Question 1

The nurse is collecting data for a patient who is reporting pain in the hand joints. What question would the nurse ask to determine the quality of the pain?

Accepted Answer

Asking how the pain feels will help determine the quality of the pain, such as whether it is sharp or dull, throbbing or aching, etc.

Question 2

The nurse is caring for a patient who is scheduled for a magnetic resonance imaging (MRI) scan of the abdomen and pelvis. The patient asks the nurse how the machine takes a picture. Which of the following responses is best?

Accepted Answer

Magnetic fields and radio waves are used in conjunction to create an image in an MRI machine. The magnetic fields cause the protons in the body to align in a specific direction, and the radio waves cause these protons to shift and create a signal that is detected by the machine. Computer processing then turns this signal into an image.

Question 3

The nurse is collecting data for a patient who is reporting pain in the left knee. What question would address the radiation of the pain?

Accepted Answer

Asking if the pain moves would help to assess if the pain is radiating or if it is localized to just the left knee.

Question 4

The nurse is collecting data for a patient who had a crushing injury to the lower extremities.Which serum creatine kinase (CK) result should the nurse review and report to the physician?

Accepted Answer

CK-MM is the isoenzyme of creatine kinase found predominantly in skeletal muscle, which would be most relevant in the context of a crushing injury to the lower extremities. Elevated levels would indicate muscle damage, which is pertinent to the patient's condition.

Question 5

The nurse is monitoring a patient after a biopsy of the right femur. The patient had pain medication 1 hour ago. The nurse collects data. Which of the following symptoms should be reported and most closely monitored? (Select all that apply.?

Accepted Answer

Hematoma formation and significant pain (7/10) after a biopsy can indicate complications such as bleeding or inadequate pain control, requiring close monitoring and reporting.

Question 6

The nurse is reinforcing teaching for a patient who is to have an arthrocentesis. Which of the following statements, if made by the patient, indicate understanding of the planned procedure?

Accepted Answer

Option A refers to arthroscopy, option B refers to MRI, and option C refers to arthrography. Option D correctly describes arthrocentesis, which involves using a needle to remove fluid from a joint for diagnostic or therapeutic purposes.

Question 7

The nurse is caring for a patient who is to have a needle biopsy of a tumor in the right calf. Which of the following patient statements would indicate a correct understanding of the teaching?

Accepted Answer

The patient's understanding that the biopsy is being done to determine if the tumor is cancerous indicates a correct understanding of the procedure.

Question 8

A patient has had a biopsy of the left leg and has pain unrelieved by morphine 5 mg intramuscularly given 1.5 hours ago. The morphine is ordered every 3 hours. What should the nurse do?

Accepted Answer

The patient's pain is unrelieved by the currently prescribed dose of morphine and is due for another dose in 1.5 hours. Therefore, the nurse should notify the registered nurse to reassess the patient's pain and consider adjusting the dose or frequency of morphine or trying a different medication to manage the pain. A potential adverse reaction or complication may also be considered. Elevating the extremity may not address the underlying cause of the pain, and repeating the morphine now would be giving a dose too soon. Administering morphine in 30 minutes would still be before the scheduled time for the next dose.

Question 9

The nurse is admitting a patient who is diabetic and scheduled for an arthroscopy of the right knee at 8 a.m. What would be included in nursing preoperative care for this patient? (Select all that apply.?

Accepted Answer

The nurse should witness the patient's signature on the surgical consent (D), ensure the patient maintains NPO status to prevent aspiration during surgery (E), and obtain blood glucose levels to manage diabetes effectively before surgery (F).

Question 10

The nurse is caring for a patient 1 hour after a diagnostic arthroscopy of the right knee. Which activity would the nurse implement?

Accepted Answer

Straight-leg raises can help prevent blood clots and improve circulation after surgery without putting weight on the knee. Strict bedrest is not necessary, and no weight-bearing on the right leg is too restrictive. Partial weight-bearing on the left leg is irrelevant and not necessary for knee surgery.

