Adult Health II Musculoskeletal Chapter 35-37 PREP U

Which term refers to moving away from midline? Adduction Inversion Eversion Abduction

Abduction Abduction is moving away from the midline. Adduction is moving toward the midline. Inversion is turning inward. Eversion is turning outward.

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 A. edema in left lower extremity. B. increased use of left calf muscle. C. atrophy of right calf muscle. D. bruising in right lower extremity.

C. atrophy of the right calf muscle

Which is an indicator of neurovascular compromise? A. Warm skin temperature B. Diminished pain C. Pain upon active stretch D. Capillary refill of more than 3 seconds

D. Capillary refill of more than 3 seconds Capillary refill of more than 3 seconds is an indicator of neurovascular compromise. Other indicators include cool skin temperature, pale or cyanotic color, weakness, paralysis, paresthesia, unrelenting pain, pain upon passive stretch, and absence of feeling. Cool skin temperature is an indicator of neurovascular compromise. Unrelenting pain is an indicator of neurovascular compromise. Pain upon passive stretch is an indicator of neurovascular compromise.

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

Report joint crackling or clicking noises occurring after the second day. After undergoing arthrography, the client must be informed that he or she may hear crackling or clicking noises in the joints for up to 2 days, but if noises occur beyond this time, they should be reported. These noises may indicate the presence of a complication, and therefore should not be ignored or treated by the client. Massage is not indicated. The client need not be asked to avoid sunlight or dairy products.

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. The fracture is ventrally located. The fracture is on the epiphyses. The fracture is on the tuberosity.

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. Saying a fracture is ventrally located does not assist in providing adequate details of the location of the fracture. A tuberosity is a projection from the bone or a protuberance. Reference:

There are thousands of components of the musculoskeletal system that facilitate mobility and independent function. The function of skeletal muscle is promoting: movement of skeletal bones. organ function. involuntary function. All options are correct.

movement of the skeletal bones The skeletal muscles promote movement of the bones of the skeleton. Reference:

Which assessment finding would cause the nurse to suspect compartment syndrome in the client following a bone biopsy? A. Increased diameter of the calf B. Capillary refill < 3 seconds C. Toes move freely without pain D. Bounding dorsalis pedis pulses

A. Increased diameter of the calf Increasing diameter of the calf can be indicative of bleeding into the muscle. The other findings are within normal limits.

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? A. Osteoblasts B. Cortical bone C. Osteoclasts D. Cancellous bone

A. Osteoblasts Osteoblasts secrete bone matrix (mostly collagen), in which inorganic minerals, such as calcium salts, are deposited. This process of ossification and calcification transforms the blast cells into mature bone cells, called osteocytes, which are involved in maintaining bone tissue. Cortical bone is dense hard bone found in the long shafts; cancellous bone is spongy bone found in the irregular rounded edges of bone.