PrepU Assessment of Musculoskeletal Function

The nurse is preparing the client with a right neck mass for magnetic resonance imaging (MRI). Which question should the nurse ask? Select all that apply. - "Do you have a pacemaker?" - "Have you removed your hearing aid?" - "When is the last time you had food or drink?" - "Did you take your medications this morning?" - "Are you wearing any jewelry?"

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

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 may notice some bruising or swelling in my knee." - "My physician may prescribe pain pills after the procedure." - "Elevating my leg will reduce swelling after the procedure." - "I should use my heating pad this evening to reduce some of the pain in my knee."

- "I should use my heating pad this evening to reduce some of the pain in my knee."

The older client asks the nurse how best to maintain strong bones. What is the nurse's best response? - "Weight-bearing exercises can strengthen bones." - "Cardio-training is the best way to build bones." - "Weight-resistance exercises can strengthen bones." - "Range of motion exercises build bone mass."

- "Weight-bearing exercises can strengthen bones."

Which statement describes paresthesia? - Abnormal sensations - Absence of muscle tone - Involuntary twitch of muscle fibers - Absence of muscle movement suggesting nerve damage

- Abnormal sensations

During a general musculoskeletal assessment, what would help the nurse determine the client's muscle strength? - Asking the client to lift specified amounts of weights. - Applying force to the client's extremity as the client pushes against that force. - Examining extremities for symmetry, size, and contour. - Palpating each of the client's muscles and joints.

- Applying force to the client's extremity as the client pushes against that force.

The nurse is performing a neurological assessment. What will this assessment include? - Inspect the foot for edema. - Observe for capillary refill of the great toe. - Ask the client to plantar flex the toes. - Palpate the dorsalis pedis pulse.

- Ask the client to plantar flex the toes.

Which is an indicator of neurovascular compromise? - Warm skin temperature - Capillary refill of more than 3 seconds - Pain upon active stretch - Diminished pain

- Capillary refill of more than 3 seconds

Which clinical manifestation would the nurse recognize as an indicator of peripheral neurovascular dysfunction? Select all that apply. - Complaints of pins and needles in feet - Capillary refill less than 3 seconds - Absence of pain - Toes mottled and cool - Dorsiplantar flexion strong

- Complaints of pins and needles in feet - Toes mottled and cool

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

- Increased diameter of the calf

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? - Osteoporosis - Lordosis - Scoliosis - Kyphosis

- Kyphosis

The nurse is employed at a long-term care facility caring for geriatric clients. Which assessment finding is characteristic of an age-related change? - Cognitive decline - Loss of height - Increased muscle mass - Depressive symptoms

- Loss of height

A nurse knows that a person with a 3-week-old femur fracture is at the stage where angiogenesis is occurring. What are the characteristics of this stage? - New capillaries producing a bridge between the fractured bones. - Inflammation and the stimulation of osteoblasts and osteoclasts. - The formation of a hematoma and fibrin. - Cartilage cells forming matrix villa that regulate calcification of the cartilage.

- New capillaries producing a bridge between the fractured bones.

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? - Effusion - Paresthesia - Flaccidity - Atonia

- Paresthesia

A patient has a fracture of 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 - First intention, secondary intention, third intention - Active phase, dormant phase, restructure phase - Primary phase, secondary phase, third phase

- Reactive phase, reparative phase, remodeling phase

After a fracture, during which stage or phase of bone healing is devitalized tissue removed and new bone reorganized into its former structural arrangement? - Revascularization - Inflammation - Remodeling - Reparative

- Remodeling

A client is seen in the emergency room 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? - Ligament - Bursa - Tendon - Fascia

- Tendon

The nurse is performing a neurovascular assessment of a client's injured extremity. Which would the nurse report? - Dusky or mottled skin color - Positive distal pulses - Capillary refill of 3 seconds - Skin warm to touch

- Dusky or mottled skin color

A client is recovering from a fractured hip. What would the nurse suggest that the client increase intake of to facilitate calcium absorption from food and supplements? - Amino acids - Dairy products - Vitamin B6 - Vitamin D

- Vitamin D

The nurse is conducting a medication reconciliation with a client admitted with a fracture. What medication predisposes a client for a risk for fractures? - furosemide - digoxin - prednisone - metoprolol

- prednisone