Question 11

The nurse is collecting data for a patient who is reporting pain in the right hip. Which question addresses the severity of the pain?

Accepted Answer

Asking for the pain rating on a scale of 0-10 is the best way to address the severity of the pain. This provides a standardized measure that can be used to monitor changes in pain over time and assess the effectiveness of pain management interventions. Questions regarding the quality or location of the pain (such as throbbing, radiating, or burning) provide valuable information but do not address the severity of the pain.

Question 12

The nurse is gathering functional data on a patient with rheumatoid arthritis. Which of these areas would be included?

Accepted Answer

The answer of The nurse is gathering functional data on...

Question 13

The nurse, who is inspecting the knee of a patient who fell and reports stiffness, hears a grating sound with knee movement. Which of these actions is appropriate for the nurse to take?

Accepted Answer

Immobilizing the knee is appropriate because the grating sound indicates a possible injury to the joint and movement may further damage it. The patient should be immobilized and referred to a healthcare provider for further evaluation. Continuing to inspect the knee with movement or encouraging active range of motion may worsen the injury. Bending the knee rapidly until grating stops is not appropriate as it can cause further damage to the joint.

Question 14

The nurse is caring for a patient who had a bone biopsy on the right leg. Which activity should the nurse implement?

Accepted Answer

After a bone biopsy, the affected extremity should be immobilized for 8 to 12 hours to minimize bleeding and promote healing. Ambulating, active range of motion, and passive range of motion should be avoided during this period.

Question 15

The nurse is collecting data for a patient who is reporting pain in the left wrist. What question would address the region of the pain?

Accepted Answer

Asking "Where is the pain?" directly addresses the region of the pain and will provide valuable information for further assessment and treatment.

Question 16

The nurse is collecting data for a patient who has osteoporosis. Which serum calcium result indicates the typical changes that occur in serum calcium levels with osteoporosis?

Accepted Answer

Osteoporosis is often associated with low serum calcium levels, and a result of 6.5 mg/dL indicates hypocalcemia, which is a typical change in osteoporosis.

Question 17

The nurse is reinforcing teaching for a patient who has severe arthritis and is having an x-ray. Which of the following statements by the patient would indicate a correct understanding of the teaching?

Accepted Answer

The correct understanding is that the table used for an x-ray is typically hard and cold, which is important for the patient to know in order to have realistic expectations about the procedure. Soft mattresses are not used because they can interfere with the clarity of the x-ray images. Patients are usually required to remain still during the x-ray to ensure clear images, and while comfort is important, they may need to be positioned in a specific way that the technician deems necessary for the best results.

Question 18

An older adult visiting a wellness clinic reports joint stiffness in the morning. Which of the following statements, by the nurse, is best?

Accepted Answer

The best explanation for joint stiffness in older adults is related to the aging process, where the cartilage in joints can become rough, leading to stiffness. This is a common and accurate description of how aging can affect joint health.

Question 19

The nurse is caring for a patient who has a suspected bone tumor. Which serum laboratory result would be indicative of this?

Accepted Answer

Elevated alkaline phosphatase levels can indicate the presence of a bone tumor as this enzyme is secreted by osteoblasts (bone-forming cells) and can be elevated when there is an increased turnover of bone tissue, as seen in bone tumors. Magnesium levels, creatine kinase levels and calcium levels are not typically associated with bone tumors.

Question 20

The nurse is caring for a patient who is undergoing an arthrography. What should the nurse tell the patient about pain expectations during the procedure?

Accepted Answer

During an arthrography, temporary pain may be experienced during the injection of dye into the joint. It is important to inform the patient of this so they can prepare mentally and physically for the procedure. Choice A is not entirely accurate as some patients may experience discomfort or pain. Choice B is too vague and does not provide specific information about when the discomfort will occur. Choice D is not accurate as there should not be any pain during the x-ray itself.

Quiz 45: Musculoskeletal Function and Assessment