what is the priority nursing diagnosis for a client with metastatic bone disease

ATI RN

Multi Dimensional Care | Final Exam

1. What is the priority nursing diagnosis for a client with metastatic bone disease?

A. Chronic pain
B. Impaired mobility
C. Risk for falls
D. Risk for infection

Correct answer: C

Rationale: The correct answer is 'Risk for falls.' In clients with metastatic bone disease, weakened bones can lead to an increased risk of falls, making it a priority nursing diagnosis. Chronic pain (choice A) may be present but addressing the risk for falls is more critical in this situation. While impaired mobility (choice B) can be a consequence of metastatic bone disease, preventing falls takes precedence. Risk for infection (choice D) is not the priority in this case, as falls pose a more immediate threat to the client's safety.

2. A client sustained a crushing injury to his right arm during a car accident. He arrives to the emergency room complaining of numbness in his right hand. He has no other injuries. What should the nurse do first?

A. Assess the right radial pulse
B. Call the provider
C. Administer pain medication
D. Assess the right pedal pulse

Correct answer: A

Rationale: Assessing the radial pulse checks for adequate circulation and potential complications.

3. Which test is used in the diagnosis of osteoporosis?

A. Phalen's maneuver
B. Dual-energy X-ray absorptiometry (DXA) scan
C. Proprioception
D. Blood culture

Correct answer: B

Rationale: The correct answer is B, Dual-energy X-ray absorptiometry (DXA) scan, which is commonly used to diagnose osteoporosis by measuring bone mineral density. Phalen's maneuver (choice A) is a test used to assess for carpal tunnel syndrome and is not related to osteoporosis. Proprioception (choice C) refers to the sense of body position and is not a diagnostic test for osteoporosis. Blood culture (choice D) is used to detect infections caused by bacteria in the bloodstream and is not relevant to the diagnosis of osteoporosis.