Chris is a 28 year old male who complains of lower

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Unit02_Section10.rtf

Chris is a 28 year old male who complains of lower back pain that began 3 days from ADVANCED NURSING PRACTICE NSG 6001 at South University, Savannah

18 .   Mr. Jackson is a 65 - year - old man recently diagnosed with osteoarthritis . The clinician has explained to Mr. Jackson that the goals for managing osteoarthritis include controlling pain , maximizing functional independence and mobility , minimizing disability , and preserving quality of life . Mr. Jackson explains to the clinician that his first choice would be to use complementary therapies to control his condition and asks what therapies are most effective in treating osteoarthritis . What would be the most appropriate response from the clinician ?
A . “ Complementary therapies should be considered only if surgical interventions are not successful . ”
B. “ I am unfamiliar with the available complementary therapies for osteoarthritis and prefer to discuss more mainstream treatments , such as NSAIDs and physical therapy , to manage your condition . ”
C. “ I would be happy to discuss all the treatment options available to you . Complementary therapies , such as acupuncture , acupressure , and tai chi , are being studied for use in the treatment of osteoarthritis and acupuncture can be used and is safe and well tolerated . ”
D. “ It would be crazy to use complementary therapies to treat such a serious condition . ”
19 .   Chris is a 28 - year - old male who complains of lower back pain that began 3 days ago . The pain is worse when he stands or bends , and it is somewhat relieved when he sits . The clinician performs the straight - leg raise test and it is negative . Plain film x - ray is positive . Which diagnosis is most likely ?
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20 .   A clinician has performed a synovial fluid analysis and the results are as follows : visual analysis : turbid and yellow , viscosity : decreased , 52,000 white blood cells ( WBCs ) per mm 3 , polymorphonuclear leukocytes ( PMNs ) : 75 % , protein : 5 g/d L. Which of the following conditions could this result be attributed to ?
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21 .   Normal estrogen function is important for preventing osteoporosis in both men and women . Estrogen works to prevent osteoporosis in which of the following ways ?
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22 .   Which of the following tests is considered the gold standard for definitively diagnosing osteoporosis ?
A. Bone alkaline phosphatase levels
B. Urinary N - telopeptide assay
C. Bone mass density measurement by densitometry
D. Magnetic resonance imaging
23 .   What is the recommended daily calcium intake for men 70 years and younger ?
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24 .   Mrs. Allen is a 60 - year - old woman who has been diagnosed with osteoporosis . She is very concerned about the risk of breast cancer associated with hormone replacement therapy and is wondering what other treatments are available to her . The clinician explains that bisphosphonates are another class of drugs used in the prevention and treatment of osteoporosis . What teaching should the clinician give Mrs. Allen in regard to taking bisphosphonates ?
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25 .   Which of the following medications is appropriate to treat Paget ’s disease ?
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26 .   Which of the following statements concerning fibromyalgia is true ?
A . Muscle pain that is caused by the development of trigger points within the muscle can not occur concurrently with fibromyalgia .
B . A cause of myalgia can be fibromyalgia .
C . Bursitis can not coexist with pain from fibromyalgia .
D . Fibromyalgia is an inflammatory musculoskeletal disorder .
27 .   One of the most frequent presenting signs / symptoms of osteoporosis is :
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19.Chris is a 28-year-old male who complains of lower back pain that began 3 days ago. The painis worse when he stands or bends, and it is somewhat relieved when he sits. The clinician performs the straight-leg raise test and it is negative. Plain film x-ray is positive. Which diagnosis is most likely?A.OsteoarthritisB.Spinal stenosisC.ScoliosisD.Muscle strainANS: D
PTS:120.A clinician has performed a synovial fluid analysis and the results are as follows: visual analysis: turbid and yellow, viscosity: decreased, 52,000 white blood cells (WBCs) per mm3, polymorphonuclear leukocytes (PMNs): 75%, protein: 5 g/dL. Which of the following conditions could this result be attributed to?
PTS:121.Normal estrogen function is important for preventing osteoporosis in both men and women. Estrogen works to prevent osteoporosis in which of the following ways?
PTS:1
22.Which of the following tests is considered the gold standard for definitively diagnosing osteoporosis?
PTS:123.What is the recommended daily calcium intake for men 70 years and younger?A.500 mg/dayB.750 mg/dayC.1,000 mg/dayD.1,500 mg/dayANS: C
PTS:124.Mrs. Allen is a 60-year-old woman who has been diagnosed with osteoporosis. She is very concerned about the risk of breast cancer associated with hormone replacement therapy and is wondering what other treatments are available to her. The clinician explains that bisphosphonates are another class of drugs used in the prevention and treatment of osteoporosis. What teaching should the clinician give Mrs. Allen in regard to taking bisphosphonates?
PTS:1

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