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Chapter 17 Question and answers verified to pass
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Chapter 17 Question and answers verified to pass 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" ANS: A Muscle pain is often described as "cram...

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  • August 18, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • chapter 17
  • chapter 17 question and answers verified to pass

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  • Musculoskeletal
  • Musculoskeletal

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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"
ANS: A


Muscle pain is often described as "crampy." Bone pain typically is described
as "deep" and "dull." Bone pain typically is described as "boring" and
"intense." Muscle pain usually remains crampy on movement.


REF: p. 279




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
ANS: C

,Sudden onset of pain and erythema in the great toe, ankle, and lower leg
suggests gout (also called gouty arthritis). Patients with rheumatoid arthritis
often have morning stiffness lasting 1 to 2 hours. Patients with osteoarthritis
experience pain when bearing weight that is relieved by rest. Tendonitis may
awaken the patient, especially when the patient is lying on the affected limb.


REF: p. 279




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 pealike 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
ANS: B


Option B is a description of gout. The pealike nodules are tophi, collections of
uric acid in subcutaneous tissue. Option A is a description of findings of a
patient who has rheumatoid arthritis. Bilateral joint involvement is common.
Option C is a description of findings of a patient who has osteoarthritis.
Enlarged and tender PIP joints refer to Heberden nodes and DIP joints refer to
Bouchard nodes. Option D is a description of epicondylitis (tennis elbow).

, REF: p. 279 | p. 304




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
ANS: 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. The examination finding in option A is more
consistent with bursitis. The examination finding in option B is more consistent
with osteoarthritis. The examination finding in option C is more consistent with
gout.


REF: p. 293 | p. 295

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