59. The nurse is teaching a client with osteomalacia how to take prescribed vitamin D

59. The nurse is teaching a client with osteomalacia how to take prescribed vitamin D supplements. The nurse stresses the importance of taking only the prescribed amount because high doses of Vitamin D can be toxic. Early signs and symptoms of vitamin D toxicity include: a. GI upset and metallic taste b. Dry skin, hair loss and inflamed mucous membranes c. Flushing and orthostatic hypotension d. Sensory neuropathy and difficulty maintaining balance 60. The nurse is caring for a client with burns on his legs. Which nursing intervention will help to prevent contractures? c. Hyperextending the client’s legs d. Performing shoulder-range of motion (ROM) exercises a. Applying knee splints b. Elevating the foot of the bed 61. Which nursing diagnosis takes highest priority for a client with a compound fracture? a. Imbalanced nutrition: Less than body requirements related to immobility b. Impaired physical mobility related to trauma c. Risk for infection related to effects of trauma d. Activity intolerance related to weight-bearing limitations 62. After a traumatic back injury, a client requires skeletal traction. When caring for this client, the nurse must: a. Change the client’s position only if ordered by the physician b. Maintain traction continuously to ensure its effectiveness c. Support the traction weights with a chair or table to prevent accidental slippage d. Restrict the client’s fluid and fiber intake to reduce the movement required for bedpan use 63. Which of the following nursing intervention is essential in caring for a client with compartment syndrome? a. Keeping the affected extremity below the level of the heart b. Wrapping traction continuously to ensure its effectiveness c. Removing all external sources of pressure such as clothing and jewelry d. Starting an IV line in the affected extremity in anticipation of venogram studies 64. A client complains of excruciating pain and inflammation in the joint of the great left toe. Her serum urate level is 9mg/dl. The physician diagnoses an acute attack of gouty arthritis and prescribes colchicine 1mg PO as initial dose followed by 0.5mg PO every hour (not to exceed 4mg in 24 hours) until the pain ceases. How long after oral administration of colchicine should pain relief occur? a. 30 to 45 minutes b. 1 to 2 hours c. 4 to 12 hours d. 12 to 48 hours 65. During a scoliosis screening in a college health center a student asks the public health nurse about the consequence of untreated scoliosis. The nurse would be accurate by identifying one of the direct complications as: a. oporosis of the vertebra c. Spontaneous spinal cord injury b. Impingement on pulmonary function d. Pituitary hyposecretion 66. Which of the following is the most appropriate nursing diagnosis for a client with a strained ankle? a. Impaired skin integrity c. Risk for deficient fluid volume b. Impaired physical mobility d. Disturbed body image 67. A client is undergoing an extensive diagnosis workup for suspected muscular dystrophy. The nurse knows that muscular dystrophy has many forms but that one assessment finding is common to all forms. Which finding belongs in a. Muscle weakness c. Pseudohypertrophy of the cal muscles b. Cardiac muscle involvement d. Muscle pain 68. A client with gangrene of the left foot is scheduled for below-knee amputation. When planning preoperative care the nurse should assign highest priority to which nursing diagnosis? a. Imbalanced nutrition: Less than body requirements related to stress b. Impaired physical mobility related to effects of surgery c. Disturbed body image related to loss of body part d. Deficient knowledge related to denial 69. A client with acute osteomyelitis is to receive parenteral penicillin for 4 to 6 weeks. Before administering the first dose the nurse asks the client about known allergies. An allergy to which antibiotic or antibiotic class necessities cautions use of penicillin? a. Tetracyclines b. Aminoglycosides c. Erythromycin d. Cephalosporins 70. After a car accident, a client is admitted to an acute care facility with multiple traumatic injuries, including a fractured pelvis. For 24 to 48 hours after the accident, the nurse must monitor the client closely for which potential complication of a fractured pelvis? a. Compartment syndrome b. Fat embolism c. Infection d. Volkman’s ischemic contracture 71. A client is hospitalized for open reduction of a fractured tumor. During postoperative assessment, the nurse monitors for signs and symptoms of fat embolism, which include: a. Pallor and coolness of the affected leg b. Nausea and vomiting after eating c. Hypothermia and bradycardia d. Restlessness and petechiae 72. After surgery to treat a hip fracture, a client returns from the postanesthesia care unit to the medical-surgical unit. Postoperatively, how should the nurse position the client? a. With the affected hip flexed acutely b. With the leg on the affected side abducted C. With the leg on the affected side adducted d. With the affected hip rotated externally

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