Musculoskeletal Socrative

The nurse is assessing a female client's risk for osteoporosis. Which factor places this client at greatest risk?

Menopause

A patient is seen in an outpatient clinic for a sudden inflammation and severe pain in the great toe. A diagnosis of gouty arthritis is based on:

Monosodium urate crystals found in synovial fluid

A 60-year-old woman has pain when moving her fingers and asks you if this is just due to aging. What s your best response?

"Changes in the cartilage and bones of joints may cause symptoms of pain and loss of function."

A client recently diagnosed with rheumatoid arthritis (RA) tells the nurse she is glad there is nothing "really wrong with her" besides some joint swelling. Which information should the nurse tell the client about RA?

"Extra-articular manifestations may include anemia and deformities of the affected joints."

A client has been diagnosed with rheumatoid arthritis (RA). What will the nurse tell the client about this disorder's etiology?

"Genetic predisposition is very likely."

A nurse is caring for a client with a fractured elbow. Which instruction is important to give the client to prevent cartilage degeneration while the elbow is immobilized?

"To prevent cartilage atrophy, slowly and gradually resume exercising."

The nursing student who is studying about osteoporosis correctly identifies which female to be at highest risk for suffering a fracture?

A 68-year-old who gets bumped several times while riding the bus

What term describes an injury to the soft tissue of the body?

Contusion

Which diagnostic finding has been strongly linked to systematic lupus erythematosus (SLE)?

Elevated anti-nuclear antibodies (ANA)

Which assessment finding is a positive outcome of treatment with diet and exercise for hypercholesterolemia?

Increased high-density lipoproteins

The nurse assesses the neurovascular status of a client who had surgery to repair a fractured hip. Which assessment data for the affected leg indicates that the client has developed a neurologic complication?

Tingling sensations

An older adult client has recently been diagnosed with rheumatoid arthritis. The nurse should focus assessment on which aspects?

Weight and nutritional status

A client presents to the orthopedic clinic for evaluation since the primary care provider thinks the client may have rheumatoid arthritis (RA). Which statement by the client correlates with the diagnosis of RA? Select all that apply.

"I'm having a hard time opening doors since it hurts so bad."

A client sought care because of increasing pain and inflammation in the toe and ankle of one foot. Diagnostic testing has resulted in a diagnosis of gouty arthritis. When educating the client about the treatment and management of the disease, what should the nurse teach the client?

"Losing some weight and reducing your alcohol intake will likely be beneficial."

A nurse is teaching a group of nursing students about the presentation of systemic lupus erythematosus (SLE). Which statement is the nurse likely to make?

"More women than men are affected by lupus."

The nurse determines that additional client education is needed when a client with gout makes which statement?

"When I have an exacerbation of my symptoms, a glass of red wine will be helpful."

Which female patients are at risk for developing osteoporosis? (select all that apply)

- 58, Native American, started menopause prematurely - 68, white, underweight and inactive - 55, Asian, cigarette smoker

A client sustains a musculoskeletal injury of the right foot. In addition to pain, which manifestations would accompany a fracture? Select all that apply.

- Deformity of the affected part - Abnormal mobility - Swelling - Loss of function

When assessing a client with acute gout, for which of these signs and symptoms does the nurse assess? Select all that apply.

- Redness and swelling of the affected joint - Pain and swelling in one joint - Intake of alcohol - Obesity

Which clients should the nurse assess to determine if they have premature osteoporosis?

Anyone with an eating disorder.

As the nurse of an 89 year old woman on bedrest, which of the following actions can you take to decrease risks associated with clot formation and skin breakdown?

Assist with passive leg exercises

A nurse is caring for a client who has systemic lupus erythematosus (SLE). Which of the following causes the disease?

Autoimmune process

What is a priority concern for a client who has a hip dislocation?

Blood supply to the femoral head

A patient experienced an open fracture at the humerus 2 weeks ago and is having increased pain in the fracture site. Which testing would help identify the causative agent of osteomyelitis?

Bone biopsy

What is most likely to cause the pain associated with OA in the later stages?

Bone surfaces rubbing together

Which clients with rheumatoid arthritis (RA) will the nurse prioritize to assess first?

Client with systemic lupus erythematosus (SLE) and chest pain

A 16-year-old male football player suffered a fracture of his radius and ulna. Assessment of the fracture includes the following data: (1) the fracture does not protrude through the skin, and (2) both bones broke completely through into two pieces. Select the best description of the injury.

Closed comminuted fracture

An older adult client has had mobility and independence significantly impaired by the progression of rheumatoid arthritis (RA). What is the primary pathophysiologic process that has contributed to this client's decline in health?

Immunologically mediated joint inflammation

When assessing a client with rheumatoid arthritis, which statement about joint involvement is most accurate?

Involvement is symmetric and polyarticular, initially starting in the fingers, hands, and wrists.

Which signs and symptoms should prompt a young woman's primary care provider to assess for systemic lupus erythematosus (SLE)?

Joint pain and proteinuria

Which description is more characteristic of OA when compared to RA?

Not systemic or symmetric

The nurse is conducting a health promotion class on osteoarthritis (OA). Which statement should the nurse include?

Obesity is a strong risk factor for developing OA

While getting up out of bed for the first time after surgery, a client reports feeling dizzy and faint. Which condition is the client most likely experiencing?

Orthostatic intolerance

What describes the manifestations of OA?

Pain and immobility are aggravated by falling barometric pressure.

The client with a suspected diagnosis of osteoarthritis asks the health care provider, "How will this diagnosis be confirmed?" Which response is most appropriate?

Physical examination and x-ray studies

A nurse is caring for a client admitted with a malar rash on the nose and cheeks. The nurse recognizes that this rash is characteristic of which disease process?

Systemic lupus erythematosus (SLE)

A client with a fractured clavicle is told that the bone will heal well if immobilized for the next 6 to 8 weeks, but there will be a large "bump" where the break occurred. This bump will be caused by:

formation of a bony callus.

A major complication of prolonged bed rest is an increased risk of kidney stones. The nurse knows that this is most likely related to:

saturation of urine with calcium salts.