Question 1

While teaching a group of student nurses about various musculoskeletal disorders,the nurse states,"This syndrome occurs when tissue pressure exceeds perfusion pressure in a closed anatomic space." Which syndrome is the nurse describing?

Accepted Answer

The nurse is describing compartment syndrome, which occurs when pressure within a muscle compartment builds up to dangerous levels. This can lead to decreased blood flow, oxygenation, and muscle and nerve damage. Horner syndrome is characterized by drooping of the eyelid, pupil constriction, and lack of sweating on one side of the face. Cauda equine syndrome is a rare disorder that affects the bundle of nerves at the lower end of the spinal cord, while carpel tunnel syndrome is a condition that causes numbness, tingling, and pain in the hand and wrist.

Question 2

Which musculoskeletal disorder is also called adhesive capsulitis?

Accepted Answer

Frozen shoulder is also known as adhesive capsulitis. The other options listed are different musculoskeletal disorders.

Question 3

The nurse finds that a client with a musculoskeletal disorder has pain in the malleolar zone.The client is also unable to bear weight for four steps.What does the nurse expect the primary health-care provider to order in this situation?

Accepted Answer

An ankle x-ray would be the best choice in this situation to assess for possible fractures or other injuries to the ankle. The other tests listed (Hawkins test and apprehension test) are used to assess for specific conditions such as impingement or instability, but are not as appropriate in this scenario where there is unclear etiology of the pain and inability to bear weight. A foot x-ray may also be useful, but may not capture any injuries at the ankle joint which are suspected given the client's location of pain.

Question 4

When assessing a client's muscle strength using the Lovett scale,the nurse finds that the client has no joint motion with palpable contraction of the muscle.What grade does the nurse assign to the client based on this finding?

Accepted Answer

The Lovett scale grades muscle strength on a scale of 0 to 5, with 0 indicating no muscle contraction and 5 indicating normal muscle strength. Therefore, if the client has no joint motion with palpable contraction of the muscle, the nurse would assign a grade of 0, which is considered "trace" on the Lovett scale.

Question 5

The nurse is evaluating the performance of a student nurse while caring for a client with an ankle sprain.Which intervention of the student nurse does the nursing instructor correct while providing care to the client?

Accepted Answer

Keeping the ankle below the heart is not the correct intervention for a client with an ankle sprain. The ankle should be elevated above the level of the heart to reduce swelling and inflammation. Administering analgesics, checking dorsalis pedis pulse, and checking posterior tibial pulse are all appropriate interventions for a client with an ankle sprain.

Question 6

When assessing a client with a musculoskeletal disorder,the nurse finds lack of sensation in the dermatome areas of the lower extremity L5.The nurse suspects lumbar sprain /strain.What does the nurse expect the primary care provider to order in this situation?

Accepted Answer

The answer of When assessing a client with a musculoskeletal...

Question 7

What are the common predisposing factors that cause cervical strain? Select all that apply.

Accepted Answer

Abnormal posture, lifting heavy objects, and motor vehicle accidents are common predisposing factors for cervical strain due to the stress and strain they place on the neck muscles and ligaments.

Question 8

While teaching a group of student nurses about different types of fractures,the nursing instructor says,"This fracture is characterized by the crushing of cancellous bone." Which type of fracture is the nursing instructor describing?

Accepted Answer

The nursing instructor is describing a compression fracture, which is characterized by the crushing of cancellous bone. Option A, complete fracture, refers to a break in the bone where it is separated into two distinct pieces. Option B, transverse fracture, refers to a break in the bone that runs horizontally. Option C, comminuted fracture, refers to a break in the bone where it is fragmented into multiple pieces.

Question 9

When obtaining the health history of a client with a suspected musculoskeletal disorder,why does the nurse ask the client about travel destinations within the past year?

Accepted Answer

Lyme disease is a tick-borne illness that can cause musculoskeletal symptoms. Asking about travel destinations can help identify if the client has been in an area where Lyme disease is prevalent.

Question 10

Which cervical root is associated with forearm pronation and supination?

Accepted Answer

The cervical root associated with forearm pronation and supination is C6.

