Bones play an important role in the body.
Which of the following in NOT a
function performed by the bones?
Secrete the hormone calcitonin and store blood cells.
True or False: Osteoporosis is a disease process that results in the thinning of
the matrix of pore-like structures within the compact bone.
False
_______ are found within the spongy bone and are responsible for building up the
bone matrix. While ________, which are also found in the spongy bone,
breakdown the bone matrix.
Osteoblasts, osteoclasts
Parathyroid hormone plays an important role in bone health. When the
parathyroid gland secretes PTH (parathyroid hormone) it causes:
the body to increase the calcium levels by stimulating the osteoclast activity.
Which patient below is NOT at risk for osteoporosis?
A 30 year old male who drinks alcohol occasionally and has a BMI of 28.
Your patient is scheduled for a DEXA scan this morning. The patient is having
heartburn and requests a PRN medication to help with relief. Which medications
can the patient NOT have at this time?
Calcium Carbonate
During an outpatient visit you are assessing the patient's understanding about
the signs and symptoms associated with osteoporosis. Select all of the signs and
symptoms stated by the patient that are correct:
Dowager's Hump
During discharge teaching to a patient at risk for developing osteoporosis, you
discuss the types of exercise the patient should perform. Which type of exercise
is not the best to perform to prevent osteoporosis?
Walking
You're caring for a patient who has a health history of severe osteoporosis. On
assessment you note the patient has severe kyphosis of the upper back. Which
nursing diagnosis takes priority for this patient's care?
Risk for falls
A patient is prescribed Alendronate (Fosamax) at 0800 for the treatment of
osteoporosis. As the nurse you know you must administer this medication:
on an empty stomach with a full glass of water and keep the patient upright for 30 minutes.
A patient is taking Calcitonin for osteoporosis. The patient should be monitored
for?
Hypocalcemia
Osteoarthritis develops due to the deterioration of the synovium within the joint
that can lead to complete bone fusion.
false
Which patients below are at risk for developing osteoarthritis? Select-all-that-
apply
A 65 year old male with a BMI of 35.
During a head-to-toe assessment of a patient with osteoarthritis, you note bony
outgrowths on the distal interphalangeal joints. You document these findings as:
Heberden's Nodes
A patient with osteoarthritis is describing their signs and symptoms. Which signs
and symptoms below are NOT associated with osteoarthritis? Select-all-that-
apply:
Morning stiffness greater than 30 minutes
A patient with osteoarthritis has finished their first physical therapy session. As
the nurse you want to evaluate the patient's understanding of the type of
exercises they should be performing regularly at home as self-management.
Select all the appropriate types of exercise stated by the patient:
Walking
A 63 year old patient has severe osteoarthritis in the right knee. The patient is
scheduled for a knee osteotomy. You are providing pre-op teaching about this
procedure to the patient. Which statement made by the patient is correct about
this procedure?
"This procedure will realign the knee and help decrease the amount of weight experienced on
my right knee."
A patient newly diagnosed with osteoarthritis asks about the medication
treatments for their condition. Which medication is NOT typically prescribed for
OA?
Oral corticosteroids
You receive your patient back from radiology. The patient had an x-ray of the hips
and knees for the evaluation of possible osteoarthritis. What findings would
appear on the x-ray if osteoarthritis was present? Select-all-that-apply:
Sclerosis of the bone
A 85 year old patient has an accidental fall while going to the bathroom without
assistance. It appears the patient has sustained a bone fracture to the left leg.
The leg's shape is deformed and the patient is unable to move it. The patient is
alert and oriented but in pain. What will you do FIRST after confirming the patient
is safe and stable?
B. Immobilize the fracture with a splint.
Which statement by a patient, who just received a cast on the right arm for a
fracture, requires you to notify the physician immediately?
B. "My pain is so severe that it hurts to stretch or elevate my arm."
What is a late sign of compartment syndrome?
D. Pulselessness
Select all the signs and symptoms that will present in compartment syndrome?
B. Pallor
Your patient is 2 hours post-op from a cast placement on the right leg. The
patient has family in the room. Which action by the significant other requires you
to re-educate the patient and family about cast care?
A. Gently moving the cast with the fingertips of the hands every 2 hours to help with drying.
A patient sustained a fracture to the femur. The patient has suddenly become
confused, restless, and has a respiratory rate of 30 breaths per minute. Based on
the location of fracture and the presenting symptoms, this patient may be
experiencing what type of complication?
C. Fat embolism
Which assessment finding found while assessing a patient with a fracture who
has traction requires immediate intervention?
A. The weights are freely hanging on the floor.
A 5 year old has a fracture of the right upper arm. The x-ray showed that one side
of the bone is bent while the other is broken. This known as a __________
fracture?
B. Greenstick
