A client who has suffered from severe rheumatoid arthritis for 10 years has decided not to have surgery after injuring a leg in a fall. Which of the following describes how the nurse would advocate for this client in this case? Select all that apply.

A client with chronic pain due to arthritis is diagnosed with a stomach ulcer. Which of the following medications is appropriate for the nurse to give the client for arthritis pain relief?

The nurse received report on 4 clients and has decided that the client who needs methotrexate should be seen first. Which of the following clients needs methotrexate?

A nurse is caring for a 78-year-old client with severe, debilitating rheumatoid arthritis who lives at home with the spouse. The nurse assesses the client’s level of safety in the home. Which aspects should be included as part of this home safety assessment? Select all that apply.

A 68-year-old client suffers from rheumatoid arthritis in the joints of her arms, legs, and hands. The doctor has prescribed oral corticosteroid treatment for the client’s condition. Which information should the nurse include about how this medication works to treat arthritis?

Which of the following is an example of a short-acting corticosteroid used for the management of arthritis?

Etanercept is a subcutaneous injection given for rheumatoid arthritis. The nurse understands that this drug does which of the following?

A client with potential rheumatoid arthritis is having laboratory testing and requires an ESR blood test. Which of the following best describes the ESR?

A client takes medication for rheumatoid arthritis. The nurse reviews the client’s list of medications and knows that which of the following medications is used to treat and manage rheumatoid arthritis?

Which of the following is an example of a topical agent that may be applied for arthritis relief?

A 27-year-old male presents to the clinic with complaints of severe pain and inflammation of the joints of the big toe. What additional assessment finding is most consistent with a diagnosis of gout?

The nurse is educating a client on managing gout. Which of the following statements by the client indicates more education is necessary? Select all that apply.

The patient denies any past medical problems but is currently on numerous medications. Which medications would indicate the patient has gout?

Which patient is at the highest risk for gout?

A client is being seen for treatment of gout. The client is in the acute stage of an attack of gouty arthritis. For which of the following signs or symptoms should the nurse assess?

A nurse is educating a client about osteoarthritis and how best to manage the condition at home. Which of the following statements made by the client indicates that more teaching is necessary?

A client who is bedridden is complaining of joint pain. Which of the following interventions would be most helpful for providing comfort?

A client is suffering from osteoarthritis in the knees and the nurse is providing care. The nurse is assessing the client’s pain level and pain tolerance. Based on the nurse’s understanding of pain, the nurse knows that a client’s pain tolerance is most likely increased by which of the following?

A 70-year-old client has been diagnosed with osteoporosis after suffering an arm fracture when bumping into a counter. The client’s husband asks the nurse why his wife’s arm was broken so easily. Which of the following statements are correct about osteoporosis? Select all that apply.

Which of the following are risk factors for osteoporosis? Select all that apply.

A 70-year-old client has been diagnosed with osteoporosis after undergoing a bone mineral density test. When reviewing the results of the test, the nurse explains to the client that the T score is which of the following?

An older adult client presents to the emergency room with a suspected hip fracture. Which of the following is an expected finding? Select all that apply.

A client with osteoporosis asks the nurse how to prevent fractures from the condition. The nurse should tell the client to avoid which of the following positions?

A 67-year-old client is being seen following an arm fracture. The client was diagnosed with osteoporosis last year and has been making lifestyle changes to manage the condition. The physician now wants to start the client on medication to control the disease. Which type of medication would most likely be prescribed to prevent the breakdown of bone tissue in the body?

A nurse is helping a client to get up out of bed after hip replacement surgery. Which action would the nurse implement that would most likely prevent a fall in this client?

The student nurse is reviewing the chart of an assigned client and notes that the client has bone resorption. Which of the following would the student expect to see when assessing this client?

A nurse is helping a client who is non-weight bearing on the left leg take a shower. Which of the following items are necessary for the non-weight bearing client to transfer successfully into the shower? Select all that apply.

A 70-year-old client is at the primary care clinic for a routine physical exam. The nurse is talking to the client about changes in nutrition needs as an older adult. Which type of nutrient is the client at the greatest risk of a deficiency?

A nurse is caring for a client who has suffered a fracture to the humerus after falling on their outstretched arm. The ends of the bone were driven into each other during the fall. This type of fracture is best described as which of the following?

