The nurse is caring for a patient with a tumor of the bone who experiences a fracture. Which type of break is anticipated?

Greenstick

Stress

Avulsion

Pathological

Answer and Explanation

The Correct Answer is D

A. Greenstick: This type of fracture typically occurs in children where the bone bends and cracks, rather than breaking completely. It is not related to bone tumors.
B. Stress: Stress fractures are small cracks in the bone typically due to repetitive force or overuse, not due to underlying conditions like bone tumors.
C. Avulsion: This occurs when a fragment of bone is pulled away by a tendon or ligament due to a forceful contraction or injury, and is not typically associated with bone tumors.
D. Pathological: Pathological fractures occur in bones weakened by disease, such as bone tumors. These fractures happen with minimal or no trauma because the bone integrity is compromised by the tumor.

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Correct Answer is ["A","C","E"]

Explanation

A. Monitor blood glucose levels: Patients with diabetes need to keep their blood glucose levels under control to prevent complications, including those that can exacerbate hypertension or lead to cardiovascular problems.
B. Lifestyle modifications and medication adherence will not prevent blindness: This is incorrect. Proper management of diabetes through lifestyle changes and medication adherence can help prevent complications like diabetic retinopathy, which can lead to blindness.
C. Lifestyle modifications can prevent strokes: Effective management of diabetes and hypertension through lifestyle changes (diet, exercise, smoking cessation) can significantly reduce the risk of strokes and other cardiovascular events.
D. End organ damage is inevitable because of microvascular changes that occur: This is misleading. While microvascular changes are a risk in diabetes, proper management and lifestyle modifications can greatly reduce the risk and progression of end-organ damage.
E. Take medications as ordered: Adherence to prescribed medications is crucial for controlling both blood glucose and blood pressure, reducing the risk of complications such as stroke, heart disease, and kidney damage.

A. Lying prone as prescribed B. Maintaining residual limb elevation C. Promoting coordination exercises D. Building upper body strength

Correct Answer is D

Explanation

A. Lying prone as prescribed: While lying prone can help prevent hip flexion contractures, it is not directly related to promoting ambulation. It is typically part of post-operative care to prevent contractures in the hip, but ambulation primarily depends on upper body strength and prosthetic training.
B. Maintaining residual limb elevation: Elevation of the residual limb is important immediately postoperatively to reduce swelling, but prolonged elevation can lead to contractures, which can hinder ambulation.
C. Promoting coordination exercises: Coordination is important, but for ambulation, building strength, especially in the upper body, is crucial to support the use of assistive devices and maintaining balance.
D. Building upper body strength: This is essential for promoting ambulation as it helps the patient in using assistive devices like crutches or walkers and in transferring safely. Upper body strength is crucial for balance and mobility with a prosthetic limb.

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The nurse is caring for a patient with a tumor of the bone who experiences a fracture. Which type of break is anticipated?

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Naxlex Comprehensive Predictor Exams

The LPN/LVN is reinforcing education with an elderly patient diagnosed with diabetes and hypertension. Which topics would be vital for the nurse to emphasize? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

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Correct Answer is D

Explanation

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