Musculoskeletal Questions

1. "It's common in females after menopause." 2. "It's a degenerative disease characterized by a decrease in bone density." 4. "It can cause pain and injury."

A client is diagnosed with osteoporosis. Which statements should the nurse include when teaching the client about the disease? (Select all that apply) 1. "It's common in females after menopause." 2. "It's a degenerative disease characterized by a decrease in bone density." 3. "It's a congenital disease caused by poor dietary intake of milk products." 4. "It can cause pain and injury." 5. "Passive range-of-motion exercises can promote bone growth." 6. "Weight-bearing exercise should be avoided."

1. Positive Tinel's sign

A client comes to the outpatient department with suspected carpal tunnel syndrome. When assessing the affected area, the nurse expects to find which abnormality that's typically associated with this syndrome? 1. Positive Tinel's sign 2. Negative Phalen's sign 3. Positive Chvostek's sign 4. Negative Trousseau's sign

4. Gouty arthritis

A client is admitted with severe pain in the knees. Which form of arthritis is characterized by urate deposits and joint pain, usually in the feet and legs, and occurs primarily in men over age 30? 1. Septic arthritis 2. Traumatic arthritis 3. Intermittent arthritis 4. Gouty arthritis

1. Pain radiating down the posterior thigh

A client seeks care for low back pain of 2 weeks' duration. Which assessment finding suggests a herniated intervertebral disk? 1. Pain radiating down the posterior thigh 2. Back pain when the knees are flexed 3. Atrophy of the lower leg muscles 4. Homans' sign

2. impingement on pulmonary function

During a scoliosis screening in a college heath center, a student asks the public health nurse about the consequences of untreated scoliosis. The nurse would be accurate by identifying one of the direct complications as: 1. osteoporosis of the vertebra. 2. impingement on pulmonary function. 3. spontaneous spinal cord injury. 4. pituitary hyposecretion.

3. Abduction

The nurse is assisting a client with range-of-motion exercises. The nurse moves the client's leg out and away from the midline of the body. What movement does the nurse document? 1. Pronation 2. Adduction 3. Abduction 4. Supination

1. Risk for injury related to altered mobility

Which nursing diagnosis is most appropriate for an elderly client with osteoarthritis? 1. Risk for injury related to altered mobility 2. Impaired urinary elimination related to effects of aging 3. Ineffective breathing pattern related to immobility 4. Imbalanced nutrition: Less than body requirements related to effects of aging

1. "OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints."

A 69-year-old client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct? 1. "OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints." 2. "OA and RA are very similar. OA affects the smaller joints and RA affects the larger, weight-bearing joints." 3. "OA affects joints on both sides of the body. RA is usually unilateral." 4. "OA is more common in women. RA is more common in men."

3. "Pace yourself and rest frequently, especially after activities."

A client with osteoarthritis tells the nurse she is concerned that the disease will prevent her from doing her chores. Which suggestion should the nurse offer? 1. "Do all your chores in the morning, when pain and stiffness are least pronounced." 2. "Do all your chores after performing morning exercises to loosen up." 3. "Pace yourself and rest frequently, especially after activities." 4. "Do all your chores in the evening, when pain and stiffness are least pronounced."

2. Kyphosis

During a senior citizen health screening, the nurse observes a 75-year-old female with a severely increased thoracic curve, or "humpback". What is this condition called? 1. Lordosis 2. Kyphosis 3. Scoliosis 4. Genus varum

4. Osteoporosis

A 72-year-old female client reports that she has lost an inch in height since menopause. The nurse explains to the client that she has a musculoskeletal disorder. What's this disorder called? 1. Osteoarthritis (OA) 2. Rheumatoid arthritis (RA) 3. Paget's disease 4. Osteoporosis

1. Joint pain, crepitus, Heberden's nodes

A 78-year-old client has a history of osteoarthritis. Which signs and symptoms would the nurse expect to find on physical assessment? 1. Joint pain, crepitus, Heberden's nodes 2. Hot, inflamed joints; crepitus; joint pain 3. Tophi, enlarged joints, Bouchard's nodes 4. Swelling, joint pain, and tenderness on palpation