Question

A nurse is reinforcing teaching with a client who has a new diagnosis of gout. The client asks the nurse how she got the disorder. Which of the following information should the nurse include in the teaching?

Answer 1

Correct Answers:

Uric acid crystal deposit(s) causing inflammation.

Rationale :

🔹 Gout results from the accumulation of uric acid crystals in the joints, triggering inflammation.

🔹 These crystals are usually deposited in the big toe, but can affect other joints.

🔹 The inflammation leads to pain, redness, and swelling commonly seen in gout attacks.

🔹 Uric acid buildup may be due to genetic factors, diet, or decreased kidney excretion.

🔹 Early recognition and education help in managing future attacks and preventing joint damage.

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Answer 2

Correct Answers:

Acute compartment syndrome

Rationale :

✴️ Severe pain and tingling in a limb after fracture suggest acute compartment syndrome.

✴️ This is a surgical emergency caused by increased pressure in a closed muscle compartment.

✴️ It leads to impaired blood flow, risking permanent muscle and nerve damage.

✴️ Early symptoms include pain out of proportion to injury and sensory changes (tingling/numbness).

✴️ Immediate intervention (fasciotomy) can save the limb and prevent disability.

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Answer 3

Correct Answers:

Regular weight-bearing exercise

Rationale :

◆ Weight-bearing exercise stimulates bone formation and slows bone loss in older adults.

◆ Activities like walking, dancing, or light jogging are recommended for bone health.

◆ Exercise is more effective than supplements alone for osteoporosis prevention.

◆ It also improves muscle strength, balance, and reduces fall risk.

◆ Sun exposure is important for vitamin D, but exercise is the primary strategy for bone strength.

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Answer 4

Correct Answers:

Use your palms to move the cast.

Rationale :

◼ Moving a damp plaster cast with palms prevents pressure points and dents.

◼ Fingertips can leave indentations that cause skin breakdown or poor healing.

◼ Palms provide even support while the cast dries and hardens.

◼ The cast must remain intact for effective immobilization and protection.

◼ Proper handling is vital to prevent complications like compartment syndrome or sores.

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Answer 5

Correct Answers:

Elevate the affected ankle to the level of the heart.

Rationale :

⬛ Elevation reduces swelling and pain by improving venous return from the injured site.

⬛ It helps minimize inflammation during the acute phase of an ankle sprain.

⬛ Elevate for 24–48 hours, especially in the initial period post-injury.

⬛ Heat is contraindicated in the first 24 hours; use ice instead.

⬛ Proper compression should not compromise circulation or cause numbness.

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Answer 6

Correct Answers:

It’s important to monitor all body systems for effects of the disease.

Rationale :

💠 Rheumatoid arthritis (RA) is a systemic autoimmune disease affecting more than just joints.

💠 Nurses must monitor for effects on heart, lungs, skin, and eyes.

💠 Osteoarthritis is usually limited to affected joints and is not systemic.

💠 Extra-articular manifestations may include nodules, vasculitis, or organ involvement.

💠 Comprehensive care and monitoring differentiate RA management from osteoarthritis care.

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Answer 7

Correct Answers:

"Your provider may prescribe a central catheter line for long term antibiotics.

Rationale :

✳️ Osteomyelitis often requires long-term IV antibiotics, best given through a central line.

✳️ Central catheters allow for safe, continuous therapy at home or in hospital.

✳️ Treatment can last weeks to months, depending on infection severity.

✳️ Proper line care and infection prevention must be reinforced.

✳️ Early, aggressive therapy is essential to prevent bone destruction or chronic infection.

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Answer 8

Correct Answers:

Twisting a ligament while walking

Rationale :

♦️ Sprains involve injury to ligaments, often from twisting or stretching beyond normal range.

♦️ A common example is twisting the ankle during walking or sports.

♦️ Strains affect muscles or tendons, usually from overuse or forceful contraction.

♦️ Ligament injuries lead to pain, swelling, and joint instability.

♦️ Correct classification guides first aid and long-term management.

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Answer 9

Correct Answers:

Shortening of the right leg.

Rationale :

💠Shortening of the affected leg after hip replacement signals possible dislocation of the prosthesis.

💠 This may be accompanied by pain, abnormal rotation, or inability to move the limb.

💠Immediate assessment and provider notification are essential.

💠Prevents further tissue injury and loss of function.

💠 Repositioning or surgical correction may be necessary for joint stability.

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Answer 10

Correct Answers:

Fever

Rationale :

✤ Fever is a classic sign of osteomyelitis due to bone infection and inflammation.

