Chapter 58--Assessment of Musculoskeletal Function

Chapter 58--Assessment of Musculoskeletal Function MULTIPLE CHOICE 1. A client is being treated for a fractured scapula. The nurse realizes that the scapula is what kind of bone type? 1. Flat 2. Irregular 3. Lo ...

Chapter 58--Assessment of Musculoskeletal Function MULTIPLE CHOICE 1. A client is being treated for a fractured scapula. The nurse realizes that the scapula is what kind of bone type? 1. Flat 2. Irregular 3. Long 4. Short PTS: 1 DIF: Analyze REF: Table 58-1 Types of Bone 2. A school age child has sustained a fractured femur. When assessing the location of the break, the area that could cause the most concern would be the: 1. diaphysis. 2. epiphyseal plate. 3. medullary cavity. 4. metaphysis. PTS: 1 DIF: Analyze REF: Macroscopic Structure of Bone 3. A client is experiencing an increase in resorption of bone. The nurse realizes that which of the following bone cells is responsible for this function? 1. Osteoblasts 2. Osteoclasts 3. Osteocytes 4. Osteomasts PTS: 1 DIF: Analyze REF: Microscopic Structure of Bone: Cell Types 4. A client, recovering from an extended illness, is having difficulty coordinating his movements to walk. The nurse should remind the client that skeletal muscle has which of the following normal properties? 1. It is automatic. 2. It is convulsive. 3. It is involuntary. 4. It is voluntary. PTS: 1 DIF: Apply REF: Anatomy and Physiology of Skeletal Muscles 5. A client is experiencing unstable hip joints with ambulation. The nurse suspects that a disorder is occurring within the strong bands of connective tissue that attach bone to bone or the: 1. bursae. 2. cartilage. 3. ligaments. 4. tendons. PTS: 1 DIF: Analyze REF: Tendons, Ligaments, and Bursae 6. The nurse is moving a client’s leg toward the body during range-of-motion exercises. The nurse is doing which of the following with the client’s extremity? 1. Abduction 2. Adduction 3. Extension 4. Flexion PTS: 1 DIF: Apply REF: Range of Motion 7. A client has an elevated C-reactive protein level. Which of the following should the nurse assess in this client? 1. Alcohol intake 2. Cigarette use 3. Recent weight loss 4. Pregnancy status PTS: 1 DIF: Apply REF: Table 58-5 Laboratory Tests (Serum) Related to Musculoskeletal Disorders 8. During the assessment of a client’s muscle status, the nurse notes the client is able to complete range of motion against gravity with some resistance. The nurse would document this assessment finding as being: 1. 2. 2. 3. 3. 4. 4. 5. PTS: 1 DIF: Apply REF: Table 58-3 Graded Muscle Strength 9. A client is seeking medical attention for pain in the knee that occurred during a recent sports activity. The nurse realizes that the client will most likely have which of the following diagnostic tests? 1. Arthrography 2. MRI 3. Angiogram 4. Bone scan PTS: 1 DIF: Analyze REF: Radiographic Studies 10. A middle-aged female client tells the nurse that her mother and aunts all have been diagnosed with osteoporosis. The nurse realizes that this client might benefit from having which of the following diagnostic tests? 1. Dual energy s-ray absorptiometry (DEXA) scan 2. MRI 3. CT scan 4. Myelogram ANS: 1 DEXA scans measure bone density and are used in the early diagnosis of osteoporosis. MRIs, CT scans, and myelograms are not used to help diagnose osteoporosis. PTS: 1 DIF: Analyze REF: Radiographic Studies 11. A client is recovering from surgery to repair a torn anterior cruciate ligament of the knee. The nurse should prepare the client to have which of the following diagnostic tests after the procedure? 1. Bone scan 2. Arthrometry 3. Arthroscopy 4. Bone marrow biopsy PTS: 1 DIF: Apply REF: Arthrometry 12. Which of the following should the nurse instruct a client who is scheduled for electromyography studies? 1. Eat nothing after midnight. 2. Avoid taking prescribed pain medication prior to the test. 3. Have an alternative form of transportation to get home after the test. 4. Refrain from nicotine and caffeine for 2 to 3 hours before the test. PTS: 1 DIF: Apply REF: Nerve Conduction Studies 13. A client, recovering from a fractured arm, is scheduled for an x-ray 3 weeks after the injury. The nurse explains to the client that the purpose of this x-ray is to: 1. evaluate the ossification stage of bone healing. 2. determine the presence of a callus. 3. assess if fibroblasts have invaded the fracture site. 4. determine if a hematoma has formed at the fracture site. PTS: 1 DIF: Apply REF: Bone Repair/Fracture Healing 14. An elderly client tells the nurse that he has been having increasing difficulty walking and he has reduced range of motion in both hips. The nurse suspects that which of the following is occurring with this client? 1. Loss of elasticity of the ligaments and tendons 2. Reduction in blood supply to the hips 3. Interruption in nerve supply to the hips 4. Hairline fractures of both hips PTS: 1 DIF: Analyze REF: Aging and the Muscular System MULTIPLE RESPONSE 1. The nurse is assessing a client’s gait. Which of the following is a part of this assessment? (Select all that apply.) 1. The foot location during midstance 2. The way the client pushes off from the ball of the foot 3. The rate and rhythm of acceleration 4. Alignment of the head 5. Gap between the legs 6. Breathing pattern PTS: 1 DIF: Apply REF: Analysis of Gait 2. A client is scheduled for a myelogram. Which of the following should the nurse instruct the client regarding pre-procedure activities? (Select all that apply.) 1. Drink extra fluids the evening before the procedure. 2. Take nothing by mouth 4 to 8 hours before the procedure. 3. Empty the bladder before the procedure. 4. Sleep with head elevated at a 30 degree angle. 5. Stay in bed for 16 hours. 6. Take pain medication as prescribed . PTS: 1 DIF: Apply REF: Myelogram 3. A client, scheduled to have joint fluid aspirated from the knee, asks the nurse why the procedure is being done. Which of the following should the nurse explain to this client? (Select all that apply.) 1. It is done to examine the synovial fluid in the joint cavity. 2. It is done to realign the knee joint. 3. It is done to relieve pain. 4. It is done to visualize the bone structure. 5. It is done to relieve edema and effusion. 6. It is done to evaluate the status of ligaments. PTS: 1 DIF: Apply REF: Joint Aspiration 4. A client is scheduled for somatosensory evoked potentials. The nurse realizes this test is used to help diagnose which of the following disorders? (Select all that apply.) 1. Multiple sclerosis 2. Radiculopathies 3. Myasthenia gravis 4. Peripheral nerve function 5. Charcot-Marie-Tooth disease 6. Huntington’s chorea PTS: 1 DIF: Analyze REF: Somatosensory Evoked Potentials (Evoked Potentials)