Prep U for Brunner and Suddarth's Textbook of Medical Surgical Nursing, 13th Edition Chapter 40: Assessment of Musculoskeletal Function

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. pg. 1092

The nurse is caring for a client who has a deficiency in the formation of cartilage in joints. Which essential substance is absent?

Matrix pg. 1088

Which of the following is the final stage of fracture repair?

Remodeling pg. 1090

Which type of gait correlates with Parkinson's disease?

Shuffling pg. 1096

Which body movement involves moving toward the midline?

Adduction pg. 1092

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. pg. 1100

Which term refers to the shaft of the long bone?

Diaphysis pg. 1088

Which of the following is the most common site of joint effusion?

Knee pg. 1097

The client presents with an exaggeration of the lumbar spine curve. The nurse interprets these findings as indicative of:

Lordosis pg. 1095

Which of the following deformity causes a exaggerated curvature of the lumbar spine?

Lordosis pg. 1095

Which of the following is an age-related change to the musculoskeletal system?

Loss of bone mass pg. 1093

A client is scheduled to undergo an electromyography. The nurse understands that this test is performed to evaluate which of the following?

Muscle weakness pg. 1101

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 pg. 1088

The nurse is conducting a musculoskeletal assessment of a client in a nursing home. The client is unable to dorsiflex the right foot or extend the toes. The nurse evaluates this finding as an injury to which nerve?

Peroneal pg. 1099

Red bone marrow produces which of the following? Select all that apply.

Platelets White blood cells (WBCs) Red blood cells (RBCs) pg. 1089

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. The nurse understands that this type of fracture is significant because:

Potential growth problems may result from damage to the epiphyseal plate. pg. 1088

Which nursing instruction is most important to stress when teaching on calcium intake?

Provide age-related calcium intake recommendations. pg. 1089

The nurse is caring for a client who experienced a crushing injury of the lower extremities. Which of the following symptoms is essential to be reported to the physician?

Pulselessness pg. 1165

Skull sutures are an example of which type of joint?

Synarthrosis pg. 1090

Which laboratory study indicates the rate of bone turnover?

serum osteocalcin pg. 1101

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." pg. pp. 1098-1099.

A client is experiencing muscle weakness in the upper extremities. The client raises an arm above the head but then loses the ability to maintain the position. Muscular dystrophy is suspected. Which diagnostic test would evaluate muscle weakness or deterioration?

An electromyography pg. 1101

A client has undergone arthroscopy. After the procedure, the site where the arthroscope was inserted is covered with a bulky dressing. The client's entire leg is also elevated without flexing the knee. What is the appropriate nursing intervention required in caring for a client who has undergone arthroscopy?

Apply a cold pack at the insertion site. pg. 1100

Which is useful in identifying acute or chronic tears of the joint capsule or supporting ligaments of the knee, shoulder, ankle, hip, or wrist?

Arthrography pg. pp. 1099-1100.

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 pg. 1100

Which hormone inhibits bone resorption and increases the deposit of calcium in the bone?

Calcitonin pg. 1089

The nurse is preparing an education program on risk factors for musculoskeletal disorders. Which of the following would be inappropriate risk factor for the nurse to include in the teaching program?

Calcium-rich diet pg. 1089

What is the term for a rhythmic contraction of a muscle?

Clonus pg. p. 1087, 1098.

A group of students are reviewing the structure and function of bones. The students demonstrate understanding of the information when they state that cortical bone is found primarily in which of the following?

Diaphyses pg. 1088

The nurse is performing a neurovascular assessment of a client's injured extremity. Which of the following would the nurse report?

Dusky or mottled skin color pg. 1096

A patient is diagnosed with a fracture of a diarthrosis joint. The nurse knows that an example of this type of joint is the:

Elbow pg.

The nurse would expect which of the following diagnostic tests to be ordered for a patient with lower extremity muscle weakness?

Electromyograph (EMG) pg. 1101

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 pg. 1093

Which assessment finding would cause the nurse to suspect compartment syndrome in the client following a bone biopsy?

Increased diameter of the calf pg. 1098

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 pg. 1089

The nurse is employed at a long-term care facility caring for geriatric clients. Which assessment finding is characteristic of an age-related change?

Loss of height pg. 1093

After a person experiences a closure of the epiphyses, which statement is true?

No further increase in bone length occurs. pg. 1088

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 pg. 1087

Which nerve is being assessed when the nurses asks the client to dorsiflex the ankle and extend the toes?

Peroneal pg. 1099

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 pg. p. 1089-1090.

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. pg. 1100

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 pg. 1099

A 16-year-old patient 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. The nurse knows that the patient had sustained a tear of the:

Tendon pg. 1091

While reading a client's chart, the nurse notices that the client is documented to have paresthesia. The nurse plans care for a client with

abnormal sensations. pg. 1094

Which medication taken by the client in the previous 24 hours would be of greatest concern to the nurse caring for a client undergoing a bone biopsy?

aspirin pg. 1101

The 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. pg. 1088

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 right-sided muscle strength pg. 1093