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Exam (elaborations)

Chapter 17 Question and answers already passed

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  • Musculoskeletal
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  • Musculoskeletal

Chapter 17 Question and answers already passed Which description of pain from the patient makes a nurse suspect the patient's pain is originating from a muscle? a. "Crampy" b. "Dull and deep" c. "Boring and intense" d. "Sharp upon movement" - correct answer A Muscle pain is often described a...

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  • August 18, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • chapter 17
  • Musculoskeletal
  • Musculoskeletal
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Academia199
Chapter 14: Musculoskeletal System
Which description of pain from the patient makes a nurse suspect the patient's
pain is originating from a muscle?
a. "Crampy"
b. "Dull and deep"
c. "Boring and intense"
d. "Sharp upon movement" - correct answer ✔A Muscle pain is often
described as "crampy."


A nurse asks a patient to describe his new onset of leg pain. He slept well
through the night, but this morning he suddenly developed pain in his left
lower leg that is red and too painful to touch. Nothing relieves the pain. Based
on these data, the nurse suspects which disorder is causing this pain?
a. Rheumatoid arthritis
b. Osteoarthritis
c. Gout
d. Tendonitis - correct answer ✔C Sudden onset of pain and erythema in the
great toe, ankle, and lower leg suggests gout (also called gouty arthritis).


During a history, the patient reports having gout. Based on this information,
what findings does the nurse anticipate during a focused assessment?
a. Warm, tender, and deformed wrists and peripheral interphalangeal (PIP)
joints bilaterally
b. Edema, warmth, and redness of one great toe and pea-like nodules in the
ear lobes
c. Enlarged and tender PIP or distal interphalangeal (DIP) joints on one or
several fingers

, d. Tenderness with pronation and supination of the elbow and point
tenderness on the lateral epicondyle - correct answer ✔B This is a
description of gout. The pealike nodules are tophi, collections of uric acid in
subcutaneous tissue.


A patient reports joint pain interfering with sleep and morning joint stiffness for
the first hour after getting out of bed. Considering this report, what abnormal
findings does the nurse anticipate during the examination?
a. Abrupt onset of local tenderness, edema, and decreased range of motion of
the shoulder and hip bilaterally
b. Decreased range of motion of one hip and knee with pain on flexion and
crepitus during movement of these joints
c. Erythema in one great toe, ankle, and lower leg that is painful to the touch
d. Hot, painful, deformed, and edematous wrists and peripheral
interphalangeal joints bilaterally - correct answer ✔D The history and these
examination findings are consistent with rheumatoid arthritis. Joints are
involved bilaterally in rheumatoid arthritis because it is a systemic
autoimmune disorder.


In assessing a patient with a history of poliomyelitis, the nurse suspects the
right leg muscles are smaller than the left leg. What is the best approach for
the nurse to confirm or reject this suspicion?
a. Palpating both legs using the pads of the thumb and index fingers and
comparing one side with another
b. Using a tape to measure each leg's circumference at the same location,
above or below the nearest joint
c. Using a goniometer to measure the upper and lower legs with the patient in
supine and standing positions
d. Palpating the legs using the tips of the thumb and index fingers, and
comparing the findings with the Lovett scale - correct answer ✔B This
technique is correct, provides a baseline for future comparisons, and provides
measurements for side-to-side comparisons.

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