PrepU CH 39

Which of the following factors would the nurse need to keep in mind about the focus of the initial history when assessing a new client with a musculoskeletal problem?

Any chronic disorder or recent injury

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

Which hormone inhibits bone resorption and increases the deposit of calcium in the bone?

Calcitonin

A nurse provides health information to a postmenopausal woman who has been diagnosed with osteopenia. What mineral would the nurse recommend for this client?

Calcium

The nurse is caring for a pregnant patient with pregnancy-induced hypertension. When assessing the reflexes in the ankle, the nurse observes rhythmic contractions of the muscle when dorsiflexing the foot. What would the nurse document this finding as?

Clonus

Choose the correct statement about the endosteum, a significant component of the skeletal system: -Covers the marrow cavity of long bones -Supports the attachment of tendons to bones -Contains blood vessels and lymphatics -Facilitates bone growth

Covers the marrow cavity of long bones

The client presents with an exaggeration of the lumbar spine curve. How does the nurse interpret this finding?

Lordosis

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

Lordosis

The nurse is performing an assessment for a patient who may have peripheral neurovascular dysfunction. What signs does the patient present with that indicate circulation is impaired? (Select all that apply.) Limited range of motion Pale, cyanotic, or mottled color Cool temperature of the extremity Tenting skin turgor More than 3-second capillary refill

Pale, cyanotic, or mottled color Cool temperature of the extremity More than 3-second capillary refill

The nurse is assessing a client's peroneal nerve. What technique will the nurse use?

Prick the skin mid-way between the great and second toe

Which of the following is the final stage of fracture repair?

Remodeling

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

Serous drainage

Skull sutures are an example of which type of joint?

Synarthrosis

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?

Tendon

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

Toes mottled and cool Complaints of pins and needles in feet

While reading a client's chart, the nurse notices that the client is documented to have paresthesia. The nurse plans care for a client with:

abnormal sensations

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

Fracture healing occurs in four areas, including the:

external soft tissue

A client has an exaggerated convex curvature of the thoracic spine. What is this condition called?

kyphosis

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 cells are involved in bone resorption?

osteoclasts

A client has undergone arthroscopy. After the procedure, the site where the arthroscope was inserted is covered with a bulky dressing. The client's entire leg is also elevated without flexing the knee. What is the appropriate nursing intervention required in caring for a client who has undergone arthroscopy?

Apply a cold pack at the insertion site