ADH2 Musculoskeletal Problems

Which statement by the client diagnosed with a fractured ulna indicates to the nurse the client needs further teaching?

"I need to keep this immobilizer on when lying down only."

The body consists of _______ bones?

206

When grading muscle strength, the nurse records a score of 3/5, which indicates?

Active movement against gravity but not against resistance

The direct energy source for muscle is which of the following?

Adenosine Triphosphate (ATP)

The health care provider has prescribed the following interventions for a patient who is taking azathioprine (Imuran) for systemic lupus erythematosus. Which order will the nurse question?

Administer varicella vaccine

The client is taken to the emergency department with an injury to the left arm. Which intervention should the nurse implement first?

Assess the nailbeds for capillary refill time.

A type of skin traction used preoperatively for the patient with a hip fracture to reduce muscle spasm is known as _________ Traction?

Buck's

Which of the following persons are at risk for repetitive strain injury (RSI)? Select all that apply

Dancers Grocery clerk Swimmer Baseball player

The nurse suspects a neurovascular problem based on assessment of which of the following?

Decreased sensation distal to the fracture site.

While obtaining subjective assessment data related to the musculoskeletal system, the nurse must ask a patient about other medical problems such as?

Diabetes mellitus

Which result for a patient with systemic lupus erythematosus (SLE) is most important for the nurse to communicate to the health care provider?

Elevated blood urea nitrogen (BUN)

The client admitted with a diagnosis of a fractured hip who is in Buck's traction is complaining of severe pain. Which intervention should the nurse implement?

Ensure the weights of the Buck's traction are off the floor and hang freely.

A sprain is excessive stretching of a muscle, its facial sheath, or a tendon.

False

The nurse understand that which of the following are types of joints? Select all that apply

Hinge Joint Ball &Socket, Pivot Coldyloind, SaddleGliding Joints

Which of the following are three types of cartilage? Select all that apply

Hyaline Elastic Fibrous

A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic irrigation. Which intervention will the nurse include in the initial plan of care?

Immobilization of the left leg

In assessing the joints of a patient with osteoarthritis, the nurse understands that Bouchard's nodes?

Indicate osteophyte formation at the PIP joints

A patient is scheduled for an electromyogram (EMG). The nurse explains that this diagnostic test involves?

Insertion of small needles into certain muscles.

A patient with rheumatoid arthritis is experiencing articular involvement. The nurse recognizes these characteristic changes include which of the following? Select all that apply.

Metatarsal head dislocation in feet. Morning stiffness lasting 60 minutes or more.

A normal assessment finding of the musculoskeletal system is?

No deformity or crepitation.

Fractures can be classified as __________ or __________. Select all that apply.

Open Closed

A short arm cast is often used to treat stable wrist fractures. The nurse understands this cast is apply from the distal palmer to the ________ ?

Proximal forearm

The nurse understands that Arthroplasty is which of the following?

Reconstruction or replacement of a joint

The three types of muscle tissue are? Select all that apply

Skeletal Cardiac Smooth

An open fracture includes which of the following criteria? Select all that apply

Skin is broken Bone exposed Soft tissue injury

What would the nurse recognize as a possible difference in the assessment of a gerontologic patient?

Slowed reaction time

Teach the patient with fibromyalgia the importance of limiting intake of which foods? Select all that apply.

Sugar Caffeine Alcohol

Arthrodesis is

Surgical fusion of a joint

Which assessment finding for a patient who has had surgical reduction of an open fracture of the right radius requires notification of the health care provider?

Temperature 101.4° F (38.6° C)

The nurse is preparing the care plan for a client with a fractured lower extremity. Which outcome is most appropriate for the client?

The client will maintain function of the leg.

Which assessment finding for a patient using naproxen (Naprosyn) to treat osteoarthritis is likely to require a change in medication?

The patient has dark-colored stools

Manifestations of carpal tunnel syndrome include positive signs for which of the following?

Tinel's sign and Phalen's sign

An external fixator is a device composed of metal pins that are inserted into the bone and attached to external rods to stabilize the fracture while it heals.

True

The nurse teaching a support group of women with rheumatoid arthritis (RA) about how to manage activities of daily living suggests they should

avoid activities requiring repetitive use of the same muscles and joints.

Osteoporosis occurs most commonly in bones of which of the following? Select all that apply.

spine hips wrists

If an injury occurs, immediate care focuses on which of the following? Select all that apply.

stopping the activity applying ice packs to the injured area compressing the involved area elevating the extremity

A dislocation is the complete displacement or separation of the articular surfaces of the joint. It results from severe injury of the ligaments surrounding the joint.

true