Prep-U questions chapter 35
A client is having repeated tears of the joint capsule in the shoulder, and the health care provider orders an arthrogram. What intervention should the nurse provide after the procedure is completed? Select all that apply.
- Apply a compression bandage to the area - Administer a mild analgesic - Inform the client that a clicking or crackling noise in the joint may persist for a couple of days
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
A client has an exaggerated convex curvature of the thoracic spine. What is this condition called?
Kyphosis
The nurse is assessing a new client with a musculoskeletal problem. What is the best question by the nurse to elicit more information related to the injury?
"Do you have any chronic disorder or recent injury?"
Which nursing action is most important in caring for the client following an arthrogram?
Apply ice to the joint
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
Which cells are involved in bone resorption?
Osteoclasts
A group of students are reviewing information about bones in preparation for a quiz. Which of the following indicates that the students have understood the material?
Osteoclasts are involved in the destruction and remodeling of bone
Which nursing instruction is most important to stress when teaching on calcium intake?
Provide age-related calcium intake recommendations
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
A nursing student asks the nurse why older adults are at risk for falls. The best response by the nurse is:
"Muscles atrophy with aging."
The nurse is assessing a client with a musculoskeletal system condition. Which statement indicates to the nurse that the client is experiencing bone pain?
"The pain feels deep in my legs and keeps me awake at night."
A client is experiencing muscle weakness in the upper extremities. The client raises an arm above the head but then loses the ability to maintain the position. Muscular dystrophy is suspected. Which diagnostic test would evaluate muscle weakness or deterioration?
An electromyography
The nurse is taking an initial history of a new client with a musculoskeletal problem. Which factor is most important for the nurse to keep in mind for this assessment?
Any chronic disorder or recent injury
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
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
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."
A nurse understands the influence of hormones on bone maintenance. Therefore, the nurse knows that a patient on long-term cortisol may experience:
Increased bone resorption
Which term refers to moving away from midline?
Abduction
A client arrives at the orthopedic physician's office stating knee pain sustained while playing soccer. A history and physical assessment is completed. The knee appears reddened with edema. Which other diagnostic testing would the nurse anticipate?
An arthroscopy
Which of the following diagnostic studies are done to relieve joint pain due to effusion?
Arthrocentesis
Which hormone inhibits bone resorption and increases the deposit of calcium in the bone?
Calcitonin
A nurse provides health information to a postmenopausal woman who has been diagnosed with osteopenia. What mineral would the nurse recommend for this client?
Calcium
Which is a circulatory indicator of peripheral neurovascular dysfunction?
Cool skin
A group of students are reviewing the structure and function of bones. The students demonstrate understanding of the information when they state that cortical bone is found primarily in which of the following?
Diaphyses
The nurse is educating a group of students about peroneal nerve damage. The nurse knows that which assessment will show this type of nerve damage?
Dorsiflexion of the foot and extension of the toes
The nurse is teaching a client about osteoporosis. What diagnostic test will the nurse include with the client teaching?
Dual-energy x-ray absorptiometry
The nurse is preparing to perform a musculoskeletal assessment for a client with chronic muscle pain. Which assessment technique would be an appropriate tool to evaluate this type of pain?
Flex the bicep against resistance
A client is exhibiting diminished range of motion, loss of flexibility, stiffness, and loss of height. The history and physical findings are associated with age-related changes of which area?
Joints
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 human body has 206 bones, which are classified into four categories. Which types of bones are the femur and ulna?
Long bones
Which of the following deformity causes a exaggerated curvature of the lumbar spine?
Lordosis
A client scheduled to undergo an electromyography asks the nurse what this test will evaluate. What is the correct response from the nurse?
Muscle weakness
A nurse knows that a person with a 3-week-old femur fracture is at the stage where angiogenesis is occurring. What are the characteristics of this stage?
New capillaries producing a bridge between the fractured bones
An instructor is describing the process of bone development. Which of the following would the instructor describe as being responsible for the process of ossification?
Osteoblasts
A 10-year-old boy who was brought to the emergency room after a skiing accident is diagnosed with a fracture of the distal end of the femur. Why is this type of fracture significant?
Potential growth problems may result from damage to the epiphyseal plate
A nurse performs a neurovascular assessment on a client 2 weeks after a wrist cast had been removed. The nurse documents in the client's chart that there is normal sensation in the ulnar nerve. What finger assessment test will the nurse perform on this client?
Prick the distal fat pad on the small finger
A client undergoes an invasive joint examination of the knee. What will the nurse closely monitor the client for?
Serous drainage
The nurse understands that bone maintenance requires a balance between forming and dissolving bone. What is a correct statement about the function of osteoblasts?
They secrete a matrix that consists of collagen
A client visits the health care provider for a routine checkup. The history reveals that the client was diagnosed with a spinal curvature. Which region of the spine should the nurse assess for complications?
Thoracic
Each bone is composed of cells, protein matrix, and mineral deposits. Which type of bone cell works to repair a bone fracture?
osteocytes
The nurse is caring for a client who experienced a crushing injury of the lower extremities. Which of the following symptoms is essential to be reported to the physician?
Pulselessness
Which clinical manifestation would the nurse recognize as an indicator of peripheral neurovascular dysfunction? Select all that apply.
- Toes mottled and cool - Complaints of pins and needles in feet