Question 11

The nursing instructor is teaching a group of student nurses about skeletal muscles.Which statement by a student nurse indicates effective learning?

Accepted Answer

The individual muscle fibers of skeletal muscle are indeed arranged in bundles called fascicles, which is a correct statement reflecting effective learning about the structure of skeletal muscles.

Question 12

The registered nurse is evaluating the performance of student nurse performing a valgus stress test on a client whose leg is slightly abducted.Which intervention of the student nurse does the registered nurse correct?

Accepted Answer

The correct way to perform a valgus stress test is to apply valgus stress with the knee at 30 degrees of flexion. Therefore, the student nurse should be corrected for applying valgus stress with the knee at 90 degrees of flexion. Placing one hand at the lateral aspect of the knee joint and placing the one hand at the medial aspect of the distal tibia are both correct techniques for performing a valgus stress test.

Question 13

A client complains of pain and immobility of the wrist.On assessment,the nurse finds decreased range of motion (ROM),edema,and ecchymosis of the distal radius.The primary health-care provider recommends a neurovascular exam for confirmation.What does the nurse infer from these findings?

Accepted Answer

The answer of A client complains of pain and immobility...

Question 14

While assessing a client with a musculoskeletal disorder,the nurse abducts the client's arm to 90degrees and places anteriorly directed force on the posterior humeral head from behind.Which test is the nurse performing?

Accepted Answer

The answer of While assessing a client with a musculoskeletal...

Question 15

The nurse is assisting the primary care provider while performing some specific maneuvers in a client with a knee injury.The primary health-care provider stabilizes the client's distal femur with one hand,grasps the proximal tibia with the other hand,and then attempts to sublux the tibia anteriorly.Which maneuver is the primary care provider performing?

Accepted Answer

The Lachman test is performed by stabilizing the femur and attempting to move the tibia anteriorly to assess the integrity of the anterior cruciate ligament (ACL), which is consistent with the description given.

Question 16

Why is a dual energy x-ray absorptiometry scan used for a client with a musculoskeletal disorder?

Accepted Answer

Dual energy x-ray absorptiometry (DEXA) scan is used to visualize the bone mineral density (BMD) of the hip and lumbar vertebrae, which is important in the diagnosis and management of musculoskeletal disorders like osteoporosis. A DEXA scan is not used to detect soft tissue abnormalities (A), identify stress fractures and bony metastases (B), or determine mechanical derangement of the knee (C).

Question 17

The nurse is performing a physical examination on a client with a suspected musculoskeletal disorder.What is the first nursing intervention during the examination?

Accepted Answer

The first step in any physical examination is to assess the general appearance of the client, including any visible deformities, swelling, or asymmetry. This provides the nurse with an overall understanding of the client's condition and can guide subsequent assessments. Testing sensation, measuring muscle girth, and evaluating peripheral vascular integrity are all important assessments in musculoskeletal disorders, but they come after assessing general appearance, contour, and symmetry.

Question 18

What is the most commonly dislocated joint in the body?

Accepted Answer

The most commonly dislocated joint in the body is the shoulder, accounting for about half of all joint dislocations. The hip and wrist are also commonly dislocated, but to a lesser extent. The vertebrae, on the other hand, are not considered a joint and therefore cannot be dislocated.

Question 19

A client presents with a swollen left thigh and a lower extremity that appears shortened.The primary care provider orders an arteriogram.What is the client's most likely condition?

Accepted Answer

A swollen thigh and a shortened lower extremity are classic signs of a femur shaft fracture. An arteriogram may be ordered to rule out vascular damage or injury.

Quiz 37: Musculoskeletal Trauma

While teaching a group of student nurses about various musculoskeletal disorders,the nurse states,"This syndrome occurs when tissue pressure exceeds perfusion pressure in a closed anatomic space." Which syndrome is the nurse describing?

Which musculoskeletal disorder is also called adhesive capsulitis?

The nurse finds that a client with a musculoskeletal disorder has pain in the malleolar zone.The client is also unable to bear weight for four steps.What does the nurse expect the primary health-care provider to order in this situation?

