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HESI Case Studies - Gerontology-Risk for Falls, Hip Fractures, and Pulmonary Embolism (Susan Weil
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HESI Case Studies - Gerontology-Risk for Falls, Hip Fractures, and Pulmonary Embolism (Susan Weil
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10/18/24, 4:14 PMHESI Case Studies--Gerontology-Risk for Falls, Hip
Fractures, and Pulmonary Embolism (Susan Weil)
Terms in this set (31)
A. An autoimmune disorder that typically affects the small joints in the hands and
feet.
B. Involves reduced bone mineral density that weakens the bone and increases the
risk for fractures.
C. A primary benign bone tumor characterized by overgrowth of both cartilage and
1. The nurse understands that which
bone near the end of the bone plate.
information is correct about osteoarthritis?
D. A noninflammatory condition involving formation of new joint tissue in response to
cartilage destruction.
Osteoarthritis results from cartilage damage that initiates a metabolic response of
the chondroyctes. It is a slowly progressive disorder of the diathrodial (synovial)
joints.
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, 10/18/24, 4:14 PM
A. Fatigue.
B. Joint pain.
C. Fever.
D. Swollen nodes of the joints.
E. Asymmetrical involvement of the joints.
2. The nurse expects to see which
manifestations of osteoarthritis in Mrs. Pain typically worsens with joint use and may be relieved with rest in the early stages.
Weil? (Select all) In advanced osteoarthritis, pain may worsen, causing sleep disturbances and
interfering with activities of daily living.
Heberden's nodes, bony bumps on finger joints closest to the fingernails, or
Bouchard's nodes, bony bumps on the middle joint of the finger, can form on the
joints and cause visible disfigurement and tenderness.
Osteoarthritis typically affects joints asymmetrically and most commonly involves the
joints of the fingers, thumb, hips, knees, feet, and cervical and lower lumbar
vertebrae.
A. Black, tarry stools.
B. Swelling in the extremities.
3. Which symptom should Mrs. Weil report
immediately while taking a non-steroidal C. Nausea.
anti-inflammatory drug (NSAID)?
D. Constipation.
NSAIDS can cause bleeding tendencies in addition to ulcer formation.
A. Take this medication at bedtime.
B. Remain upright (sitting or standing) for at least 30 minutes after taking this
medication.
4. When the nurse is teaching Susan about
medications for osteoporosis, which
C. Take this medication at the same time every day.
instruction is most important, knowing that
Susan takes alendronate (Fosamax), a
D. Always take alendronate (Fosamax) with the mid-day meal to prevent stomach
biphosphonate?
upset.
Biphosphonates can cause erosion in the esophagus. Lying down or reclining after
administration can allow regurgitation into the esophagus.
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