Chapter 49 complex
A nursing student studying the musculoskeletal system learns about important related hormones. What information does the student learn? (Select all that apply.)
A lack of vitamin D can lead to rickets. Estrogens stimulate osteoblastic activity. Parathyroid hormone stimulates osteoclastic activity.
A client is distressed at body changes related to kyphosis. What response by the nurse is best?
Ask the client to explain more about these feelings.
A client is undergoing computed tomography (CT) of a joint. What action by the nurse is most important before the test?
Assess for seafood or iodine allergy.
A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower leg to be pale and cool, with 1+/4+ pedal pulses. What action by the nurse is best?
Assess the neurovascular status of the right leg.
When assessing gait, what features does the nurse inspect? (Select all that apply.)
Balance Ease of stride Length of stride Steadiness
A school nurse is conducting scoliosis screening. In screening the client, what technique is most appropriate?
Bending forward from the hips
A student nurse learns about changes that occur to the musculoskeletal system due to aging. Which changes does this include? (Select all that apply.)
Bone changes lead to potential safety risks. Osteoarthritis occurs due to cartilage degeneration. Some muscle tissue atrophy occurs with aging.
The client's chart indicates genu varum. What does the nurse understand this to mean?
Bow-legged
A client is having a myelography. What action by the nurse is most important?
Ensure that informed consent is on the chart
A nurse is providing community education about preventing traumatic musculoskeletal injuries related to car crashes. Which group does the nurse target as the priority for this education?
High school football team
An older client's serum calcium level is 8.7 mg/dL. What possible etiologies does the nurse consider for this result? (Select all that apply.)
Normal age-related decrease in serum calcium Possible occurrence of osteoporosis or osteomalacia
The nurse knows that hematopoiesis occurs in what part of the musculoskeletal system?
Red marrow
The nurse is assessing four clients with musculoskeletal disorders. The nurse should assess the client with which laboratory result first?
Serum phosphorus: 2 mg/dL
A hospitalized client's strength of the upper extremities is rated at 3. What does the nurse understand about this client's ability to perform activities of daily living (ADLs)?
The client is able to perform ADLs but not lift some items.
