Chapter 35: Assessment of Musculoskeletal Function - ML3
The nurse is conducting the admission assessment for a client who is to undergo an arthrogram. What is the priority question the nurse should ask?
"Do you have any allergies?"
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."
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 toes are numb."
The older client asks the nurse how best to maintain strong bones. What is the nurse's best response?
"Weight-bearing exercises can strengthen bones."
Which body movement involves moving toward the midline?
Adduction
Which of the following diagnostic studies are done to relieve joint pain due to effusion?
Arthrocentesis
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 is performing a neurological assessment. What will this assessment include?
Ask the client to plantar flex the toes.
Which hormone inhibits bone reabsorption and increases calcium deposit in the bone?
Calcitonin
Which hormone inhibits bone resorption and increases the deposit of calcium in the bone?
Calcitonin
Which term refers to the shaft of the long bone?
Diaphysis
A client is diagnosed with a fracture of a diarthrosis joint. What is an example of this type of joint?
Elbow
Which diagnostic test would the nurse expect to be ordered for a client with lower extremity muscle weakness?
Electromyograph (EMG)
The nurse is performing a musculoskeletal assessment for a client whose right leg muscles exhibit no tone and are limp. Which descriptor should the nurse use to document this condition?
Flaccid
Which of the following describes a muscle that is limp and without tone?
Flaccid
The nurse is reporting on the results of client blood work to the oncoming nurse. Upon reviewing the data, it is noted that the client has an elevated uric acid level. Which inflammatory process would the nurse screen for on shift rounds?
Gout
Which assessment finding would cause the nurse to suspect compartment syndrome in the client following a bone biopsy?
Increased diameter of the calf
Which of the following is an example of a hinge joint?
Knee
Which of the following is the most common site of joint effusion?
Knee
Which description refers to an osteon?
Microscopic functional bone unit
After a person experiences a closure of the epiphyses, which statement is true?
No further increase in bone length occurs.
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?
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?
Osteoblasts
A 10-year-old boy who was brought to the emergency room after a skiing accident is diagnosed with a fracture of the distal end of the femur. Why is this type of fracture significant?
Potential growth problems may result from damage to the epiphyseal plate.
Which of the following is the final stage of fracture repair?
Remodeling
What is the term for a lateral curving of the spine?
Scoliosis
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?
Serial x-rays will be taken.
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:
Supination.
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?
Tendon
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 diaphysis.
After a bone density test, an older adult female client tells the nurse, "I don't understand why I have osteoporosis because I eat well and take my calcium." What does the nurse explain as the reason that the client may have osteoporosis?
The loss is from withdrawal of estrogen and a decrease in activity levels.
The nurse understands that bone maintenance requires a balance between forming and dissolving bone. What is a correct statement about the function of osteoblasts?
They secrete a matrix that consists of collagen.
A client tells the health care provider about shoulder pain that is present even without any strenuous movement. The health care provider identifies a sac filled with synovial fluid. What condition will the nurse educate the client about?
bursitis
