is an age-related change of the musculoskeletal
system caused by decreased number and size of the muscle cells. The other
assessment findings indicate musculoskeletal abnormalities. A positive
straight-leg-raising test indicates nerve root irritation from intervertebral disk
prolapse and herniation. An ulnar deviation or drift indicates rheumatoid
arthritis due to tendon contracture. Scoliosis is a lateral curvature of the spine.


The nurse admits a 55-year-old female with multiple sclerosis to a long-term
care facility. Which finding is of most immediate concern to the nurse?


A. Ataxic gait
B. Radicular pain
C. Severe fatigue
D. Urinary retention - correct answer ✔A. Ataxis gait


An ataxic gait is a staggering, uncoordinated gait. Fall risk is the highest in
individuals with gait instability or visual or cognitive impairments. The other
signs and symptoms (e.g., fatigue, urinary retention, radicular pain) may also
occur in the patient with multiple sclerosis and need to be managed, but are
not the priority.


A 57-year-old postmenopausal woman is scheduled for dual-energy x-ray
absorptiometry (DXA). Which statement, if made by the patient to the nurse,
indicates understanding of the procedure?


A. "The bone density in my heel will be measured."
B. "This procedure will not cause any pain or discomfort."

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Academia199. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75632 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart