final review Flashcards

1
Q

which is not one of the 4 major parts of a healthy synovial joint?

a. joint capsule & synovial fluid
b. subchondral bone plate
c. osteophytes
d. articular cartilage

A

C

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2
Q

which is not a risk for the development of OA?

a. occupation as brick layer for 20 years
b. riding exercise bike twice a week for 30 min
c. having a BMI > 30
d. participated in high school and college soccer

A

B

*A,C,D = risk factors for OA

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3
Q

what is major difference between RA and SLE?

a. type III hypersensitivity
b. pharmacotherapy
c. systemic inflammation
d. affects primarily joints

A

D

*RA = joints with systemic inflammation
*SLE = just systemic inflammation

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4
Q

a nurse is caring for a client who has Bouchard’s nodes. which joint does the nurse expect to be swollen?

a. vertebral joints
b. distal interphalangeal joints
c. proximal interphalangeal joints
d. metacarpopohalangeal joints

A

C

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5
Q

in teaching nursing students about the causes of spinal nerve impingement, which statement by the student indicates further teaching is needed?

a. Herniated disc may cause impingement
b. Disc thickening may cause impingement
c. Osteocyte formation may cause impingement
d. Compression of disc may cause impingement

A

B

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6
Q

which bone is NOT composed mostly of trabecular bone?

a. ulna
b. hip
c. wrist
d. vertebrae

A

A

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7
Q

The nurse is teaching a client about Raloxifene. Further teaching is required when the client states?

a. I may experience hot flashes while taking medication
b. I should still take my calcium and vitamin supplements
c. I should not drink alcohol while taking medication
d. This medication works by replacing estrogen

A

D

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8
Q

A client fell down the stairs and presented to the ED with groin pain and inability to bear weight on their right leg. Which other manifestations would the nurse expect?

a. Right leg shorter than left
b. Calf tenderness
c. Internal rotation of right leg
d. Swelling in the middle portion of the femur

A

A

*complications with calf tenderness: DVT, compression syndrome

c- external rotation is expected NOT internal

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9
Q

Four days post-femur fracture, the client c/o anxiety, dyspnea, and chest pain on inspiration. When contacting the physician, the nurse anticipates an order for:

a. ECG
b. bone scan
c. CT scan
d. Ativan (Lorazepam)

A

C

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10
Q

a nurse is reviewing the cell cycle in relation to tumor growth. what statement is correct?

a. Cells spend the majority of the time in the S phase, or DNA synthesis phase
b. All cancer treatment work in the same phase of the cell cycle
c. In general, solid tumors cells are in the resting phase
d. Cancer treatments target the cell growth phase

A

C

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11
Q

The nurse is caring for a patient who is receiving high-dose chemotherapy for breast cancer. The patient is told they are in the nadir– what are the nurses top concerns during this period? Select all that apply.

a. infection
b. stomatitis
c. N/V
d. low Hgb
e. increased bruising

A

A, D, E

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12
Q

the nurse is administering doxorubicin, an anti tumor antibiotic. what side effect is the nurse most concerned about?

a. heart problems
b. kidney dysfunction
c. hemorrhagic cystitis
d. peripheral neuropathy

A

A - cardiotoxicity

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