Musculoskeletal System

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

A nurse is caring for a client who has had a total hip replacement. The nurse is reviewing health education prior to discharge. Which of the client's statements would indicate to the nurse that the client requires further teaching?

"I will need my husband to assist me in getting off the low toilet seat at home.

A client with SLE asks the nurse why she has to come to the office so often for "check-ups." What would be the nurse's best response?

"Taking care of you in the best way involves monitoring your disease activity and how well the prescribed treatment is working."

When performing a skin assessment, the nurse notes a localized skin infection of a single hair follicle. The nurse documents the presence of

A furuncle

Which body movement involves moving toward the midline?

Adduction

A nurse is caring for a client with a diagnosis of cancer that has metastasized. What laboratory value would the nurse expect to be elevated in this client?

Alkaline phosphatase

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

Calcitonin

The nurse intervenes to assist the client with fibromyalgia to cope with which symptoms?

Chronic fatigue, generalized muscle aching, and stiffness

A nurse is planning the care of a client with osteomyelitis that resulted from a diabetic foot ulcer. The client requires a transmetatarsal amputation. When planning the client's postoperative care, which of the following nursing diagnoses should the nurse most likely include in the plan of care?

Disturbed Body Image

Most cases of osteomyelitis are caused by which microorganism?

Staphylococcus aureus

The nurse is performing a musculoskeletal assessment of a client in a nursing home who had a stroke 2 years ago and who has right-sided hemiplegia. The nurse notes that the girth of the client's right calf is 2 inches less in diameter than the left calf. The nurse attributes the decreased girth to

Atrophy of right calf muscle

A nurse practitioner is seeing a 16-year-old male client who has come to the dermatology clinic for treatment of acne. The nurse practitioner would know that the treatment may consist of which of the following medications?

Benzoyl peroxide and erythromycin

A public health nurse is participating in a health promotion campaign that has the goal of improving outcomes related to skin cancer in the community. What action has the greatest potential to achieve this goal?

Educating participants about the early signs and symptoms of skin cancer

A nurse is planning the care of a client who has undergone orthopedic surgery. What main goal should guide the nurse's choice of interventions?

Improving the client's level of function

A nurse is discussing conservative management of tendonitis with a client. What is the nurse's bestrecommendation?

Intermittent application of ice and heat

An 80-year-old man in a long-term care facility has a chronic leg ulcer and states that the area has become increasingly painful in recent days. The nurse notes that the site is now swollen and warm to the touch. The client should undergo diagnostic testing for what health problem?

Osteomyelitis

While assessing a client who has had knee replacement surgery, the nurse notes that the client has developed a hematoma at the surgical site. The affected leg has a decreased pedal pulse. What would be the priority nursing diagnosis for this client?

Risk for Ineffective Peripheral Tissue Perfusion

An elderly female with osteoporosis has been hospitalized. Prior to discharge, when teaching the client, the nurse should include information about which major complication of osteoporosis?

bone fracture

A patient has been diagnosed with osteomalacia. What common symptoms does the nurse recognize that correlate with the diagnosis?

bone pain and tenderness

Which group is at the greatest risk for osteoporosis?

caucasian women

A nurse is caring for a client with bone metastasis from a primary breast cancer. The client reports muscle weakness and nausea and is voiding large amounts frequently. The telemetry monitor is observed showing premature ventricular contractions.What should the nurse suspect based on the clinical manifestations?

Hypercalcemia

A client is being treated for a fractured hip and the nurse is aware of the need to implement interventions to prevent muscle wasting and other complications of immobility. What intervention best addresses the client's need for exercise?

Encouraging frequent use of the over-bed trapeze

A patient sustained an open fracture of the femur 24 hours ago. While assessing the patient, the nurse observes the patient is having difficulty breathing, and oxygen saturation decreases to 88% from a previous 99%. What does the nurse understand is likely occurring with this patient?

Fat emboli

A nurse is performing a shift assessment on an elderly client who is recovering after surgery for a hip fracture. The client reports chest pain, has an increased heart rate, and increased respiratory rate. The nurse further notes that the client is febrile and hypoxic, coughing, and producing large amounts of thick, white sputum. The nurse recognizes that this is a medical emergency and calls for assistance, recognizing that this client is likely demonstrating symptoms of what complication?

Fat embolism syndrome

A nurse is caring for a client with a cast on the left arm after sustaining a fracture. Which assessment finding is most significant for this client?

Fingers on the left hand are swollen and cool

A client presents at a clinic reports heel pain that impairs walking ability. The client is subsequently diagnosed with plantar fasciitis. This client's plan of care should include what intervention?

Gently stretching the foot and the Achilles tendon

A client's x-ray looks similar to the image depicted. The nurse would recognize that the client likely has a:

Hammer toe

A nurse is working with a family whose 5-year-old daughter has been diagnosed with impetigo. What educational intervention should the nurse include in this family's care?

Teaching about the importance of maintaining high standards of hygiene

The nurse working in the orthopedic surgeon's office is asked to schedule a shoulder arthrography. The nurse determines that the surgeon suspects which finding?

Tear in the joint capsule

Tendons are cordlike structures that attach muscles to the periosteum of the bone. Which is nottrue about tendons?

Tendons attach muscle to a bone in just one location.

A 91-year-old client is slated for orthopedic surgery and the nurse is integrated gerontologic considerations into the client's plan of care. What intervention is most justified in the care of this client?

Use of a pressure-relieving mattress

What clinical manifestation would the nurse expect to find in a client who has had osteoporosis for several years?

decreased height

The type of fracture described as having one side of the bone broken and the other side bent would be

greenstick

evelopment of malignant melanoma is associated with which risk factor?

history of severe sunburn

Nursing care for the client with fibromyalgia should be guided by the assumption that patients with fibromyalgia

may feel as if their symptoms are not taken seriously.

A clinic nurse is caring for a client diagnosed with rheumatoid arthritis (RA). The client tells the nurse that she has not been taking her medication because she usually cannot remove the childproof medication lids. How can the nurse best facilitate the client's adherence to her medication regimen?

Encourage her to have her pharmacy replace the tops with alternatives that are easier to open

What nursing intervention should the nurse prioritize to facilitate healing in a client who has suffered a hip fracture?

Place a pillow between the client's legs when turning.

Which of the following is a term used to describe a soft tissue injury produced by a blunt force?

contusion

Which term refers to a break in the continuity of a bone?

fracture

Which factor inhibits fracture healing?

history of diabetes

A client experienced an open fracture to the left femur during a horse-riding accident. For which complication is this client at highest risk?

infection