Assessment Ch 24 Muscoskeletal Prep U – Flashcards
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During palpation of the client's knee, the nurse compresses the suprapatellar pouch against the client's femur with one hand while feeling on each side of the patella with the opposite hand. For which of the following problems is the nurse assessing? a) Effusion in the knee joint b) Osteoarthritis c) Ligament trauma d) Crepitus uteri flexion
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a) Effusion in the knee joint
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The client is facing the nurse with his forearm turned so that his palm is up. What movement is the client exhibiting? a) Pronation b) Eversion c) Supination d) Inversion
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c) Supination
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When assessing a client's strength, it is necessary to a) Compare one side to the other b) Compare upper and lower extremities c) Assess upper and lower extremities at the same time d) Assess the extremities at the same time
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a) Compare one side to the other
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What finding should a nurse expect when performing the Phalen's test on a client with suspected carpal tunnel syndrome? a) Inability to perform active range of motion with the involved wrist b) A change in the color of the fingers from red to white (pale) c) Reports of tingling, numbness, and pain in the involved wrist d) Stiffness in the hands and fingers after holding and releasing a tight fist
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c) Reports of tingling, numbness, and pain in the involved wrist
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A nurse notices that a client has decreased range of motion with lateral bending of the cervical spine to the left side. What should the nurse do next in relation to this finding? a) Finish with the assessment of the cervical spine before documenting b) Notify the health care provider for further orders c) Ask the client about previous injuries to the head and neck d) Compare this finding to the range of motion to the right side
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d) Compare this finding to the range of motion to the right side
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A school age client has been diagnosed with genu valgum. What is the other name for this disease? a) Knock kneed b) Bowlegs c) Flatfeet d) Clubfoot
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a) Knock kneed
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The subacromial bursae are contained in the a) wrist joint. b) elbow joint. c) shoulder joint. d) temporomandibular joint.
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c) shoulder joint.
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Which movement should the nurse instruct the client to perform to assess range of motion for the knee? a) Circumduction b) Rotation c) Abduction d) Flexion
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d) Flexion
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Articulation between the head of the femur and the acetabulum is in the a) knee joint. b) ankle joint. c) hip joint. d) tibial joint.
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c) hip joint.
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An adult client tells the nurse that he eats sardines every day. The nurse should instruct the client that a diet high in purines can contribute to a) gouty arthritis. b) osteomalacia. c) osteomyelitis. d) bone fractures.
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a) gouty arthritis.
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What range of motion is the nurse testing by asking a client to stoop to pick an object off the floor? a) Abduction b) Extension c) Flexion d) Rotation
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c) Flexion
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To assess abduction of the shoulders and arms, a nurse should ask a client to do which of the following? a) Move the arms backward starting with the arms at the sides b) Bring both hands together overhead starting with the arms at the sides c) Move the arms to the sides starting with the hands together overhead d) Move the arms forward starting with the arms at the sides
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b) Bring both hands together overhead starting with the arms at the sides
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After a physical assessment, the nurse determines that a patient has full range of motion of the temporomandibular joint. What did the nurse assess in this patient? (Select all that apply.) a) Rocked the jaw laterally b) Swallowed without difficulty c) Extended the tongue d) Jutted the jaw forward e) Opened and closed the mouth
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a) Rocked the jaw laterally d) Jutted the jaw forward e) Opened and closed the mouth
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The external covering of the bone that contains osteoblasts and blood vessels is termed the a) cartilage. b) connective tissue. c) synovial membrane. d) periosteum.
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d) periosteum.
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A college age athlete presents to the clinic with pain in the tibiotalar joint. It is a hinge joint limited to flexion and extension. The terms used to describe these movements are what? a) Supination and pronation b) Rotation and supination c) Dorsiflexion and plantar flexion d) Adducting and abducting
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c) Dorsiflexion and plantar flexion
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The nurse is assessing an elderly client and finds an exaggerated thoracic curve. This would be documented as what? a) Ankylosing spondylitis b) Lordosis c) Kyphosis d) Scoliosis
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c) Kyphosis
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A client presents to the emergency department after falling off a ladder while doing some outside painting at home. The client's ankle appears swollen, out of alignment, and is painful to touch. What is the nurse's first action? a) Apply an ice pack to the affected extremity. b) Splint and immobilize the affected extremity. c) Check for a pulse, color, temperature, and capillary refill. d) Encourage early weight bearing and ambulation.
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c) Check for a pulse, color, temperature, and capillary refill.
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A nurse notices that a client's flexibility of the right elbow is less than the left elbow. What is an appropriate action by the nurse in regard to this finding? a) Assess the client's hand grips b) Note that the dominant side is stronger c) Measure movement with a goniometer d) Notify the health care provider
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c) Measure movement with a goniometer
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The nurse is testing a client for carpal tunnel syndrome. The client flexes the wrists at an angle of 90° and holds the backs of the hands to each other for 60 seconds. The client tells the nurse that he is experiencing a burning pain as a result. Which test is the nurse performing on this patient? a) McMurray's b) Phalen's c) Ballottement d) Tinel's
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b) Phalen's
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While assessing the elbow of an adult client, the client complains of pain and swelling. The nurse should further assess the client for a) ganglion cyst. b) carpal tunnel syndrome. c) arthritis. d) nerve damage.
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c) arthritis.
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The nurse is developing a plan of care for a client found to have a strength problem. What would be an appropriate nursing diagnosis for this client? a) Impaired walking b) Self-care deficit c) Impaired physical mobility d) Activity intolerance
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c) Impaired physical mobility
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You are the school nurse in the local high school. You note that a 15-year-old girl carries her left shoulder higher than her right shoulder. You should recognize the likely presence of what health problem? a) Broken clavicle b) Torn rotator cuff c) Scoliosis d) Dislocated shoulder
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c) Scoliosis
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A client visits the clinic and tells the nurse that after playing softball yesterday, he thinks his knee is "locking up." The nurse should perform the McMurray test by asking the client to a) bend forward while trying to touch the toes. b) flex the knee and hip while in a supine position. c) move from a standing to a squatting position. d) raise his leg while in a supine position.
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b) flex the knee and hip while in a supine position.
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When the client performs straight leg flexion, the client complains of pain that radiates down his leg. The nurse understands that this may indicate what? a) Arthritis b) Herniated disc c) Hip fracture d) Degenerative joint disease
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b) Herniated disc
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A high school soccer player "blew out his knee" when the opposing goalie's head and shoulder strike his flexed knee while the goalie was diving for the ball. All of the following structures were involved in some way in his injury, but which of the following is a nonarticular structure? a) Joint capsule b) Synovium c) Tendons d) Juxta-articular bone
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c) Tendons
