Soft Tissue Injuries Lesson Questions

Which instruction would the nurse provide when instructing a patient on the use of cold therapy for a muscle injury? Select all that apply. a. "Use ice for 24 to 48 hours." b. "Do not apply ice directly on the skin." c. "Apply ice for 20 to 30 minutes each time." d. "Apply ice immediately after the injury occurs." e. "Wait for a warm-up period between applications of ice."

a. "Use ice for 24 to 48 hours." b. "Do not apply ice directly on the skin." c. "Apply ice for 20 to 30 minutes each time." d. "Apply ice immediately after the injury occurs."

Which finding would the nurse identify as an obvious sign of a dislocation? a. Deformity of the extremity b. Redness of the skin over the joint c. Spasms of muscles surrounding the joint d. Warmth of the skin surrounding the joint

a. Deformity of the extremity

Which recommendation would the nurse provide for residents in a senior living facility to get regular and frequent exercise? a. Engage in hobbies. b. Use steps instead of ramps. c. Change positions quickly. d. Walk at least 3 times a week.

a. Engage in hobbies. Rationale: Older adults can get regular and frequent exercise by engaging in hobbies such as puzzles, needlework, and model building. These activities can exercise finger joints and prevent stiffness.

Which condition would the nurse suspect is the likely reason a patient developed bursitis? a. Gout b. Osteoarthritis c. Type 2 diabetes d. Peripheral vascular disease

a. Gout Rationale: Bursitis is inflammation of the bursae that is caused by repeated or excessive trauma or friction. Gout is a condition that can cause bursitis.

Which manifestation is associated with carpal tunnel syndrome (CTS)? a. Positive Tinel sign b. Impaired motor function c. Cumulative trauma disorder d. Poor posture and positioning

a. Positive Tinel sign Rationale: CTS is caused by compression of the median nerve where it enters the hand at the wrist through the narrow carpal tunnel. CTS is the most common compression neuropathy in the upper extremity.

Which action would the nurse recommend to reduce fall risks? Select all that apply. a. Remove throw rugs. b. Ensure adequate lighting. c. Use proper safety equipment. d. Avoid wet or slippery surfaces. e. Wear protective athletic equipment. f. Wear functional, nonskid, hard-soled shoes.

a. Remove throw rugs. b. Ensure adequate lighting. d. Avoid wet or slippery surfaces. f. Wear functional, nonskid, hard-soled shoes.

Which condition would increase the risk of a patient developing carpal tunnel syndrome? Select all that apply. a. Type 2 diabetes b. Chronic kidney disease c. Cardiac arrhythmia d. Peripheral vascular disease e. Chronic obstructive lung disease

a. Type 2 diabetes d. Peripheral vascular disease

Which statement indicates the need for clarification regarding the impact physical activity has on health? a. "More physical activity should help improve my bone mass." b. "Increasing physical activity is not likely to help manage my weight." c. "I look forward to decreasing body fat with more physical activity." d. "I have found that physical activity makes me feel better about myself."

b. "Increasing physical activity is not likely to help manage my weight."

Which instruction would the nurse provide to an older person to reduce the risk of developing a musculoskeletal problem? Select all that apply. a. "Wear slippers when at home." b. "Walk on ramps at street corners." c. "Remove throw rugs from the home." d. "Engage in regular and frequent exercise." e. "Use an assistive device like a cane or walker to prevent falls."

b. "Walk on ramps at street corners." c. "Remove throw rugs from the home." d. "Engage in regular and frequent exercise." e. "Use an assistive device like a cane or walker to prevent falls."

Which teaching would the nurse provide to reduce the risk of a musculoskeletal traumatic event? a. Limit driving during the night. b. Follow basic safety principles. c. Reduce participation in team physical activities. d. Avoid joint replacement surgery before age 60.

b. Follow basic safety principles.

