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A patient is being treated for carpal tunnel syndrome from repetitive wrist motion at work. Which intervention should the nurse include in the teaching plan?

 A 74-year-old woman is brought to the ED after a fall. X-ray confirms a right femoral neck fracture. She has a 12-year history of rheumatoid arthritis managed with long-term prednisone (10 mg/day) and recently started alendronate. Which factor in this patient’s history MOST significantly compounds her risk for fragility fracture beyond age and female sex alone?

A patient is prescribed teriparatide (Forteo) for severe osteoporosis after 5 years of bisphosphonate therapy. The patient asks how this medication is different from the previous one. Which nurse response BEST explains teriparatide’s mechanism?

A patient with bilateral femur fractures becomes restless, confused, and agitated 36 hours after injury. The nurse observes scattered petechiae on the anterior chest. Which complication requires the nurse’s IMMEDIATE attention?

A patient is in skeletal traction for a femoral shaft fracture. The patient’s family member asks if they can hold up the traction weights while turning the patient. Which response by the nurse is most appropriate?

A 71-year-old male is diagnosed with Paget disease of bone. Which laboratory finding does the nurse expect to be MARKEDLY elevated?

A nurse is performing discharge teaching after a total hip arthroplasty via the POSTERIOR approach. Which patient behavior requires IMMEDIATE intervention?

A patient is newly diagnosed with osteoarthritis of the knees. Which symptom pattern is MOST characteristic of this condition?

A patient is prescribed alendronate (Fosamax) weekly for osteoporosis. Which instruction is MOST important for the nurse to emphasize?

A patient with a femur fracture suddenly reports shortness of breath and anxiety 36 hours after admission. What is the nurse’s FIRST action?