62MD Flashcards
A 42-year-old male patient complains of shoulder pain when the nurse moves his arm behind the back. Which question should the nurse ask?
a. “Are you able to feed yourself without difficulty?”
b. “Do you have difficulty when you are putting on a shirt?”
c. “Are you able to sleep through the night without waking?”
d. “Do you ever have trouble lowering yourself to the toilet?”
b. “Do you have difficulty when you are putting on a shirt?”
A patient with left knee pain is diagnosed with bursitis. The nurse will explain that bursitis is an inflammation of
a. the synovial membrane that lines the joint.
b. a small, fluid-filled sac found at some joints.
c. the fibrocartilage that acts as a shock ab-sorber in the knee joint.
d. any connective tissue that is found sup-porting the joints of the body.
b. a small, fluid-filled sac found at some joints.
The nurse who notes that a 59-year-old female patient has lost 1 inch in height over the past 2 years will plan to teach the patient about
a. discography studies.
b. myelographic testing.
c. magnetic resonance imaging (MRI).
d. dual-energy x-ray absorptiometry (DXA).
d. dual-energy x-ray absorptiometry (DXA).
Which information in a 67-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 sprained her ankle at age 13.
b. The patient’s mother became shorter with aging.
c. The patient takes ibuprofen (Advil) for occasional headaches.
d. The patient’s father died of complications of miliary tuberculosis.
b. The patient’s mother became shorter with aging.
Which information obtained during the nurse’s assessment of a 30-year-old patient’s nutrition-al-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.
c. The patient is 5 ft 2 in and weighs 180 lb.
- Which medication information will the nurse identify as a concern for a patient’s musculoskeletal status?
a. The patient takes a daily multivitamin and calcium supplement.
b. The patient takes hormone therapy (HT) to prevent “hot flashes.”
c. The patient has severe asthma and requires frequent therapy with oral corticosteroids.
d. The patient has migraine headaches treat-ed with nonsteroidal antiinflammatory drugs (NSAIDs).
c. The patient has severe asthma and requires frequent therapy with oral corticosteroids.
The nurse finds that a 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. 0.
b. 1.
c. 2.
d. 3.
d. 3
After completing the health history, the nurse assessing the musculoskeletal system will begin by
a. having the patient move the extremities against resistance.
b. feeling for the presence of crepitus during joint movement.
c. observing the patient’s body build and muscle configuration.
d. checking active and passive range of mo-tion for the extremities.
c. observing the patient’s body build and muscle configuration
Which nursing action is correct when performing the straight-leg raising test for an ambulatory patient with back pain?
a. Raise the patient’s legs to a 60-degree an-gle from the bed.
b. Place the patient initially in the prone po-sition on the exam table.
c. Have the patient dangle both legs over the edge of the exam table.
d. Instruct the patient to elevate the legs and tense the abdominal muscles.
a. Raise the patient’s legs to a 60-degree an-gle from the bed.
A 72-year-old patient with kyphosis is scheduled for dual-energy x-ray absorptiometry (DXA) testing. The nurse will plan to
a. explain the procedure.
b. start an IV line for contrast medium injection.
c. give an oral sedative 60 to 90 minutes before the procedure.
d. screen the patient for allergies to shellfish or iodine products.
a. explain the procedure.
A patient has a new order for magnetic resonance imaging (MRI) to evaluate for left femur osteomyelitis after a hip replacement surgery. Which 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. The patient has a pacemaker.
The nurse notes crackling sounds and a grating sensation with palpation of an older patient’s elbow. How will this finding be documented?
a. Torticollis
b. Crepitation
c. Subluxation
d. Epicondylitis
b. Crepitation
Which finding is of highest priority when the nurse is planning care for a 77-year-old patient seen in the outpatient clinic?
a. Symmetric joint swelling of fingers
b. Decreased right knee range of motion
c. Report of left hip aching when jogging
d. History of recent loss of balance and fall
d. History of recent loss of balance and fall
Which finding from a patient’s right knee arthrocentesis will be of concern to the nurse?
a. Cloudy fluid
b. Scant thin fluid
c. Pale yellow fluid
d. Straw-colored fluid
a. Cloudy fluid
Which action can the nurse delegate to unlicensed assistive personnel (UAP) who are working in the orthopedic clinic?
a. Grade leg muscle strength for a patient with back pain.
b. Obtain blood sample for uric acid from a patient with gout.
c. Perform straight-leg-raise testing for a pa-tient with sciatica.
d. Check for knee joint crepitation before arthroscopic surgery.
b. Obtain blood sample for uric acid from a patient with gout.