✤ Other symptoms can include pain, swelling, redness, and reduced mobility.

✤ Early recognition and treatment are key to preventing chronic bone disease.

✤ Other listed symptoms (cough, rash, headache) are not specific for osteomyelitis.

✤ Prompt reporting of fever in clients with bone injury or wound is essential.

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ATI LPN Medsurg Level II Exam

No.

1 :
A nurse is reinforcing teaching with a client who has a new diagnosis of gout. The client asks the nurse how she got the disorder. Which of the following information should the nurse include in the teaching?

2 :
A nurse is collecting data from a client who has multiple fractures in his left leg and reports severe pain and tingling in the extremity. The nurse should suspect which of the following complications?

3 :
Which of the following strategies is most effective in preventing osteoporosis in older adults?

4 :
A patient sustains a closed femur fracture of the right tibia and is placed in a long leg plaster cast, which is still damp. Which of the following methods should the nurse use to move the cast to prevent complications?

5 :
A nurse is reinforcing teaching with a client who has an ankle sprain. Which of the following instructions should the nurse include?

6 :
The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse must remember in which way RA care is different from osteoarthritis care. What type of nursing care does the nurse specifically provide for the patient with RA?

7 :
A nurse is reinforcing teaching with a client that has osteomyelitis of an open wound on his heel. Which of the following information should the nurse include?

8 :
A nurse at an urgent care center is reinforcing information with a new employee about the difference between sprains and strains. Which of the following examples should the nurse include as a cause of sprain injury?

9 :
A nurse is caring for a client who is 3 days post-operative from a right hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should examine the client for which of the following manifestations of dislocation of the hip prosthesis.

10 :
Which of the following is a common symptom of osteomyelitis?

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ATI LPN Medsurg Level II Exam

No.

1 : A nurse is reinforcing teaching with a client who has a new diagnosis of gout. The client asks the nurse how she got the disorder. Which of the following information should the nurse include in the teaching?

2 : A nurse is collecting data from a client who has multiple fractures in his left leg and reports severe pain and tingling in the extremity. The nurse should suspect which of the following complications?

3 : Which of the following strategies is most effective in preventing osteoporosis in older adults?

4 : A patient sustains a closed femur fracture of the right tibia and is placed in a long leg plaster cast, which is still damp. Which of the following methods should the nurse use to move the cast to prevent complications?

5 : A nurse is reinforcing teaching with a client who has an ankle sprain. Which of the following instructions should the nurse include?

6 : The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse must remember in which way RA care is different from osteoarthritis care. What type of nursing care does the nurse specifically provide for the patient with RA?

7 : A nurse is reinforcing teaching with a client that has osteomyelitis of an open wound on his heel. Which of the following information should the nurse include?

8 : A nurse at an urgent care center is reinforcing information with a new employee about the difference between sprains and strains. Which of the following examples should the nurse include as a cause of sprain injury?

9 : A nurse is caring for a client who is 3 days post-operative from a right hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should examine the client for which of the following manifestations of dislocation of the hip prosthesis.

10 : Which of the following is a common symptom of osteomyelitis?

1 :
A nurse is reinforcing teaching with a client who has a new diagnosis of gout. The client asks the nurse how she got the disorder. Which of the following information should the nurse include in the teaching?

2 :
A nurse is collecting data from a client who has multiple fractures in his left leg and reports severe pain and tingling in the extremity. The nurse should suspect which of the following complications?

3 :
Which of the following strategies is most effective in preventing osteoporosis in older adults?

4 :
A patient sustains a closed femur fracture of the right tibia and is placed in a long leg plaster cast, which is still damp. Which of the following methods should the nurse use to move the cast to prevent complications?

5 :
A nurse is reinforcing teaching with a client who has an ankle sprain. Which of the following instructions should the nurse include?

6 :
The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse must remember in which way RA care is different from osteoarthritis care. What type of nursing care does the nurse specifically provide for the patient with RA?

7 :
A nurse is reinforcing teaching with a client that has osteomyelitis of an open wound on his heel. Which of the following information should the nurse include?

8 :
A nurse at an urgent care center is reinforcing information with a new employee about the difference between sprains and strains. Which of the following examples should the nurse include as a cause of sprain injury?

9 :
A nurse is caring for a client who is 3 days post-operative from a right hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should examine the client for which of the following manifestations of dislocation of the hip prosthesis.

10 :
Which of the following is a common symptom of osteomyelitis?