Honan Chapter 39: Musculoskeletal Function

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

Risk for infection

Which is an indicator of neurovascular compromise?

Capillary refill of more than 3 seconds

Which nursing instruction is most important to stress when teaching on calcium intake?

Provide age-related calcium intake recommendations.

The nurse is assessing the client for scoliosis. What will the nurse have the client do to perform the assessment?

Stand behind the client and ask the client to bend forward at the waist.

The nurse is assessing a client's gait. What assessments indicate the client has a normal gait? Select all that apply.

smoothness knee flexion

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?"

The nurse is preparing the client for magnetic resonance imaging after reports of low back pain. What statement by the client requires action by the nurse?

"I didn't remove my Transderm-Nitro patch."

A client with a sports injury undergoes a diagnostic arthroscopy of the left knee. What comment by the client following the procedure will the nurse address first?

"My toes are numb."

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."

The older client asks the nurse how best to maintain strong muscles. What is the nurse's best response?

"Weight-resistance exercises can strengthen muscles."

The nurse is preparing the client for computed tomography. Which information should be given by the nurse?

"You must remain very still during the procedure."

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.

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

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 hormone inhibits bone reabsorption and increases calcium deposit in the bone?

Calcitonin

What is the term for a rhythmic contraction of a muscle?

Clonus

A nurse who provides care in an extended-care setting works primarily with adults aged 75 and older. When planning care and implementing safety measures for this population, the nurse should be cognizant of which of the following normal, age-related changes to the musculoskeletal system?

Decreased bone mass

Which diagnostic test would the nurse expect to be ordered for a client with lower extremity muscle weakness?

Electromyograph (EMG)

A client has been experiencing an unexplained decline in knee function and has consequently been scheduled for arthrography. The nurse should teach the client about what process?

Injection of a contrast agent into the knee joint prior to ROM exercises

Which of the following techniques will the nurse implement to assess a patient's gait?

Instruct the patient to walk away from the nurse for a short distance.

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?

Kyphosis

Red bone marrow produces which of the following? Select all that apply.

Platelets RBCs WBCs

What is the term for a lateral curving of the spine?

Scoliosis

A nurse practitioner assesses a patient's movement in his left hand after a cast is removed. The nurse asks the patient to turn his wrist so the palm of his hand is facing up. This movement is known as:

Supination.

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

The nurse is providing care for a male patient who has undergone knee arthroplasty. As part of the nurse's morning assessment, the nurse is assessing for peripheral neurovascular dysfunction distal to the surgical site. When performing this assessment, what parameters should the nurse assess and document? Select all that apply.

The color of the patient's lower leg and foot The patient's ability to move his foot The patient's sensation in his foot and lower leg The temperature of the patient's foot and lower leg

A patient has just had an arthroscopy. What is a nursing intervention that is necessary for the nurse to implement following an arthroscopy?

Wrap the joint in compression dressing.

Which medication taken by the client in the previous 24 hours would be of greatest concern to the nurse caring for a client undergoing a bone biopsy?

aspirin

A client tells the health care provider about shoulder pain that is present even without any strenuous movement. The health care provider identifies a sac filled with synovial fluid. What condition will the nurse educate the client about?

bursitis

A client is diagnosed with a fracture of a diarthrosis joint. What is an example of this type of joint?

elbow

Which assessment finding would cause the nurse to suspect compartment syndrome in the client following a bone biopsy?

Increased diameter of the calf

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

flaccid

The nurse is assigned to a client admitted with advanced Parkinson's disease. What type of gait correlates with Parkinson's disease?

shuffling

While doing an initial assessment on a patient, the patient tells the nurse that she has bone pain. The nurse asks the patient to describe the characteristics of the pain. Which of the following are typical characteristics of bone pain?

Dull, deep ache

Which of the following is the most common site of joint effusion?

knee

An example of a flat bone is the

sternum.

During a general musculoskeletal assessment, what would help the nurse determine the client's muscle strength?

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

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

Remodeling