N317 Exam 3

The nurse assesses for Dorsiflexion of the foot by asking the patient to:

Point foot towards nose

Which of the following are common age related changes to the musculoskeletal system?

Postural changes/kyphosis, Redistribution of subcutaneous fat deposition over the hips and abdomen

Which assessment techniques are used for a focused musculoskeletal assessment?

Inspection, palpation, auscultation

A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first

Pallor of the toes.

A nurse is caring for a client who is scheduled for an arthroplasty. The nurse asked the client to state if he understands the procedure that is being performed. Which of the following statements by the client indicates an understanding of the procedure?

"This procedure will restore the function of my joint"

The nurse is testing muscle strength of a patient's upper extremities. The patient is able to move his shoulders through full range of motion against gravity, but cannot do so when the nurse applies any opposing force. Using the muscle strength scale, the nurse documents this patient's strength level as a:

+3

A nurse is assessing a client who has a herniated cervical intervertebral disc. Which of the following findings should the nurse expect?

A stiff neck

A patient is being assessed for active range of motion. The nurse asked him to move his arm away from the center of the his body. This movement is called:

Abduction

An elderly female patient presents to the clinic with muscle weakness and pain in her right arm. I'm completing a focused musculoskeletal physical exam, the nurse knows to

Assess muscle strength bilaterally

A nurse is assessing a client who has a cast in place for a fractured tibia. Which of the following actions should the nurse take first?

Checking capillary refill

What shoulder motion allows a person to swim the backstroke

Circumduction

A nurse is preparing a presentation at a community center about osteoarthritis. The nurse should plan to include which of the following information?

Crepitus can occur in affected joints, Causes joint pain- particularly in evening after day of use, affects weight bearing joints

A patient describes pain in her right hip and knee which exacerbates after a long shift of working as a housekeeper in a long term care setting. She states, sometimes when I kneel down to scrub the floor, I can hear a grating sound in my knee. When I come home in the evenings, I have to rest for quite a while before I feel well enough to prepare my dinner. Based on this subjective data, the nurse suspects what type of condition?

Degenerative joint disease such as osteoarthritis

What does the "get up and go" method of fall risk assessment involve?

Evaluating the time a patient takes to rise out of a chair, walk 10 feet, turn around, walk back and sit back down

The ballotment test and bulge sign are assessments for what?

Fluid on the knee

The spine should have a natural curve in _____ places

Four

During the assessment of a client who has a cast on his right leg, a nurse locates an area on the cast that feels warm to the touch. Which of the following complication should the nurse suspect?

Infection

The functional unit of the musculoskeletal system are the:

Joints

Which of the following statements is true regarding falls in the elderly?

Medication use may contribute to increased fall risk

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify a safety risk.

Scatter rugs are present in the kitchen

What are the risk factors for osteoporosis?

Sedentary lifestyle, aging, second hand smoke

A patient verbalizes concern to the nurse after learning that osteoporosis runs in her family. The nurse recognizes the following as risk factors for this condition:

Sedentary lifestyle, smoking & excess alcohol use, being female & post menopausal

The nurse must examine a patient who is weak and unable to sit unaided or get out of bed. How should you position the patient to begin and perform most of the physical examination?

Semi-Fowlers

What are expected adaptive findings for gait in the aging population?

Widened base of support, watching feet while walking