A nurse is caring for a client who has suffered an arm fracture and has a fiberglass cast applied. Which information should the nurse give to the client to help him reduce swelling in the extremity?

A pediatric nurse is caring for a 2-year-old child who suffered a femur fracture. The child has a cast on the leg and has been placed in Bryant’s traction. Which of the following considerations must the nurse implement when working with a child who uses this traction?

The nurse is caring for a client with a broken femur. The client is at higher risk for which of the following due to this specific bone fracture? Select all that apply.

A nurse is caring for a client and is preparing to administer an intramuscular injection of pain medication in the deltoid. Which of the following would be a contraindication to administering medication with this route? Select all that apply.

A nurse is caring for a 3-year-old client who has suffered an arm fracture. The arm has been casted in a plaster cast and the nurse is providing discharge teaching to the family. Which information should the nurse include as part of teaching?

A nurse is reviewing discharge paperwork for a client with a sprained ankle. The nurse knows that mnemonics are useful for clients to retain information. Which mnemonic is appropriate for this client?

The nurse is caring for a ten year old child who recently fractured the left ulna. The child now has a hard cast on the injured arm. Which of the following are important education topics to review with this child’s parent? Select all that apply.

A nurse is examining a client with an obvious deformity of the forearm. Which of the following should the nurse include in the focused assessment? Select all that apply.

A nurse is caring for a client with a right lower leg hard cast. The client asks the nurse why elevating the affected leg on pillows is important. What is an appropriate response by the nurse?

The nurse is caring for a client with a new left leg cast. The client reports increased pain to the affected leg. Which of the following are appropriate nursing interventions for the nurse to implement while caring for this client? Select all that apply.

The nurse is caring for a client who recently had an open reduction and internal fixation (ORIF) of the right radius. When the nurse is performing the physical assessment, the client reports increased pain and numbness to the right forearm. Which of the following actions should the nurse complete first?

A nurse is caring for a client who suffered a fall from a ladder and a subsequent Grade II hip and femur fracture. The client had surgery to repair it and is currently in a cast. On assessment, the nurse notes pallor and paresthesia, and the client reports increasing pain despite pain medications or elevation. The nurse is concerned for which possible complication?

The nurse is caring for a client who suffered a left leg tibial fracture two days ago. The client currently has a long leg cast applied to the affected leg. Which of the following would indicate circulatory impairment when assessing this client’s affected extremity? Select All That Apply.

The nurse is caring for a client who is admitted for acute osteomyelitis. The client’s vital signs are as follows: Temperature: 102.1 degrees fahrenheit Blood pressure: 88/50 Heart rate: 107 Respiratory rate: 20 Pulse oximetry: 97% on room air Which orders does the nurse expect the provider to order for this client based on this set of vital signs? Select all that apply.

The nurse is caring for a newly admitted client with osteomyelitis. Which of the following is a not a nursing priority when caring for this client?

The nurse is caring for a client with suspected osteomyelitis. Which of the following are key features of this condition? Select all that apply.

The nurse is working with a client who is hospitalized for osteomyelitis. The nurse notes that this is the client’s third hospitalization for osteomyelitis in three months. Which of the following conditions in this client’s health history does NOT put the client at higher risk for developing osteomyelitis?

The home care nurse is caring for a client who was recently discharged from the hospital with a diagnosis of osteomyelitis. The nurse learns that the client stopped taking the prescribed oral antibiotics once symptoms improved. What is an appropriate response from the nurse?

The nurse is caring for a 10-year-old who was recently diagnosed with osteosarcoma. When reviewing treatment options with the family, the nurse knows that which of the following is the treatment of choice in early stages of osteosarcoma?

The new graduate nurse on a surgical oncology floor is reviewing osteosarcoma signs and symptoms. Which of the following findings does the nurse review that can be seen in a client with osteosarcoma? Select all that apply.

The nurse is floating to the oncology floor. Which of the following items regarding the prevalence of osteosarcoma is NOT true?

The nurse is caring for a 15-year-old client who was recently diagnosed with osteosarcoma. The client’s parent talks about feeling guilty for waiting so long to bring the client in for evaluation. Based on what the nurse knows about osteosarcoma, which of the following is the most likely reason that this parent waited to bring the client in for evaluation?

The nurse is caring for a 14-year-old client recently diagnosed with osteosarcoma who just started chemotherapy. Which of the following is the correct reason as to why is it important to monitor a creatinine level closely in this client?

