Deck 59: Musculoskeletal Dysfunction: Nursing Management

Question 1

A young client has been diagnosed with a soft tissue tumor resembling striated muscle in the neck. The nurse realizes that this type of tumor would be considered:

A) chondrosarcoma.
B) Ewing's sarcoma.
C) neurofibrosarcoma.
D) rhabdomyosarcoma.

Answer 1

rhabdomyosarcoma.

Question 2

A client is diagnosed with osteoarthritis. The nurse would not expect to find which of the following during assessment?

A) Bouchard's nodes
B) Crepitus
C) Heberden's nodes
D) Symmetrical joint involvement

Answer 2

Symmetrical joint involvement

Question 3

During an assessment, the nurse determines that a client has a forward curvature of the thoracic spine. Which of the following terms would the nurse use to document this assessment finding?

A) Kyphosis
B) Lordosis
C) Scoliosis
D) Spondylolisthesis

Answer 3

Kyphosis

Question 4

A client has been diagnosed with fibromyalgia. The nurse realizes that which of the following categories of medications have been successful in the treatment of this disorder? (Select all that apply.)

A) Antiarrhythmics
B) Antibiotics
C) Antidepressants
D) Analgesics
E) Calcium channel blockers
F) Muscle relaxants

Question 5

The nurse is instructing a client diagnosed with gout about a low-purine diet. Which of the following foods would be identified as those to avoid when following this diet? (Select all that apply.)

A) Avocados
B) Milk
C) Scallops
D) White bread
E) Alcohol
F) Bacon

Question 6

The nurse is assessing a client who is diagnosed with gout. Which of the following findings will the nurse most likely assess in this client? (Select all that apply.)

A) Decreased range of motion
B) Edema in a joint
C) Elevated uric acid levels
D) Pain that develops over many weeks
E) Fever
F) Headache

Question 7

The nurse is instructing a client diagnosed with osteoarthritis. Which of the following statements indicates that the client understands these instructions?

A) "Exercise will not be of help because it will stress my joints."
B) "I will need to lose weight; my doctor says about 20 pounds."
C) "I will take my medications only if the pain is very bad."
D) "I can still go on my marathon shopping trips with my daughter."

Question 8

A client diagnosed with gout is concerned about the formation of nodules. The nurse should explain that these nodules are called:

A) Bouchard's nodes.
B) cysts.
C) Heberden's nodes.
D) tophi.

Question 9

A client is experiencing symptoms associated with the second-stage of Lyme disease. Which of the following will the nurse most likely assess in this client? (Select all that apply.)

A) Erythema migrans
B) Numbness and pain in the arms and legs
C) Paralysis of facial muscles
D) Meningitis
E) Knee pain and swelling
F) Memory loss

Question 10

A client diagnosed with Paget's disease is prescribed alendronate (Fosamax). Which of the following should the nurse instruct the client regarding this medication?

A) "Do not eat anything for 30 minutes after taking a dose."
B) "Take the medication on a full stomach."
C) "Go to the physician's office for the medication to be provided intravenously."
D) "Expect to stay on this medication for only 6 months."

Question 11

The nurse is assessing a client who is demonstrating clinical manifestations of Paget's disease. The nurse realizes that which of the following diagnostic tests will aid in the diagnosis of this disorder?

A) Chest x-ray
B) Hand x-ray
C) Serum albumin level
D) Serum alkaline phosphatase level

Question 12

A client is being evaluated for generalized skeletal pain and pain in the hips, ribs, and feet. The nurse observes that the client walks with a waddling gait. Because of this information, which of the following should the nurse suspect is occurring with this client?

A) Osteomalacia
B) Osteomyelitis
C) Osteosarcoma
D) Paget's disease

Question 13

When assessing a client diagnosed with ankylosing spondylitis, which of the following clinical manifestations will the nurse most likely assess?

A) Small irregular pupil
B) Heel pain
C) Onycholysis
D) Respiratory depression

Question 14

A client is surprised to learn that she has been diagnosed with osteoporosis since she does not smoke, is not underweight, and exercises. The nurse should assess if the client has any secondary conditions which could cause the disorder, including:

A) diabetes mellitus.
B) heart failure.
C) fibromyalgia.
D) lactose intolerance.

Question 15

A client is experiencing an acute attack of gout. The nurse should be prepared to provide which of the following medications as prescribed?

A) Allopurinol
B) Colchicine
C) Probenecid
D) Sulfinpyrazone

Question 16

The nurse is teaching a group of community members at the senior center about osteoporosis. Which of the following clinical manifestations should the nurse instruct as not being related to the disorder?

A) Decrease in height
B) Fractures
C) Kyphosis
D) Pain

Question 17

During an assessment, the nurse determines that a client has risk factors for the development of osteoporosis. Which of the following are considered risk factors for this disorder? (Select all that apply.)

A) Balanced diet
B) Corticosteroid therapy
C) Low body weight
D) Smoker
E) Impaired vision
F) Alcohol intake is one drink per month