RN101
Home of the Registered Nurses (RN) and
Licensed Practical Nurses (LPN)
MUSCULOSKELETAL DISORDERS
QUESTIONS
CASE I
Mrs. A, a 65-year-old female patient is newly diagnosed with osteoporosis. Her doctor prescribed Fosamax 70 mg tab, and calcium + Vit. D.
Question 1:
Apart from properly storing and not missing her dose, how should Mrs. A take her Fosamax properly? Give three (3).
1. ______________________________________________________________________________________________________________________________________________________.
2. ______________________________________________________________________________________________________________________________________________________.
3. ______________________________________________________________________________________________________________________________________________________.
CASE II
After surgery to treat hip fracture, Mr. B returns from the postanesthesia unit to the medical-surgical unit.
Question 1:
Postoperatively, how will you position the patient?
1. ______________________________________________________________________________________________________________________________________________________.
Eight days after Mr. B's total hip replacement, the patient is getting ready for discharge at 10:00 am today. However, he must be informed of the measures required to prevent dislocation of his prosthesis.
Question 2:
Identify at least five (5) measures you will advise to the patient?
1. ______________________________________________________________________________________________________________________________________________________.
2. ______________________________________________________________________________________________________________________________________________________.
3. ______________________________________________________________________________________________________________________________________________________.
4. ______________________________________________________________________________________________________________________________________________________.
5. ______________________________________________________________________________________________________________________________________________________.
CASE III
Mr. C is a 45 year-old male patient for discharge after an L4-L5 right herniated disc. He was ordered to be on sick leave from work.
MEDICAL ORDERS:
-Bed rest at home. -Naprosyn (NSAID) 375 mg p.o. BID
-Ice or heat to localized area. -Acetaminophen (Tylenol) 500 mg p.o. q 4 h PRN for pain.
Question 1:
The patient asks you “why I need two (2) pain medications”. What is your response to his question?1. 1._______________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________.
CASE IV
Two days after surgery to amputate his lower leg, Mr. D states that he has pain on his missing extremity.
MEDICAL ORDERS:
-Codeine 15 mg q 6 hours.
-Gravol 50 mg PRN for N/V.
-Gabapentin 300 mg PRN for phantom pain.
Question 1:
What action is most appropriate for you to do?
1. _____________________________________________________________________________________________________________________________________________________.
CASE V
Patient E is in the emergency department with a suspected fracture of the right hip.
Question 1:
Identify three assessment findings you should expect?
1. ______________________________________________________________________________________________________________________________________________________.
2. ______________________________________________________________________________________________________________________________________________________.
3. ______________________________________________________________________________________________________________________________________________________.