A nurse is taking a patient's health history related to musculoskeletal system. What
are the common symptoms of musculoskeletal impairments? Select all that apply. -
ANSWER: Stiffness
Weakness
Joint crepitation
The nurse is assisting the radiologist while doing magnetic resonance imaging (MRI)
for a patient. Which action of the nurse would be helpful to the patient during the
test? - ANSWER: The nurse allows the patient to listen to music.
During an assessment, the nurse observes a lateral S-shaped curvature of the
patient's thoracic and lumbar spine. The nurse anticipates which other clinical
manifestation? - ANSWER: Asymmetric shoulders
During the nursing musculoskeletal assessment, the nurse assesses the joint
movements. On the nurse's instruction, the patient flexes his ankle and toes toward
the shin. What should the nurse record this movement as? - ANSWER: Dorsiflexion
An 82-year-old patient is frustrated by her flabby belly and rigid hips. What should
the nurse tell the patient about these frustrations? - ANSWER: "Decreased muscle
mass and strength and increased hip rigidity are normal changes of aging."
The nurse is grading a muscle-strength test on the patient and obtains a score of 4/5.
What best describes this score? - ANSWER: Active movement against gravity and
some resistance
The nurse finds that a patient has frequent, audible crackling sounds and grating
upon joint movement. Which condition does the nurse suspect based on these
findings? - ANSWER: Crepitation
A patient will undergo a computed tomography (CT) scan of the knee joint. What
nursing interventions should the nurse perform to prepare the patient for the
procedure? Select all that apply. - ANSWER: Inform the patient that procedure is
painless.
Inform the patient of the importance of remaining still during the procedure.
If a contrast medium is being used, verify that patient does not have shellfish allergy.
A nurse is taking the health history of a patient suffering from a backache. What are
the questions that she should include in the health history related to his complaint?
Select all that apply. - ANSWER: Did you lift a heavy object?
Describe your usual daily activities.
Do you find it difficult to perform your daily activities?
, After interacting with a patient, the nurse determines that the patient is at risk for
developing musculoskeletal problems. Which statement made by the patient
supports the nurse's conclusion? - ANSWER: "I only exercise once in a while."
During a physical assessment, the nurse asks the patient to perform inversion
movement of the foot. What instruction should the nurse give to the patient? -
ANSWER: Turn the sole inward toward the midline of the body.
The patient is having a musculoskeletal diagnostic test called an electromyogram
(EMG). The nurse knows that this test: - ANSWER: Evaluates electrical potential
related to skeletal muscle contraction
A patient scheduled for an arthrocentesis is anxious about the procedure. What
information should the nurse give to the patient to alleviate anxiety? Select all that
apply. - ANSWER: This procedure is performed to obtain samples of synovial fluid or
to remove excess fluid from the joint cavity.
The procedure is performed under local anesthesia.
This procedure can be performed at the bedside or in an examination room.
In reviewing bone remodeling, what should the nurse know about the involvement
of bone cells? - ANSWER: Osteoblasts deposit new bone
What questions should the nurse ask a patient with severe back pain in the lumbar
region when taking the health history? Select all that apply. - ANSWER: Does your
work involve lifting any heavy objects?
Has this pain affected your social or professional life?Do you consume any dietary
supplements like calcium or vitamin D?
Do you require frequent change of position while you are sleeping because of the
pain?
The nurse is performing a musculoskeletal assessment of an 81-year-old female
patient whose mobility has been decreasing progressively in recent months. How
should the nurse best assess the patient's range of motion (ROM) in the affected leg?
- ANSWER: Observe the patient's unassisted ROM in the affected leg
A 54-year-old patient is about to have a bone scan. What information should be
included when teaching the patient about this procedure? - ANSWER: The patient
will be asked to drink increased fluids after the procedure
A 70-year-old male patient is admitted with slight erosion of cartilage in the knee
joint. What are the symptoms that the nurse is likely to find in this patient? Select all
that apply. - ANSWER: Crepitation
Joint stiffness
Limited range of motion
A patient presents with severe shoulder pain. Which techniques should the nurse
use for assessing this patient? Select all that apply. - ANSWER: Inspection
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