PrepU Adult 2 Assignment 4

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

Scoliosis

Which of the following deformities causes a lateral curving deviation of the spine?

Scoliosis

Skull sutures are an example of which type of joint?

Synarthrosis

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

A 16-year-old patient 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. The nurse knows that the patient had sustained a tear of the:

Tendon.

Tendons are cordlike structures that attach muscles to the periosteum of the bone. Which is not true about tendons?

Tendons attach muscle to a bone in just one location.

The nurse assesses soft subcutaneous nodules along the line of the tendons in a patient's hand and wrist. What does this finding indicate to the nurse?

The patient has rheumatoid arthritis.

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

kyphosis

An example of a flat bone is the

sternum

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 patient tells the nurse, "I was working out and lifting weights and now that I have stopped, I am flabby and my muscles have gone!" What is the best response by the nurse?

"Your muscles were in a state of hypertrophy from the weight lifting but it will persist only if the exercise is continued."

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.)

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

Lorraine Carr, a 55-year-old, rental car agency manager, is being seen by a physician for her annual physical. She is postmenopausal and is taking medication to reverse bone loss. While loss of bone mass accelerates after menopause, at what age do people begin to lose bone mass?

35 years of age

Which body movement involves moving toward the midline?

Adduction

Which elements of assessment of a traumatic musculoskeletal injury should be included when a client is evaluated. Select all that apply.

All should be included.

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

During the physical assessment of a client with a musculoskeletal disorder, which of the following techniques would enable the nurse to determine the client's ability to exhibit fine motor skills?

Asking the client to grasp objects

A patient tells the physician about shoulder pain that is present even without any strenuous movement. The physician identifies a sac filled with synovial fluid. What condition should the nurse educate the patient about?

Bursitis

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

Calcitonin

Which of the following biologically active vitamin functions to increase the amount of calcium in the blood?

D

Which term refers to the shaft of the long bone?

Diaphysis

A patient is diagnosed with a fracture of a diarthrosis joint. The nurse knows that an example of this type of joint is the:

Elbow.

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

Which of the following is an example of a hinge joint?

Knee

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

The client presents with an exaggeration of the lumbar spine curve. The nurse interprets these findings as indicative of:

Lordosis

The nurse would expect which of the following age-related change of the musculoskeletal system?

Loss of bone mass

What would not be included in client and family teaching after a musculoskeletal injury?

Pursue any physical activities that are comfortable.

After a fracture, during which stage or phase of bone healing is devitalized tissue removed and new bone reorganized into its former structural arrangement?

Remodeling

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

Lordosis

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.

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

Which cells are involved in bone resorption?

Osteoclasts

A patient comes to the clinic and informs the nurse of numbness, tingling, and a burning sensation in the arm from the elbow down to the fingers. What type of symptom would this be documented as?

Paresthesia

The nurse is conducting a musculoskeletal assessment of a client in a nursing home. The client is unable to dorsiflex the right foot or extend the toes. The nurse evaluates this finding as an injury to which nerve?

Peroneal

Which nerve is being assessed when the nurses asks the client to dorsiflex the ankle and extend the toes?

Peroneal

There are thousands of components of the musculoskeletal system which facilitate mobility and independent function. What is the function of skeletal muscle?

Promoting movement of skeletal bone

A patient who needs to increase her intake of calcium is advised to also increase her intake of another vitamin that supports calcium's absorption. Select that vitamin.

Vitamin

Which data is most important for the nurse to record while assessing a client with an open wound?

when the client last received a tetanus immunization

Each bone is comprised of cells, protein matrix, and mineral deposits. Which type of bone cell is not only a mature bone cell, but is also involved in maintaining bone tissue.

osteocytes

The human body has 206 bones, which are classified into four categories. Which types of bones are located in the forearm?

long bones

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.