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A client undergoes an arthroscopy at the outpatient clinic. After the procedure, the nurse provides discharge teaching. Which response by the client indicates the need for further teaching? "I should use my heating pad this evening to reduce some of the pain in my knee." "My physician may prescribe pain pills after the procedure." "Elevating my leg will reduce swelling after the procedure." "I may notice some bruising or swelling in my knee."

"I should use my heating pad this evening to reduce some of the pain in my knee." the client shouldn't use heat at the procedure site during the first 24 hours because doing so may increase localized swelling. Ice is indicated during this time.

A client with a sports injury undergoes a diagnostic arthroscopy of the left knee. What comment by the client following the procedure will the nurse address first? "My foot is swollen." "My knee aches." "My feet are cold." "My toes are numb."

"My toes are numb."

The nurse is preparing the client for computed tomography. Which information should be given by the nurse? "You must remain very still during the procedure." "A small bit of tissue will be removed and sent to the lab." "A radioisotope will be given through an IV." "Fluid will be removed from you affected joint."

"You must remain very still during the procedure."

The nurse is conducting a community education program on hip fracture risk. The nurse evaluates that the participants understand the program when the participants determine that client at highest risk for a hip fracture is a(n) toddler just starting to walk. 30-year-old pregnant woman. 80-year-old man recently widowed. high school athlete.

80-year-old man recently widowed.

The nurse is caring for a pregnant patient with pregnancy-induced hypertension. When assessing the reflexes in the ankle, the nurse observes rhythmic contractions of the muscle when dorsiflexing the foot. What would the nurse document this finding as?

Clonus The nurse may elicit muscle clonus (rhythmic contractions of a muscle) in the ankle or wrist by sudden, forceful, sustained dorsiflexion of the foot or extension of the wrist.

Which is a neurovascular problem caused by pressure within a muscle area that increases to such an extent that microcirculation diminishes? Compartment syndrome Fasciculation Remodeling Hypertrophy

Compartment syndrome

The homecare nurse is evaluating the musculoskeletal system of a geriatric client whose previous assessment was within normal limits. The nurse initiates a call to the health care provider and/or emergency services when which change is found? Decreased agility Increased joint stiffness Decreased flexibility Decreased right-sided muscle strength

Decreased right-sided muscle strength

Which of the following is the most common site of joint effusion? Hip Shoulder Elbow Knee

Knee

A nurse is caring for a client with an undiagnosed bone disease. When instructing on the normal process to maintain bone tissue, which process transforms osteoblasts into mature bone cells? Epiphyses and diaphysis formation Resorption Ossification and calcification Remodeling

Ossification and calcification

An instructor is describing the process of bone development. Which of the following would the instructor describe as being responsible for the process of ossification? Cortical bone Cancellous bone Osteoblasts Osteoclasts

Osteoblasts

Which serum level indicates the rate of bone turnover? Osteocalcin Aspartate aminotransferase Myoglobin Creatinine kinase

Osteocalcin

A patient has a fracture of the right femur sustained in an automobile accident. What process of fracture healing does the nurse understand will occur with this patient? Primary phase, secondary phase, third phase Reactive phase, reparative phase, remodeling phase First intention, secondary intention, third intention Active phase, dormant phase, restructure phase

Reactive phase, reparative phase, remodeling phase

A client has just undergone arthrography. What is the most important instruction for the nurse to include in the teaching plan? Report joint crackling or clicking noises occurring after the second day. Gently massage joints with any crackling or clicking joint noises. Avoid sunlight or harsh, dry climate. Avoid intake of dairy products.

Report joint crackling or clicking noises occurring after the second day.

A client has a fracture that is being treated with open rigid compression plate fixation devices. What teaching will the nurse reinforce to the client about how the progress of bone healing will be monitored? An arthroscopy will be performed. The bone will heal on its own without intervention. The plate will be removed to determine if the bone is growing back. Serial x-rays will be taken.

