Author Question: A patient is seen in the physician's office following several tests. The test results include ... (Read 139 times)

Alainaaa8 · **on:** Jun 25, 2018

A patient is seen in the physician's office following several tests. The test results include elevated blood calcium, elevated alkaline phosphatase, elevated phosphorus, normal creatine kinase, and increased uptake of the radioisotope on bone scan.

The nurse realizes that the patient most likely is experiencing which health problem?

1. bone spurs
2. rheumatoid arthritis
3. osteoporosis
4. bone cancer

Question 2

The nurse is caring for an older patient. What should the nurse realize is an expected age-related change in this patient's musculoskeletal system?

1. difficulty with dexterity after age 50
2. vertebrae lengthening and thinning, which leads to increased bone production
3. decreased bone mass and calcium absorption, which increase risk for fractures
4. pain when ambulating due to increased bone mass and minerals

jazzlynnnnn · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4
The test results are a likely combination in a patient with bone cancer. The blood values described would be anticipated because the bone levels would be reduced in the presence of a malignancy. Osteoporosis would not produce the same blood value alterations. Areas of disease will demonstrate an increase in uptake of radioisotopes on the scans. X-rays would be useful in diagnosis of bone spurs. Rheumatoid factor is used to diagnose rheumatoid arthritis.

Answer to Question 2

Correct Answer: 3
Normal aging is associated with a reduction in bone mass and calcium absorption. Bone production does not increase with aging. Pain with ambulation is not associated with increased bone mass. Difficulty with dexterity is not necessarily a usual occurrence after age 50.