Deck 64: Nursing Assessment Musculo-skeletal System

Question 1

The nurse is caring for a client who has a new prescription for magnetic resonance imaging (MRI) to evaluate for right femur osteomyelitis. Which of the following client information indicates that the nurse should consult with the health care provider beforescheduling the MRI?

A)The client has a pacemaker.
B)The client is claustrophobic.
C)The client wears a hearing aid.
D)The client is allergic to shellfish.

Answer 1

The client has a pacemaker.

Question 2

Which of the following information obtained during the nurse's assessment of the client's nutritional-metabolic pattern may indicate the risk for musculo-skeletal problems?

A)The client takes a multivitamin daily.
B)The client dislikes fruits and vegetables.
C)The client is 158 cm and weighs 81.6 kg.
D)The client prefers whole milk to nonfat milk.

Answer 2

The client is 158 cm and weighs 81.6 kg.

Question 3

Which of the following information in a female, older-adult client's health history will alert the nurse to the need for a more focused assessment of the musculo-skeletal system?

A)The client experienced a sprained ankle at age 13.
B)The client's mother became much shorter with aging.
C)The client's father died of complications of miliary tuberculosis.
D)The client reports taking ibuprofen for occasional headaches.

Answer 3

The client's mother became much shorter with aging.

Question 4

The nurse obtains this information when assessing an older-adult client in the outpatient clinic. Which of the following findings is of highest priority when the nurse is planning care for the client?

A)Symmetrical joint swelling of fingers
B)Decreased right knee range of motion
C)History of recent loss of balance and fall
D)Complaint of left hip aching when jogging

Question 5

The nurse is preparing to assess a client's musculo-skeletal system. Which of the following actions should the nurse do first?

A)Feel for the presence of crepitus during joint movement.
B)Have the client move the extremities against resistance.
C)Observe the client's body build and muscle configuration.
D)Check active and passive range of motion for the extremities.

Question 6

The nurse is assessing the movement of a client's elbow and notes crackling sounds and a grating sensation with palpation. Which of the following terms should the nurse use to document these findings?

A)Torticollis
B)Crepitation
C)Subluxation
D)Epicondylitis

Question 7

While testing the client's muscle strength, the nurse finds that the client can flex the arms when no resistance is applied but is unable to flex when the nurse applies lightresistance. The nurse should document the client's muscle strength as level

A)1
B)2
C)3
D)4

Question 8

The nurse is caring for a client who has pain during circumduction of the shoulder when the nurse moves the arm behind the client. Which of the following questions should the nurse ask?

A)"Do you have difficulty in putting on a jacket?"
B)"Are you able to feed yourself without difficulty?"
C)"Are you able to sleep through the night without waking?"
D)"Do you ever have trouble lowering yourself to the toilet?"

Question 9

The nurse is assessing a new client in the clinic. Which of the following information about the client's medications should be of most concern?

A)The client takes a daily multivitamin and calcium supplement.
B)The client has migraine headaches that are treated with nonsteroidal anti-inflammatory drugs (NSAIDs).
C)The client has severe asthma and requires frequent therapy with oral steroids.
D)The client takes hormone replacement therapy (HRT) to prevent "hot flashes."

Question 10

The nurse is assessing a client in the clinic who has knee pain following an arthroscopic procedure 7 days previously and has just had an arthrocentesis. Which of the following findings should be of most concern to the nurse?

A)Scant thin fluid
B)Sanguineous fluid
C)Straw-coloured fluid
D)Purulent appearing fluid

Question 11

Which of the following assessments of synovial fluid indicates that the findings are normal?

A)Transparent and colourless
B)Reddish pink fluid
C)Grey, thin fluid
D)Whitish yellow fluid

Question 12

The nurse is conducting a musculo-skeletal assessment on an older-adult client. Which of the following are age-related changes in this body system? (Select all that apply.)

A)Decreased bone density
B)Decreased risk for cartilage disruption
C)Increased glycogen stores
D)Decreased elasticity in cartilage
E)Increased muscle cell diameter

Question 13

The nurse is caring for a client with kyphosis who is scheduled for dual-energy x-ray absorptiometry (DEXA) testing. Which of the following actions should the nurse plan to implement?

A)Give an oral sedative.
B)Start an intravenous line.
C)Teach the client about DEXA.
D)Screen the client for shellfish allergies.

Question 14

The nurse is caring for a client with kyphosis. Which of the following findings should the nurse expect to assess?

A)Shortened stride
B)Exaggerated thoracic curvature
C)Grating sound when preforming passive ROM
D)Uncoordinated, swaying gait

Question 15

The nurse is caring for a client with knee pain who is diagnosed with bursitis and asks the nurse to explain just what bursitis is. The nurse will respond that bursitis is an inflammation of which of the following structures?

A)A small, fluid-filled sac found at many joints
B)The synovial membrane that lines the joint area
C)The fibrocartilage that acts as a shock absorber in the knee joint
D)Any connective tissue that is found supporting the joints of the body

Question 16

The nurse is assessing an older female client and notes that the client has lost 2.5 cm in height since the previous visit 2 years ago. Which of the following diagnostic tests should the nurse include in the teaching plan?

A)Discography studies
B)Myelographic testing
C)Magnetic resonance imaging (MRI)
D)Dual-energy x-ray absorptiometry (DEXA)