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

Explanation

A. I will walk 20 minutes every other day: This is correct. Walking is a safe, low-impact activity that promotes cardiovascular health without placing undue stress on the abdominal area, which is important for a patient with an AAA.
B. Instead of taking my car, I will ride my bike everywhere: Biking can be too strenuous and risky for someone with an AAA, as it may involve physical exertion and potential for trauma to the abdominal area.
C. I am starting back to work as a grocery store stocker next week: This job likely involves heavy lifting and significant physical activity, which is contraindicated for a patient with an AAA due to the risk of increased intra-abdominal pressure and potential aneurysm rupture.
D. I am going to continue my marathon training tomorrow: Marathon training is highly strenuous and can significantly increase blood pressure and stress on the abdominal region, posing a high risk of aneurysm rupture.

A. Diabetes mellitus B. Calcium deficiency C. Peripheral vascular problems in both legs D. An acute obstruction in the vessels of the legs

Correct Answer is C

Explanation

A. Diabetes mellitus: While diabetes can cause peripheral vascular disease, it alone does not specifically cause intermittent claudication (pain on exertion relieved by rest).
B. Calcium deficiency: Calcium deficiency is not typically associated with intermittent claudication or peripheral vascular symptoms.
C. Peripheral vascular problems in both legs: This is correct. The symptoms described are classic for intermittent claudication, which is commonly due to peripheral arterial disease (PAD). PAD causes pain due to reduced blood flow to the muscles during exertion, which is relieved by rest.
D. An acute obstruction in the vessels of the legs: Acute obstruction would likely cause more severe and persistent symptoms, such as acute pain and loss of pulses, not just pain with walking.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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