ch 39 Rn
What instructions should the nurse include in the discharge teaching for the client following an arthroscopy?
"The pain should be well-controlled with Tylenol."
The nurse is providing care to a client following a knee arthroscopy. Which of the following would the nurse expect to include in the client's plan of care?
Administering the prescribed analgesic.
An appropriate nursing intervention for the client following electromyography is to:
Apply warm compresses.
Which of the following diagnostic studies are done to relieve joint pain due to effusion?
Arthrocentesis
Arthrography is useful in identifying acute or chronic tears of the joint capsule or supporting ligaments of the knee, shoulder, ankle, hip, or waist
Arthrography
A patient is scheduled for a procedure that will allow the physician to visualize the knee joint in order to diagnose the patient's pain. What procedure will the nurse prepare the patient for?
Arthroscopy
The nurse would include which of the following in a neurological assessment?
Ask the client to plantar flex the toes. A neurological assessment evaluates sensation and motion. Assessing plantar flexion of the toes would be included in a neurological assessment. Capillary refill, palpation of pulses, and inspecting for edema would be included in a vascular assessment.
Bone densitometry is used to estimate bone mineral density.
Bone densitometry
Choose the correct statement about the endosteum, a significant component of the skeletal system:
Covers the marrow cavity of long bones
The nurse would expect which of the following diagnostic tests to be ordered for a patient with lower extremity muscle weakness?
Electromyograph (EMG)
Which assessment finding would cause the nurse to suspect compartment syndrome in the client following a bone biopsy?
Increased diameter of the calf
A patient comes to the clinic and informs the nurse of numbness, tingling, and a burning sensation in the arm from the elbow down to the fingers. What type of symptom would this be documented as?
Paresthesia
After a fracture, during which stage or phase of bone healing is devitalized tissue removed and new bone reorganized into its former structural arrangement?
Remodeling
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
diaphysis
nurse is conducting an admission history of a client admitted with a fracture. The nurse recognizes that which of the client's medications placed the client at risk for fractures?
prednisone (Deltasone)
A patient tells the physician about shoulder pain that is present even without any strenuous movement. The physician identifies a sac filled with synovial fluid. What condition should the nurse educate the patient about?
Bursitis
A patient has had a stroke and is unable to move the right upper and lower extremity. During assessment the nurse picks up the arm and it is limp and without tone. How would the nurse document this finding
Flaccidity
After a person experiences a closure of the epiphyses, which statement is true?
No further increase in bone length occurs.
An osteocalcin (bone GLA protein) level has been ordered. The nurse prepares to:
Obtain a blood specimen.
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
Osteoblasts
Which serum level indicates the rate of bone turnover?
Osteocalcin
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
Reactive phase, reparative phase, remodeling phase
Which of the following would be most important for the nurse to include in the teaching plan for a client who has undergone arthrography?
Report joint crackling or clicking noises occurring after the second day.
A patient has a fracture that is being treated with open rigid compression plate fixation devices. How will the progress of bone healing be monitored?
Serial x-rays
A patient diagnosed with a stroke would be expected to exhibit which type of gait?
Spastic hemiparesis
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?
Tear in the joint capsule
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
The fracture is on the diaphysis.
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
atrophy of right calf muscle
Serum osteocalcin (bone GLA protein) indicates the rate of what ?
bone turnover
An electromyogram (EMG) provides information about the electrical potential of the muscles and nerves leading to them.
eletrommyogram EMG
Which of the following is the most common site of joint effusion
knee
Identify the area on the figure where the nurse would assess for lordosis.
lumbar
Serum enzyme levels of creatinine kinase and aspartate aminotransferase become elevated with what ?
muscle damage.
Serum myoglobin is assessed to evaluate when?
muscle trauma occurs
Which of the following is an appropriate priority nursing diagnosis for the client following an arthrocentesis?
risk for infection
A client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. The nurse understands that this injury involves which of the following?
tendon
X-rays are used to diagnose bone fractures.
x rays
