Muscular skeletal prep u

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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 is scheduled for a bone scan. A bone scan may be ordered to detect metastatic bone lesions, fractures, and certain types of inflammatory disorders. Which nursing considerations are correct in preparing a client for a bone scan? Select all that apply.

-Inform the client that the radiopaque isotope will be administered intravenously. -Ensure that the client does not have any allergies to the isotope. -Encourage the client to drink fluids to help distribute and eliminate the isotope.

A client has had an electromyography. What is an appropriate nursing intervention following this diagnostic procedure?

Apply warm compresses.

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

During the physical assessment of a client with a musculoskeletal disorder, which of the following techniques would enable the nurse to determine the client's ability to exhibit fine motor skills?

Asking the client to grasp objects

A client has had a cast placed for the treatment of a humeral fracture. The nurse's most recent assessment shows signs and symptoms of compartment syndrome. What is the nurse's most appropriate action?

Contact the primary provider immediately.

Which term refers to the shaft of the long bone?

Diaphysis

Which diagnostic test would the nurse expect to be ordered for a client with lower extremity muscle weakness?

Electromyograph (EMG)

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

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

A patient comes to the clinic and informs the nurse of numbness, tingling, and a burning sensation in the arm from the elbow down to the fingers. What type of symptom would this be documented as?

Paresthesia

What would not be included in client and family teaching after a musculoskeletal injury?

Pursue any physical activities that are comfortable.

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

Tendons are cordlike structures that attach muscles to the periosteum of the bone. Which is not true about tendons?

Tendons attach muscle to a bone in just one location.

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 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 public health nurse is organizing a campaign that will address the leading cause of musculoskeletal-related disability. The nurse should focus on what health problem?

arthritis

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

atrophy of right calf muscle.

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

calcitonin

What are some nondairy sources of calcium? Select all that apply. dark green leafy veggies broccoli sardines carrots

dark green leafy veggies broccoli sardines

The nurse is assessing the client following orthopedic surgery for a deep vein thrombosis. When performing this assessment, the nurse is most correct to perform which movement?

dorsiflexion

A client is diagnosed with a fracture of a diarthrosis joint. What is an example of this type of joint?

elbow

diarthrosis joint

freely movable joint

Which of the following is an example of a hinge joint?

knee or elbow

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

The human body has 206 bones, which are classified into four categories. Which types of bones are located in the forearm?

long bones

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

lordosis (Lumbar Lordosis) remember L's

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

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

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

scoliosis

A client is receiving ongoing nursing care for the treatment of Parkinson disease. When assessing this client's gait, what finding is most closely associated with this health problem?

shuffling gait

An example of a flat bone is the

sternum

Which data is most important for the nurse to record while assessing a client with an open wound?

when the client last received a tetanus immunization

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

The primary functions of cartilage are to reduce friction between articular surfaces, absorb shocks, and reduce stress on joint surfaces. Where in the human body is cartilage found?

between ribs, elbow in between joints, in the ear


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