Chapter 39 - Assessment of Musculoskeletal Function

A patient is scheduled for a procedure that will allow the physician to visualize the knee joint in order to diagnose the patient's pain. What procedure will the nurse prepare the patient for?

Arthroscopy

Which is an indicator of neurovascular compromise?

Capillary refill of more than 3 seconds

5 Ps

Pain Pallor Pulselessness Paresthesia Paralysis

Serum Calcium

Parathyroid dysfunction, metastatic bone tumors, prolonged immobilization

The nurse is conducting a medication reconciliation with a client admitted with a fracture. What medication predisposes a client for a risk for fractures?

prednisone - a corticosteroid, causes increased bone resorption and decreased bone formation,

The nurse is providing care to a client following a knee arthroscopy. What would the nurse expect to include in the client's plan of care?

Administering the prescribed analgesic

Osteoporosis risk factors

Alcohol use Corticosteroid use Calcium low Estrogen low Smoking Sedentary lifestyle

Which of the following diagnostic studies are done to relieve joint pain due to effusion?

Arthrocentesis (joint aspiration)

Which term refers to the shaft of the long bone?

Diaphysis

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

Osteomyelitis

Infection of the bone that results in inflammation necrosis and formation of new bone

The nurse observes a client with a shuffling gait. What disease is commonly associated with a shuffling gait?

Parkinson's disease

RICE (Musculoskeletal Trauma)

Rest Ice Compression Elevation

Care for traction patient

Temperature Ropes hang freely Alignment Circulation check Type & location of fracture Increase fluid intake Overhead trapeze No weights on bed or floor

After a bone density test, an older adult female client tells the nurse, "I don't understand why I have osteoporosis because I eat well and take my calcium." What does the nurse explain as the reason that the client may have osteoporosis?

The loss is from withdrawal of estrogen and a decrease in activity levels.

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

Thyroid Studies (T3, T4, TSH)

bone metabolism, determines calcitonin, PTH, Vitamin D levels

Fracture (break)

complete or incomplete disruption in the bone structure

Osteoarthritis

degenerative disorder of the joints

Coagulation Studies

detect bleeding tendencies

Which of the following describes a muscle that is limp and without tone?

flaccid

Acute Compartment Syndrome

increased pressure within one or more compartments causes massive compromise of circulation to the area

The nurse is screening children for scoliosis. What nursing assessment finding is indicative of scoliosis?

lateral curvature of the spine

Carpal tunnel

median nerve at the wrist is compressed by thickened flexor tendon sheath, skeletal compression, edema or a soft tissue mass.

Creatine Kinase

muscle damage

Osteoporosis

prevalent in small framed, non obese white women, reduced bone mass, deterioration of bone matrix and decrease of bone strength

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

Which of the following is an appropriate priority nursing diagnosis for the client following an arthrocentesis?

risk for infection

A client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. The nurse understands that this injury involves which structure?

tendon

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

Rhabdomyolysis

the breakdown of muscle byproducts is released into blood, damages kidneys, bruising or laying for a long time after a fall.

A nurse provides nutritional health teaching to an adult client who had two fractures in 1 year. Besides recommending supplemental calcium, the nurse suggests a high-calcium diet. What would the nurse recommend that the client increase intake of?

yogurt and cheese

The nurse is conducting the admission assessment for a client who is to undergo an arthrogram. What is the priority question the nurse should ask?

"Do you have any allergies?"

CK-MB Creatine Kinase Myocardial Bands

Used in cardiac tests

Urine Calcium

increased with bone destruction

CBC

SX infection (increased CBC's)

Sciatica

nerve pain radiates down the back of the thigh into foot

Which statement describes paresthesia?

abnormal sensations

Serum Phosphate

inversely related to calcium levels, decreased in osteomalacia and malabsorption disorders

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