Serial x-rays will be taken.

A group of students are studying for an examination on joints. The students demonstrate understanding of the material when they identify which of the following as an example of a synarthrodial joint? At the hip Between the vertebrae Skull at the temporal and occipital bones In the fingers

Skull at the temporal and occipital bones

The nurse is assessing the client for scoliosis. What will the nurse have the client do to perform the assessment? Stand to the side of the client and observe the client's spinal curvatures. Stand behind the client and ask the client to walk a short distance away. Stand in front of the client and ask the client to bend forward at the waist. Stand behind the client and ask the client to bend forward at the waist.

Stand behind the client and ask the client to bend forward at the waist.

The emergency room nurse is reporting the location of a fracture to the client's primary care physician. When stating the location of the fracture on the long shaft of the femur, the nurse would be most correct to state which terminology locating the fractured site? The fracture is on the tuberosity. The fracture is on the diaphysis. The fracture is ventrally located. The fracture is on the epiphyses.

The fracture is on the diaphysis. A fracture that is on the diaphysis is understood to be chiefly found in the long shafts of the arms and legs. The epiphyses are rounded, irregular ends of the bones.

A client's blood test results reveal an elevated alkaline phosphatase. What might this indicate? a bone tumor systemic lupus erythematosus osteomalacia Paget's disease

a bone tumor

The nurse is performing a musculoskeletal assessment of a client in a nursing home who had a stroke 2 years ago and who has right-sided hemiplegia. The nurse notes that the girth of the client's right calf is 2 inches less in diameter than the left calf. The nurse attributes the decreased girth to edema in left lower extremity. atrophy of right calf muscle. increased use of left calf muscle. bruising in right lower extremity.

atrophy of the right calf muscle

Which hormone inhibits bone resorption and increases the deposit of calcium in the bone? Growth hormone Vitamin D Sex hormones Calcitonin

calcitonin

Which term refers to the shaft of the long bone? Diaphysis Epiphysis Lordosis Scoliosis

diaphysis

he nurse working in the emergency department receives a call from the x-ray department communicating that the client the nurse is caring for has a fracture in the shaft of the tibia. The nurse tells the physician that the client's fracture is in the scoliosis. diaphysis. epiphysis. lordosis.

diaphysis

What is the term for a lateral curving of the spine? Scoliosis Diaphysis Lordosis Epiphysis

elbow

The nurse is performing an assessment on an older adult patient and observes the patient has an increased forward curvature of the thoracic spine. What does the nurse understand this common finding is known as?

kyphosis

The client presents with an exaggeration of the lumbar spine curve. How does the nurse interpret this finding? Lordosis Dowager's hump Scoliosis Kyphosis

lordosis

The nurse is employed at a long-term care facility caring for geriatric clients. Which assessment finding is characteristic of an age-related change? Cognitive decline Increased muscle mass Loss of height Depressive symptoms

loss of height

The nurse is conducting a medication reconciliation with a client admitted with a fracture. What medication predisposes a client for a risk for fractures? digoxin furosemide metoprolol prednisone

prednisone

What is the term for a lateral curving of the spine?

scoliosis

An example of a flat bone is the metacarpals. vertebra. sternum. femur.

sternum

A nurse practitioner assesses a patient's movement in his left hand after a cast is removed. The nurse asks the patient to turn his wrist so the palm of his hand is facing up. This movement is known as: Extension. Pronation. Supination. Eversion.

supination

The nurse working in the orthopedic surgeon's office is asked to schedule a shoulder arthrography. The nurse determines that the surgeon suspects which finding? Injury to the radial nerve Tear in the joint capsule Decreased bone density Fracture of the clavicle

tear in the joint capsule

A client is seen in the emergency room for a knee injury that happened during a basketball game. Diagnostic tests reveal torn cords of fibrous connective tissue that connect muscles to bones. What type of tear has this client sustained? Ligament Tendon Bursa Fascia

tendon