115 PrepU Ch. 36: Management of Patients with Musculoskeletal Disorders
A client diagnosed with carpal tunnel syndrome (CTS) asks the nurse about numbness in the fingers and pain in the wrist. What is the best response by the nurse?
"CTS is a neuropathy that is characterized by compression of the median nerve at the wrist."
A nurse is planning discharge instructions for the client with osteomyelitis. What instructions should the nurse include in the discharge teaching?
"You will receive IV antibiotics for 3 to 6 weeks."
A nurse is caring for a client following removal of a Morton's neuroma. Which nursing intervention would be most appropriate?
Assess the surgical dressing.
A nurse is caring for an elderly female client with osteoporosis. When teaching the client, the nurse should include information about which major complication?
Bone fracture
Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing bone mass density (BMD)?
Calcitonin
While the nurse is performing a physical assessment, the client reports numbness, tingling, and pain when the nurse percusses lightly over the median nerve. What should this assessment indicate to the nurse?
Carpal tunnel syndrome
What clinical manifestation would the nurse expect to find in a client who has had osteoporosis for several years?
Decreased height
A client comes to the emergency department complaining of pain in the right leg. When obtaining the history, the nurse learns that the client has a history of obesity and hypertension. Based on this information the nurse anticipates the client having which musculoskeletal disorder?
Degenerative joint disease
What term refers to a flexion deformity caused by a slowly progressive contracture of the palmar fascia?
Dupuytren contracture
The nurse notes that the client's left great toe deviates laterally. This finding would be recognized as which condition?
Hallux valgus
Which of the following was formerly called a bunion?
Hallux valgus
A healthcare provider asks a nurse to test a client for Tinel's sign to diagnose carpal tunnel syndrome. What should the nurse do to perform this assessment?
Have the client hold the palm of the hand up while the nurse percusses over the median nerve.
Which aspect should a nurse include in the teaching plan for a client with osteomalacia?
Include calcium, phosphorus, and vitamin D supplements
A client visits an orthopedic specialist because of pain beginning in the low back and radiating behind the right thigh and down below the right knee. The doctor suspects a diagnosis of sciatica. The nurse knows that the origin of the pain is between which intervertebral disks?
L4, L5, and S1
Which classic symptom will the nurse assess for to detect the development of plantar fasciitis?
Morning heel pain
A client is informed of having a benign bone tumor but that this type of tumor that may become malignant. The nurse knows that this is characteristic of which type of tumor?
Osteoclastoma
Which of the following presents with an onset of heel pain with the first steps of the morning?
Plantar fasciitis
A patient is having low back pain. What position can the nurse suggest to relieve this discomfort?
Supine, with the knees slightly flexed and the head of the bed elevated 30 degrees
Morton neuroma is exhibited by which clinical manifestation?
Swelling of the third (lateral) branch of the median plantar nerve
A client with low back pain is being seen in the clinic. In planning care, which teaching point should the nurse include?
Use the large muscles of the leg when lifting items.
Which of the following inhibits bone resorption and promotes bone formation?
calcitonin
When an infection is bloodborne, the manifestations include which symptom?
chills
Risk factors for osteoporosis
66 years of age Asian heritage postmenopausal status takes fluticasone inhaler for asthma
The nurse is preparing a client for a surgical procedure that will allow visualization of the extent of joint damage of the knee for a client with rheumatoid arthritis and also obtain a sample of synovial fluid. What procedure will the nurse prepare the client for?
Arthroscopy
The nurse is planning an education program for women of childbearing years. What does the nurse recognize as the primary prevention of osteoporosis?
Ensuring adequate calcium and vitamin D intake
Which of the following is the most important nursing diagnosis for an elderly patient diagnosed with osteoporosis?
Risk for injury related to fractures due to osteoporosis
A client with a musculoskeletal injury is instructed to alter the diet. The objective of altering the diet is to facilitate the absorption of calcium from food and supplements. Considering the food intake objective, which food item should the nurse encourage the client to include in the diet?
Vitamin D-fortified milk
The nurse is caring for a client with a hip fracture. The physician orders the client to start taking a bisphosphonate. Which medication would the nurse document as given?
Alendronate
A client with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. The wound appearance has not improved. What action would the nurse anticipate to promote healing?
Surgical debridement
In chronic osteomyelitis, antibiotics are adjunctive therapy in which situation?
Surgical debridement
