Chapter 64 Nursing Management Musculoskeletal Problems
Chapter 64: Nursing Management: Musculoskeletal Problems
Test Bank
MULTIPLE CHOICE
1. A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic
irrigation. Which intervention will be included in the initial plan of care?
a. Immobilization of the left leg
b. Positioning the left leg in flexion
c. Assisted weight-bearing ambulation
d. Quadriceps-setting exercise repetitions
ANS: A
Immobilization of the affected leg helps decrease pain and reduce the risk for pathologic fractures. Weight-bearing exercise increases the risk for pathologic fractures. Flexion of the affected limb is avoided to prevent contractures.
DIF: Cognitive Level: Apply (application)
REF:
1541-1542
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
2. A 50-year-old patient is being discharged after a week of IV antibiotic therapy for acute
osteomyelitis in the right leg. Which information will be included in the discharge teaching?
a. How to apply warm packs to the leg to reduce pain
b. How to monitor and care for the long-term IV catheter
c. The need for daily aerobic exercise to help maintain muscle strength
d. The reason for taking oral antibiotics for 7 to 10 days after discharge
ANS: B
The patient will be on IV antibiotics for several months, and the patient will need to recognize signs of infection at the IV site and how to care for the catheter during daily activities such as bathing. IV antibiotics rather than oral antibiotics are used for acute osteomyelitis. Patients are instructed to avoid exercise and heat application because these will increase swelling and the risk for spreading infection.
DIF: Cognitive Level: Apply (application)
REF:
1542
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
3. A 67-year-old patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the
left femur. The nurse chooses a nursing diagnosis of ineffective health maintenance when the nurse finds that the patient
Test Bank
MULTIPLE CHOICE
1. A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic
irrigation. Which intervention will be included in the initial plan of care?
a. Immobilization of the left leg
b. Positioning the left leg in flexion
c. Assisted weight-bearing ambulation
d. Quadriceps-setting exercise repetitions
ANS: A
Immobilization of the affected leg helps decrease pain and reduce the risk for pathologic fractures. Weight-bearing exercise increases the risk for pathologic fractures. Flexion of the affected limb is avoided to prevent contractures.
DIF: Cognitive Level: Apply (application)
REF:
1541-1542
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
2. A 50-year-old patient is being discharged after a week of IV antibiotic therapy for acute
osteomyelitis in the right leg. Which information will be included in the discharge teaching?
a. How to apply warm packs to the leg to reduce pain
b. How to monitor and care for the long-term IV catheter
c. The need for daily aerobic exercise to help maintain muscle strength
d. The reason for taking oral antibiotics for 7 to 10 days after discharge
ANS: B
The patient will be on IV antibiotics for several months, and the patient will need to recognize signs of infection at the IV site and how to care for the catheter during daily activities such as bathing. IV antibiotics rather than oral antibiotics are used for acute osteomyelitis. Patients are instructed to avoid exercise and heat application because these will increase swelling and the risk for spreading infection.
DIF: Cognitive Level: Apply (application)
REF:
1542
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
3. A 67-year-old patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the
left femur. The nurse chooses a nursing diagnosis of ineffective health maintenance when the nurse finds that the patient