NCLEX : Musculoskeletal Condition Follow-Up
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Example Questions
Example Question #32 : Musculoskeletal Conditions
Lambert-Eaton syndrome is associated with what malignancy?
Small cell lung cancer
Colon cancer
Gastric carcinoma
Melanoma
Small cell lung cancer
Example Question #1152 : Nclex
A post-menopausal female client presents to the client after being newly diagnosed with osteoporosis. The client is here to discuss with the nurse what type of lifestyle modifications she will need to treat the disease.
Which of the following should the nurse include when educating the client?
Lose 10 pounds
Start a low carbohydrate high protein diet
Quit smoking
Engage in low impact exercises
Drink one glass of wine with dinner
Quit smoking
Smoking and alcohol ingestion are risk factors for developing osteopenia or osteoporosis. These activities should be discontinued to help prevent against bone loss. Diet and exercise are important factors, but losing 10 pounds or low impact exercise will not increase bone mass.
Example Question #1153 : Nclex
The nurse cares for a 16-year-old patient in the emergency department. He has returned to the hospital after having a fiberglass cast applied to his right ulna from a fracture the day before. Which of the following manifestations in the patient should most concern the nurse?
Capillary refill of 3 seconds in the right fingertips
Pain in the right shoulder
Warm fingers and palm in the right hand
Itching under the cast
Severe pain in the right arm
Severe pain in the right arm
The nurse should be aware of potential complications of cast placement, such as compartment syndrome, which can cause nervous, vascular, and muscle damage. Signs and symptoms include tingling distal to the cast placement, severe pain in the casted region, swelling in the cast and distal to the casted region, pallor in the affected region, and muscle weakness. These signs and symptoms would indicate immediate cast removal to prevent further damage to the tissue. Itching under the cast is common and expected, and pain in supporting shoulder of the arm can occur due to the increased weight and positioning of the cast. 3 seconds for capillary refill is within normal limits; extended time for capillary refill in the distal region would be concerning. Warmth in the hand and fingers distal for the casted region would indicate normal circulation as well, but congestion and swelling in the extremity would be worrisome.
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