Ch. 36 Management of Patients with Musculoskeletal Disorders
Temporomandibular disorder
A client has been treated for migraine headaches for several months and comes to the clinic reporting no improvement. The nurse is talking with the client and hears an audible click when the client is moving the jaw. What does the nurse suspect may be happening?
L4, L5, and S1
A client visits an orthopedic specialist because of pain beginning in the low back and radiating behind the right thigh and down below the right knee. The doctor suspects a diagnosis of sciatica. The nurse knows that the origin of the pain is between which intervertebral disks?
Vitamin D-fortified milk
A client with a musculoskeletal injury is instructed to alter the diet. The objective of altering the diet is to facilitate the absorption of calcium from food and supplements. Considering the food intake objective, which food item should the nurse encourage the client to include in the diet?
Open Nerve Release
A client with carpal tunnel syndrome has had limited improvement with the use of a wrist splint. The nurse knows that which procedure will show the greatest improvement in treatment for this client?
Surgical debridement
A client with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. The wound appearance has not improved. What action would the nurse anticipate to promote healing?
Assess the surgical dressing.
A nurse is caring for a client following removal of a Morton's neuroma. Which nursing intervention would be most appropriate?
Supine, with the knees slightly flexed and the head of the bed elevated 30 degrees
A patient is having low back pain. What position can the nurse suggest to relieve this discomfort?
Long bone bowing
Assessment of a client reveals signs and symptoms of Paget's disease. Which of the following would be most likely?
a. Muscle weakness c. Anorexia and constipation e. Shortened QT interval f. Lack of muscle coordination
Hypercalcemia is a dangerous complication of bone cancer. Therefore, nursing assessment includes evaluation of symptoms that require immediate treatment. Which of the following are signs/symptoms that are indictors of an elevated serum calcium? Select all that apply.
Swelling of the third (lateral) branch of the median plantar nerve
Morton neuroma is exhibited by which clinical manifestation?
Staphylococcus aureus
Most cases of osteomyelitis are caused by which microorganism?
Walk or perform weight-bearing exercises
The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action?
Walk or perform weight-bearing exercises outdoors
The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action?
Decreased height
What clinical manifestation would the nurse expect to find in a client who has had osteoporosis for several years?
Broccoli
What food can the nurse suggest to the client at risk for osteoporosis?
European American women
Which group is at the greatest risk for osteoporosis?
Calcitonin
Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing bone mass density (BMD)?
Carpal tunnel syndrome
While the nurse is performing a physical assessment, the client reports numbness, tingling, and pain when the nurse percusses lightly over the median nerve. What should this assessment indicate to the nurse?
0.5
A client with osteoporosis is prescribed calcitonin 100 units subcutaneously. The medication is available 200 units per ml. How many milliliters will the nurse administer to the client?
"You will receive IV antibiotics for 3 to 6 weeks."
A nurse is planning discharge instructions for the client with osteomyelitis. What instructions should the nurse include in the discharge teaching?