Which observation would cause greatest concern to the nurse when conducting a home visit on a patient with Parkinson disease who fell while walking this morning? a. Right calf abrasion of 2 × 6 cm with sanguineous drainage b. Left leg externally rotated and shorter than the right leg c. Stooped posture with a shuffling gait and slow movements d. Mild pain and minimal swelling of the right ankle and foot

b. Left leg externally rotated and shorter than the right leg

Which soft tissue injury is characterized by popping, clicking, a tearing sensation, effusion, and swelling? a. Ligament injury b. Meniscus injury c. Impingement syndrome d. Anterior cruciate ligament (ACL) tear

b. Meniscus injury

Which treatment would the nurse question for a person with a minor rotator cuff tear? a. Rest b. Surgical repair c. Strength exercises d. Gradual mobilization with range-of-motion (ROM) exercises

b. Surgical repair

Which statement would indicate a patient has an injury to the anterior cruciate ligament (ACL)? a. "My knee is red and swollen." b. "My knee hurts when I straighten it." c. "I heard a pop when my knee twisted." d. "I hear cracking when I bend my leg at the knee."

c. "I heard a pop when my knee twisted."

Which statement would the nurse use to explain a second-degree sprain to a patient? a. "You have a moderate tear in the muscle." b. "Your muscle is either severely torn or ruptured." c. "You have a partial disruption of the ligament with swelling and tenderness." d. "Your ligament is completely torn causing moderate to severe swelling."

c. "You have a partial disruption of the ligament with swelling and tenderness."

Which initial care measure is appropriate when caring for a patient who tripped on a curb and sprained their right ankle? Select all that apply. a. Applying ice directly to the skin b. Applying heat to the ankle every 2 hours c. Compressing ankle using an elastic bandage d. Administering antiinflammatory medication e. Resting and elevating the ankle above the heart f. Performing passive and active range of motion

c. Compressing ankle using an elastic bandage d. Administering antiinflammatory medication e. Resting and elevating the ankle above the heart

Which sign or symptom would a patient with a first-degree ankle sprain experience? Select all that apply. a. Severe pain b. Loss of function c. Mild tenderness d. Ruptured muscle e. Minimal swelling f. Moderate swelling

c. Mild tenderness e. Minimal swelling

Which action would the nurse expect to be completed first when caring for a patient with a dislocation? a. Immobilizing the joint b. Elevating the affected joint c. Realigning the bone with the joint d. Implementing range of motion exercises

c. Realigning the bone with the joint

Which assessment finding would indicate a patient has a rotator cuff injury? Select all that apply. a. Swelling of the deltoid and bicep muscles b. Redness of the skin over the shoulder joint c. Severe pain when abducting the arm 60 to 120 degrees d. Numbness and tingling of the hand of the affected shoulder e. Positive drop arm test

c. Severe pain when abducting the arm 60 to 120 degrees e. Positive drop arm test

Which injury has the patient likely sustained who presents with weakness, pain, and decreased range of motion in the right shoulder following an attempt to pull a blanket out from under the family's large dog? a. Torn meniscus b. Inflamed bursa c. Torn rotator cuff d. Injured anterior cruciate ligament (ACL)

c. Torn rotator cuff

Which statement by a young adult, soccer-playing patient indicates the need for more teaching on reconstructive surgery for their injured anterior crucial ligament (ACL)? a. "I probably won't be able to play soccer for 6 to 8 months." b. "They will have me do range of motion with my knee soon after surgery." c. "I will need to wear an immobilizer and progressively bear weight on my knee." d. "I can't wait to get this done so that I can play in the soccer tournament next month."

d. "I can't wait to get this done so that I can play in the soccer tournament next month."

Which suggestion would the nurse make to a person desiring to improve endurance during exercise to help prevent falls? a. "Warm up muscles before exercising." b. "Work your muscles against resistance." c. "Stretch before engaging in any exercise." d. "Start at a low level of effort and progress to a moderate level."

d. "Start at a low level of effort and progress to a moderate level."

Which assessment finding would indicate that a patient has a long-standing meniscus injury? a. Pain b. Effusion c. Local tenderness d. Atrophy of the quadriceps muscle

d. Atrophy of the quadriceps muscle