A client had a bilateral above the knee amputation due to a motor vehicle accident and is tearful when the nurse lifts the blanket to view the stumps. Which of the following would the nurse consider doing to help the client with his psychological state? Select all that apply.

A diabetic client arrives on the floor after a below the knee amputation and the stump is dressed and clean. Which of the following orders should the nurse implement first?

The nurse is caring for a client following a left foot amputation two days ago. Which of the following orders would the nurse question?

A nurse is working with a client who will be having limb amputation and will need a prosthetic limb. Which of the following aspects should be included during the pre-op phase of surgery for this client? Select all that apply.

A nurse is helping a client to walk down the hall in the unit of the hospital. The client has recently had a prosthetic lower limb placed on his left lower leg. Which of the following should the nurse suggest to help the client to properly walk with this prosthesis? Select all that apply.

A client who has undergone a below-the-knee amputation is getting ready for a fitting for prosthesis. The nurse performs interventions to shrink the leg stump. Which activity is part of stump shrinkage? Select all that apply.

A nurse arrives and is assigned four clients to care for. The nurse knows that which of the following clients are the least at risk for developing the need for an amputation?

The client admitted for rhabdomyolysis is complaining of increased pain and swelling in the leg. The nurse performs an assessment and gathers client history. The nurse is concerned about compartment syndrome because of which of the following client history that was collected?

A client arrives to the emergency room suffering from a crush injury. The client presents with symptoms of compartment syndrome. Which of the following symptoms is the most common sign that would lead the nurse suspect compartment syndrome?

The surgical nurse is preparing the client for amputation because of compartment syndrome in the right arm. The nurse knows that which of the following should be done first?

A client comes into the emergency room with a swollen, tight, painful leg. The nurse is concerned about compartment syndrome and knows that which of the following should be the nurse’s first action?

The emergency room nurse is assisting with a client that needs an emergency fasciotomy of the left arm. The nurse knows that which of the following should be completed first?

A client arrives to the emergency room with a crush injury from a motor vehicle accident. The nurse is reviewing the client symptoms and knows that all of the following are signs of compartment syndrome except which of the following?

A client admitted with compartment syndrome is being prepared for a fasciotomy. The nurse knows that which of the following is the reason compartment syndrome requires the need of a fasciotomy?

A nurse is educating a client on signs and symptoms of compartment syndrome. Which of the following signs would be included? Select all that apply.

A nurse is caring for a client who suffered a fall from a ladder and a subsequent Grade II hip and femur fracture. The client had surgery to repair it and is currently in a cast. On assessment, the nurse notes pallor and paresthesia, and the client reports increasing pain despite pain medications or elevation. The nurse is concerned for which possible complication?

A client arrives to the emergency room after a motor vehicle collision. The client is complaining of severe, stabbing pain to his right lower leg and the skin appears shiny and taut. The nurse positions the client’s right leg at which of the following levels?

A 90-year-old client is admitted to the unit after being found on an apartment floor. The client had been lying in the same position for three days and is diagnosed with rhabdomyolysis. Which of the following actions should the nurse take first?

A client with the diagnosis for rhabdomyolysis has orders for lab work to be done. The nurse is reviewing the lab orders and knows that which of the following lab value help diagnose the client with rhabdomyolysis?

A client is admitted with rhabdomyolysis after joining a spinning class and overworking the legs. The client asks why the legs hurt so bad and the nurse knows that which of the following explanations about overworking the muscles would be best to give?

The nurse received a client into the trauma bay after a suspected suicide attempt. Witnesses state the client jumped from a 35 foot ledge landing on his/her back. The nurse stabilized the client and inserted a urinary catheter. A scant amount of dark, tea colored urine is noted in the collection bag. The nurse should obtain orders for which of the following first?

The client admitted for rhabdomyolysis has received three fluid boluses and has normal saline infusing at 125/hr. The client begins to feel short of breath and the nurse listens to the chest and hears crackles. The vitals are determined to be stable except for the pulse ox reading 86%. Which of the following is the nursing priority?

A nurse is reviewing labs on an unconscious client who arrived to the emergency room. Which of the following abnormal lab values would make the nurse suspect a traumatic crush injury?

A nurse is caring for a client admitted for rhabdomyolysis after being found lying on the floor for three days. Which of the following orders should the nurse expect to implement?