Chapter 39: Assessment of Musculoskeletal Function PrepU

The nurse is assessing a new client with a musculoskeletal problem. What is the best question by the nurse to elicit more information related to the injury?

"Do you have any chronic disorders or recent injury?"

The nurse is preparing the client with a right neck mass for an MRI. Which questions should the nurse ask? Select all that apply*

"Have you removed your hearing aid?" "Are you wearing any jewelry?" "Do you have a pacemaker?"

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 nurse is assessing a client with a musculoskeletal system condition. Which statement indicates to the nurse that the client is experiencing bone pain?

"The pain feels deep in my legs and keeps me awake at night"

Which statement describes paresthesia?

Abnormal sensations

Which body movement involves moving toward the midline?

Adduction

The nurse is providing care to a client following a knee arthroscopy. What would the nurse expect to include in the client's plan of care?

Administering the prescribed analgesic

The nurse is taking care of a client with lower motor neuron destruction. How would the nurse document on the electronic health record the muscle tone in the client's lower legs?

Atonic

A client tells the healthcare provider about shoulder pain that is present even without any strenuous movement. The healthcare provider identifies a sac filled with synovial fluid. What condition will the nurse educate this client about?

Bursitis

Which hormone inhibits bone reabsorption and increases calcium deposits in the bone?

Calcitonin

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

Clonus

The homecare nurse is evaluating the musculoskeletal system of a geriatric client whose previous assessment was WNL. The nurse initiates a call to the healthcare provider and/or emergency services when which change is found?

Decreased right-sided muscle strength

The nurse is educating a group of students about peroneal nerve damage. The nurse knows that which assessment will show this type of nerve damage?

Dorsiflexion of the foot and extension of the toes

The nurse is teaching a client about osteoporosis. What diagnostic test will the nurse include with the client teaching?

Dual-energy x-ray absorptiometry

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)

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?

Electromyography (EMG)

The nurse uses the Fracture Risk Assessment Tool during an assessment of an older adult. Which information indicates to the nurse that the client is at risk for a fracture? Select all that apply*

Female gender Smokes cigarettes

The nurse is preparing to perform a musculoskeletal assessment for a client with chronic muscle pain. Which assessment technique would be an appropriate tool to evaluate this type of pain?

Flex the bicep against resistant

What is an example of a hinge joint?

Knee

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

Knee

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

Which serum level indicates the rate of bone turnover?

Osteocalcin

The nurse observes a client with a shuffling gait. What disease is commonly associated with a shuffling gait?

Parkinson's disease

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

Prednisone

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

A patient has a fracture on 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 is an appropriate priority nursing diagnosis for the client following an arthrocentesis?

Risk for infection

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

Scoliosis

A client undergoes an invasive joint examination of the knee. What will the nurse closely monitor the client for?

Serous drainage

The nurse is assigned to a client admitted with advanced Parkinson's disease. What type of gait correlates with Parkinson's disease?

Shuffling

The nurse is assessing the client for scoliosis. What will the nurse have the client do to perform the assessment?

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

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 structure?

Tendon

A client is seen in the ED 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 ED 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 nurse recognizes that rheumatoid arthritis is characterized by:

Ulnar deviation

The nurse is teaching a client about a vitamin that supports calcium's absorption. What vitamin is the nurse teaching the client about?

Vitamin D

A nurse provides nutritional health teaching to an adult client who had two fractures in 1 year. Beside recommending supplemental calcium, the nurse suggests a high-calcium diet. What would the nurse recommend that the client increase intake of?

Yogurt and cheese