Exam 3 -Musculoskeletal Flashcards
The client reports morning joint stiffness and pain with mobility in the right knee. Which of the following interventions should the nurse suggest to help alleviate the client’s symptoms?
A. Encourage the client to be on bed rest for prolonged periods
B. Recommend the client use heat therapy on areas pain is experienced
C. Advise the client perform high-impact knee exercises
D. Suggest the client wear knee braces persistently throughout the day
B. Recommend the client use heat therapy on areas pain is experienced
A nurse is providing information to a client regarding the differences between
sprain and a strain. Which of the following indicates the client understands?
A. “A sprain is a separation of two bones at a joint and a strain is a break in the rigid structure of the bone.”
B. “A sprain is a single break with bone ends maintaining their alignment and position whereas a strain is when a bone bends and cracks.”
C. “A sprain is an injury to a ligament that often involves stretching or tearing of the ligament whereas a strain is an injury to a muscle or tendon that often involves stretching or tearing of the muscle or tendon.”
D. A sprain is an injury to a muscle or tendon that often involves stretching or treating of the muscle or tendon, whereas a strain is an injury to a ligament that often involves stretching or tearing of the ligament.”
C. “A sprain is an injury to a ligament that often involves stretching or tearing of the ligament whereas a strain is an injury to a muscle or tendon that often involves stretching or tearing of the muscle or tendon.”
A 5-year-old client presents with a greenstick fracture. What does the nurse know about this type of fracture?
A. It often heals quickly
B. It has an extensive healing time and is life threatening
C. It breaks through the skin
D.It causes the bone to collapse into small pieces
A. It often heals quickly
A nurse is caring for a client whose shoulder is visibly out of place, has limited movement, and rate their pain a 10/10. Which of the following does the nurse suspect?
A) dislocated shoulder
B) a strained muscle
C) osteoporosis
D) sprained ligament
A) dislocated shoulder
The nurse is caring for a client with an open fracture. What is the priority assessment done by the nurse?
a) Temperature
b)Respiratory Rate
c) Blood Pressure
A) Temperature
A 72-year-old client is diagnosed with osteoarthritis. When assessing the client which of the following does the nurse expect to find?
A. Affected joints are hot and red.
B. Persistent joint pain.
C. Crepitus or grating sound in the joint. D. Soft nodules around affected joints.
C) Crepitus or grating sound in the joint
A nurse is teaching a client about osteoporosis and its prevention. Which of the following statements by the client indicates a need for further teaching?
A. “I can stop taking my vitamin D supplements once I feel better”
B. “I need to avoid smoking and limit alcohol intake to protect my bone health “
C. “I need to engage in regular weight-bearing exercises to strengthen my bones”
D. “I will include calcium-rich foods in my diet”
A. “I can stop taking my vitamin D supplements once I feel better”
Which of the following manifestations does the nurse expect to find in the client with GOUT? SELECT ALL THAT APPLY.
a.) Joint Warmth
b.) Pallor
c.) Intense pain
d.) Fever
e.) Fatigue
a.) Joint warmth
c.) Intense pain
d.) fever
During assessment, a nurse observes a client with a tibial fracture that has broken through the skin. What type of fracture is the nurse observing?
a.) Impacted fracture
b.) Depressed fracture
c.) Open Fracture
d.) Stress Fracture
c.) Open Fracture
A nurse knows that the client with abnormal osteoblast function will be at high risk for what?
A- fractures
B- Rickets
C-Fibromyalgia
D- Osteoarthritis
A- Fractures
A nurse is assessing a client who has been diagnosed with osteoporosis. Which of the following findings would the nurse expect to observe?
A. Increased bone density in the spine
B. Decreased height over time
C. Decreased pain in the joints
D. Increased muscle strength
b. Decreased height over time
The nurse knows which of the following are the Characteristics of a Flat Bone?
a.)Protects vital organs
b.)Most Adult RBCs formed here
c.)Scapula and Sternum are examples
d.)Tibia and Fibula are Examples
e.)Embedded in Tendons
f.)Equal length and Width
a.) protects vital organs
b.) most adults RBCs formed here
c.) Scapula and sternum are examples
The nurse knows the most immediate treatment measure for a dislocated elbow is to:
A. Apply warm, moist heat
B. Immobilize the elbow with a sling or splint
C. Request an order for an X-ray
D. Manipulate the elbow back into the correct position
b.) immobilize the elbow with a sling or splint
A 57 year old male presents to the clinic with sudden onset lower back pain that worsens when sitting. While interviewing the client, the nurse learns that he has recently moved houses and has been lifting heavy objects. The nurse suspects the client may have a herniated intervertebral disk. During the nurse’s assessment, which of the following manifestations does the nurse expect to find? Select all that apply.
a. Weakness in the lower back and one leg
b.Paresthesia in the neck, shoulder, chest, or arm
c. Chronic nonproductive cough
d. Sharp, localized pain in the big toe
e. Bruising on lower back
f. Sciatica
g. Shooting pain when flexing the elbow
a. Weakness in the lower back and one leg
b.Paresthesia in the neck, shoulder, chest, or arm
f. Sciatica
A client who is at risk for developing osteoporosis asks what can be done to decrease the risk of developing the disease. Which intervention would the nurse provide education about?
A:providing client with assisted ROM exercises twice daily
B:protecting the clients bones with strict bed rest
C:increasing regular weight bearing activities
D:decrease amount of calcium in diet
c.) increasing regular weight bearing activity
