Deck 43: Musculoskeletal System Introduction
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Deck 43: Musculoskeletal System Introduction
1
______ uses sound waves to determine the presence of pulses in the extremities.
Doppler ultrasound
2
A nurse questions an older patient about the age-related changes she has experienced in her connective tissue, which have lessened her mobility.What do these changes most commonly include? (Select all that apply.)
A) Loss of bone mass, which may cause fragile bones
B) Decline in muscle mass, causing loss of strength
C) Bony deposits in the joints, causing pain and altered movement
D) Loss of cartilage, causing more friction in joints
E) Diminished energy, causing decreased activity
A) Loss of bone mass, which may cause fragile bones
B) Decline in muscle mass, causing loss of strength
C) Bony deposits in the joints, causing pain and altered movement
D) Loss of cartilage, causing more friction in joints
E) Diminished energy, causing decreased activity
Loss of bone mass, which may cause fragile bones
Decline in muscle mass, causing loss of strength
Bony deposits in the joints, causing pain and altered movement
Loss of cartilage, causing more friction in joints
Decline in muscle mass, causing loss of strength
Bony deposits in the joints, causing pain and altered movement
Loss of cartilage, causing more friction in joints
3
A nurse is collecting a health history from a patient with a connective tissue disease.What is the most important inquiry by the nurse?
A) Family history of atherosclerosis
B) Last time the patient had his or her blood tested
C) History of a prior injury to a specific body part
D) Family history of a fracture
A) Family history of atherosclerosis
B) Last time the patient had his or her blood tested
C) History of a prior injury to a specific body part
D) Family history of a fracture
History of a prior injury to a specific body part
4
A nurse is educating a patient with gout about the medication probenecid (Benemid).What active effect should the nurse relay when explaining why this medication is prescribed?
A) Reduces inflammation in the affected joint
B) Relieves pain
C) Diminishes swelling
D) Increases excretion of uric acid
A) Reduces inflammation in the affected joint
B) Relieves pain
C) Diminishes swelling
D) Increases excretion of uric acid
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5
A(n)______ measures the range of movement of the joints.
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6
Which diagnostic test result should the nurse expect for a patient with polymyositis?
A) Muscle biopsy positive for muscle degeneration
B) Positive antinuclear antibody (ANA)blood test result
C) Positive 24-hour urine test result for urate crystals
D) Urate crystals in the synovial fluid
A) Muscle biopsy positive for muscle degeneration
B) Positive antinuclear antibody (ANA)blood test result
C) Positive 24-hour urine test result for urate crystals
D) Urate crystals in the synovial fluid
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7
The physician orders antinuclear antibodies for a patient with suspected rheumatoid arthritis.What information will the nurse provide to the patient in preparation for this study?
A) Fast for 8 hours before test.
B) Refrain from exercise the day before test.
C) Do not take medications 24 hours before test.
D) Void prior to test.
A) Fast for 8 hours before test.
B) Refrain from exercise the day before test.
C) Do not take medications 24 hours before test.
D) Void prior to test.
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8
Immobility reduces muscle contractions and can produce muscle ______.
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9
A patient is preparing for tomography as ordered to enhance visualization of tissue hidden by bone.What assessment by the nurse should be immediately addressed?
A) History of recent urinary tract infection
B) Allergy to Sulfa
C) Reports of claustrophobia
D) Diagnosis of bipolar disorder
A) History of recent urinary tract infection
B) Allergy to Sulfa
C) Reports of claustrophobia
D) Diagnosis of bipolar disorder
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10
A nurse is educating an osteoporotic patient taking alendronate (Fosamax).Which instruction should the nurse stress?
A) Take the drug after breakfast.
B) Avoid the use of supplemental vitamin D.
C) Decrease fluid intake.
D) Sit or stand for 30 minutes after administration.
A) Take the drug after breakfast.
B) Avoid the use of supplemental vitamin D.
C) Decrease fluid intake.
D) Sit or stand for 30 minutes after administration.
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