62 Flashcards

1
Q

A patient complains of pain during circumduction of the shoulder when the nurse moves the arm behind the patient. Which question should the nurse ask?

a. “Do you have difficulty in putting on a jacket?”
b. “Are you able to feed yourself without difficulty?”
c. “Are you able to sleep through the night without waking?”
d. “Do you ever have trouble lowering yourself to the toilet?”

A

a. “Do you have difficulty in putting on a jacket?”

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2
Q

A patient with knee pain who is diagnosed with bursitis asks the nurse to explain just what bursitis is. The nurse will respond that bursitis is an inflammation of

a. a small, fluid-filled sac found at many joints.
b. the synovial membrane that lines the joint area.
c. the fibrocartilage that acts as a shock absorber in the knee joint.
d. any connective tissue that is found supporting the joints of the body.

A

a. a small, fluid-filled sac found at many joints.

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3
Q

When assessing a 64-year-old woman, the nurse notes that the patient has lost 1 inch in height since the previous visit 2 years ago. The nurse will plan to teach the patient about

a. discography studies.
b. myelographic testing.
c. magnetic resonance imaging (MRI).
d. dual-energy x-ray absorptiometry (DEXA).

A

d. dual-energy x-ray absorptiometry (DEXA).

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4
Q

Which information in a 60-year-old woman’s health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?

a. The patient experienced a sprained ankle at age 13.
b. The patient’s mother became much shorter with aging.
c. The patient’s father died of complications of miliary tuberculosis.
d. The patient reports taking ibuprofen (Advil) for occasional headaches.

A

b. The patient’s mother became much shorter with aging.

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5
Q

Which information obtained during the nurse’s assessment of the patient’s nutritional-metabolic pattern may indicate the risk for musculoskeletal problems?

a. The patient takes a multivitamin daily.
b. The patient dislikes fruits and vegetables.
c. The patient is 5 ft 2 in and weighs 180 lb.
d. The patient prefers whole milk to nonfat milk.

A

c. The patient is 5 ft 2 in and weighs 180 lb.

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6
Q

When the nurse is assessing a new patient in the clinic, which information about the patient’s medications will be of most concern?

a. The patient takes a daily multivitamin and calcium supplement.
b. The patient has migraine headaches that are treated with nonsteroidal anti-inflammatory drugs (NSAIDs).
c. The patient has severe asthma and requires frequent therapy with oral steroids.
d. The patient takes hormone replacement therapy (HRT) to prevent “hot flashes.”

A

c. The patient has severe asthma and requires frequent therapy with oral steroids.

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7
Q

While testing the patient’s muscle strength, the nurse finds that the patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance. The nurse should document the patient’s muscle strength as level

a. 1.
b. 2.
c. 3.
d. 4.

A

c. 3.

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8
Q

When assessing the musculoskeletal system, the nurse’s initial action will usually be to

a. feel for the presence of crepitus during joint movement.
b. have the patient move the extremities against resistance.
c. observe the patient’s body build and muscle configuration.
d. check active and passive range of motion for the extremities.

A

c. observe the patient’s body build and muscle configuration.

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9
Q

Which nursing action is correct when the nurse is assessing the straight-leg raising test for a patient with back pain?

a. Raise the patient’s legs to a 60-degree angle from the bed.
b. Have the patient dangle the legs over the edge of the exam table.
c. Place the patient initially in the prone position on the bed or exam table.
d. Instruct the patient to elevate the legs while tightening the abdominal muscles.

A

a. Raise the patient’s legs to a 60-degree angle from the bed.

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10
Q

A patient with kyphosis is scheduled for dual-energy x-ray absorptiometry (DEXA) testing. The nurse will plan to

a. give an oral sedative.
b. start an intravenous line.
c. teach the patient about DEXA.
d. screen the patient for shellfish allergies.

A

c. teach the patient about DEXA.

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11
Q

A patient has a new order for magnetic resonance imaging (MRI) to evaluate for right femur osteomyelitis. Which patient information indicates that the nurse should consult with the health care provider before scheduling the MRI?

a. The patient has a pacemaker.
b. The patient is claustrophobic.
c. The patient wears a hearing aid.
d. The patient is allergic to shellfish.

A

a. The patient has a pacemaker.

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12
Q

When assessing the movement of a patient’s elbow, the nurse notes crackling sounds and a grating sensation with palpation. How will this be documented?

a. Torticollis
b. Crepitation
c. Subluxation
d. Epicondylitis

A

b. Crepitation

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13
Q

The nurse obtains this information when assessing a 74-year-old patient in the outpatient clinic. Which finding is of highest priority when the nurse is planning care for the patient?

a. Symmetrical joint swelling of fingers
b. Decreased right knee range of motion
c. History of recent loss of balance and fall
d. Complaint of left hip aching when jogging

A

c. History of recent loss of balance and fall

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14
Q

. A patient is seen in the clinic complaining of knee pain following an arthroscopic procedure 7 days previously and the health care provider performs arthrocentesis. Which finding will be of most concern to the nurse?

a. Scant thin fluid
b. Sanguineous fluid
c. Straw-colored fluid
d. Purulent appearing fluid

A

d. Purulent appearing fluid

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