PrepU Ch 35

The nurse is assessing a client with a musculoskeletal system condition. Which statement indicates to the nurse that the client is experiencing bone pain? "I have soreness and aching like cramps in both of my arms." "The pain is sharp in my arms but is relieved by not moving." "The pain feels tender, hurts, and is worse when I move." "The pain feels deep in my legs and keeps me awake at night."

"The pain feels deep in my legs and keeps me awake at night."

Which term refers to moving away from midline? Inversion Eversion Adduction Abduction

Abduction

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? A serum calcium test An arthroscopy An electromyography A magnetic resonance imaging (MRI)

An electromyography

Which is useful in identifying acute or chronic tears of the joint capsule or supporting ligaments of the knee, shoulder, ankle, hip, or wrist? Bone densitometry EMG Meniscography Arthrography

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? Electromyography Arthroscopy Arthrocentesis Bone scan

Arthroscopy

The nurse is performing a neurological assessment. What will this assessment include? Ask the client to plantar flex the toes. Inspect the foot for edema. Observe for capillary refill of the great toe. Palpate the dorsalis pedis pulse.

Ask the client to plantar flex the toes.

Which hormone inhibits bone reabsorption and increases calcium deposit in the bone? Vitamin D Growth hormone Sex hormones Calcitonin

Calcitonin

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? Ankle reflex Clonus Positive Babinski reflex Hypertrophy

Clonus

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? Stretching of the client's thumb above the wrist Pricking of the skin along the medial side of the foot Skin prick along the client's skin with the index finger Dorsiflexion of the foot and extension of the toes

Dorsiflexion of the foot and extension of the toes

A client is diagnosed with a fracture of a diarthrosis joint. What is an example of this type of joint? Elbow Symphysis pubis Skull Fifth thoracic vertebra

Elbow

The nurse is performing a musculoskeletal assessment for a client whose right leg muscles exhibit no tone and are limp. Which descriptor should the nurse use to document this condition? Atonic Atrophic Flaccid Spastic

Flaccid

Which of the following is the most common site of joint effusion? Hip Elbow Shoulder Knee

Knee

Which of the following deformity causes an exaggerated curvature of the lumbar spine? Lordosis Kyphosis Steppage gait Scoliosis

Lordosis

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.) Tenting skin turgor More than 3-second capillary refill Pale, cyanotic, or mottled color Limited range of motion Cool temperature of the extremity

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

The nurse is working on an orthopedic floor caring for a client injured in a football game. The nurse is reviewing the client's chart noting that the client has previously had an injured tendon. The nurse anticipates an injury between the periosteum of the bone and which of the following? Cartilage Joint Muscle Ligament

Muscle

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

Peroneal

Which of the following is the final stage of fracture repair? Angiogenesis Remodeling Cartilage removal Cartilage calcification

Remodeling

Skull sutures are an example of which type of joint? Amphiarthrosis Diarthrosis Synarthrosis Aponeuroses

Synarthrosis

Skull sutures are an example of which type of joint? Diarthrosis Synarthrosis Amphiarthrosis Aponeuroses

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? Injury to the radial nerve Fracture of the clavicle Decreased bone density Tear in the joint capsule

Tear in the joint capsule

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. absence of muscle movement suggesting nerve damage. involuntary twitch of muscle fibers. absence of muscle tone.

abnormal sensations.

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 absence of muscle tone. involuntary twitch of muscle fibers. abnormal sensations. absence of muscle movement suggesting nerve damage.

abnormal sensations.

Which hormone inhibits bone resorption and increases the deposit of calcium in the bone? calcitonin vitamine d sex hormones growth hormone

calcitonin

The older client asks the nurse how best to maintain strong bones. What is the nurse's best response? "Weight-resistance exercises can strengthen bones." "Weight-bearing exercises can strengthen bones." "Cardio training is the best way to build bones." "Range-of-motion exercises build bone mass."

"Weight-bearing exercises can strengthen bones."

The nurse is preparing the client for computed tomography. Which information should be given by the nurse? "You must remain very still during the procedure." "A radioisotope will be given through an IV." "A small bit of tissue will be removed and sent to the lab.". "Fluid will be removed from you affected joint."

"You must remain very still during the procedure."

A nurse is caring for a client with an undiagnosed bone disease. When instructing on the normal process to maintain bone tissue, which process transforms osteoblasts into mature bone cells? Remodeling Ossification and calcification Epiphyses and diaphysis formation Resorption

Ossification and calcification

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? Cancellous bone Osteoblasts Osteoclasts Cortical bone

Osteoblasts

A client 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. What type of tear has this client sustained? Bursa Ligament Tendon Fascia

Tendon

A client 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. What type of tear has this client sustained? Fascia Bursa Ligament Tendon

Tendon

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

kyphosis

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

kyphosis

Choose the correct statement about the endosteum, a significant component of the skeletal system: Covers the marrow cavity of long bones Facilitates bone growth Supports the attachment of tendons to bones Contains blood vessels and lymphatics

Covers the marrow cavity of long bones

Choose the correct statement about the endosteum, a significant component of the skeletal system: Supports the attachment of tendons to bones Contains blood vessels and lymphatics Facilitates bone growth Covers the marrow cavity of long bones

Covers the marrow cavity of long bones

Which statement reflects the progress of bone healing? All fracture healing takes place at the same rate no matter the type of bone fractured. Adequate immobilization is essential until ultrasound shows evidence of bone formation with ossification. The age of the client influences the rate of fracture healing. Serial x-rays are used to monitor the progress of bone healing.

Serial x-rays are used to monitor the progress of bone healing.

Which laboratory study indicates the rate of bone turnover? Serum osteocalcin Serum calcium Serum phosphorous Urine calcium

Serum osteocalcin

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 lupus erythematosus. The patient has osteoarthritis. The patient has neurofibromatosis. The patient has rheumatoid arthritis.

The patient has rheumatoid arthritis.

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 osteoarthritis. The patient has rheumatoid arthritis. The patient has neurofibromatosis. The patient has lupus erythematosus.

The patient has rheumatoid arthritis.

Red bone marrow produces which of the following? Select all that apply. Platelets WBCs RBCs estrogen corticosteroids

platelets WBCs RBCs