When assessing a client's muscle strength using the Lovett scale,the nurse finds that the client has no joint motion with palpable contraction of the muscle.What grade does the nurse assign to the client based on this finding?

The nurse is evaluating the performance of a student nurse while caring for a client with an ankle sprain.Which intervention of the student nurse does the nursing instructor correct while providing care to the client?

When assessing a client with a musculoskeletal disorder,the nurse finds lack of sensation in the dermatome areas of the lower extremity L5.The nurse suspects lumbar sprain /strain.What does the nurse expect the primary care provider to order in this situation?

What are the common predisposing factors that cause cervical strain? Select all that apply.

While teaching a group of student nurses about different types of fractures,the nursing instructor says,"This fracture is characterized by the crushing of cancellous bone." Which type of fracture is the nursing instructor describing?

When obtaining the health history of a client with a suspected musculoskeletal disorder,why does the nurse ask the client about travel destinations within the past year?

Which cervical root is associated with forearm pronation and supination?

The nursing instructor is teaching a group of student nurses about skeletal muscles.Which statement by a student nurse indicates effective learning?

The registered nurse is evaluating the performance of student nurse performing a valgus stress test on a client whose leg is slightly abducted.Which intervention of the student nurse does the registered nurse correct?

A client complains of pain and immobility of the wrist.On assessment,the nurse finds decreased range of motion (ROM) ,edema,and ecchymosis of the distal radius.The primary health-care provider recommends a neurovascular exam for confirmation.What does the nurse infer from these findings?

While assessing a client with a musculoskeletal disorder,the nurse abducts the client's arm to 90degrees and places anteriorly directed force on the posterior humeral head from behind.Which test is the nurse performing?

Why is a dual energy x-ray absorptiometry scan used for a client with a musculoskeletal disorder?

The nurse is performing a physical examination on a client with a suspected musculoskeletal disorder.What is the first nursing intervention during the examination?

What is the most commonly dislocated joint in the body?

A client presents with a swollen left thigh and a lower extremity that appears shortened.The primary care provider orders an arteriogram.What is the client's most likely condition?

Quiz 37: Musculoskeletal Trauma

While teaching a group of student nurses about various musculoskeletal disorders,the nurse states,"This syndrome occurs when tissue pressure exceeds perfusion pressure in a closed anatomic space." Which syndrome is the nurse describing?

Which musculoskeletal disorder is also called adhesive capsulitis?

The nurse finds that a client with a musculoskeletal disorder has pain in the malleolar zone.The client is also unable to bear weight for four steps.What does the nurse expect the primary health-care provider to order in this situation?

When assessing a client's muscle strength using the Lovett scale,the nurse finds that the client has no joint motion with palpable contraction of the muscle.What grade does the nurse assign to the client based on this finding?

The nurse is evaluating the performance of a student nurse while caring for a client with an ankle sprain.Which intervention of the student nurse does the nursing instructor correct while providing care to the client?

When assessing a client with a musculoskeletal disorder,the nurse finds lack of sensation in the dermatome areas of the lower extremity L5.The nurse suspects lumbar sprain /strain.What does the nurse expect the primary care provider to order in this situation?

What are the common predisposing factors that cause cervical strain? Select all that apply.

While teaching a group of student nurses about different types of fractures,the nursing instructor says,"This fracture is characterized by the crushing of cancellous bone." Which type of fracture is the nursing instructor describing?

When obtaining the health history of a client with a suspected musculoskeletal disorder,why does the nurse ask the client about travel destinations within the past year?

Which cervical root is associated with forearm pronation and supination?

The nursing instructor is teaching a group of student nurses about skeletal muscles.Which statement by a student nurse indicates effective learning?

The registered nurse is evaluating the performance of student nurse performing a valgus stress test on a client whose leg is slightly abducted.Which intervention of the student nurse does the registered nurse correct?

A client complains of pain and immobility of the wrist.On assessment,the nurse finds decreased range of motion (ROM) ,edema,and ecchymosis of the distal radius.The primary health-care provider recommends a neurovascular exam for confirmation.What does the nurse infer from these findings?

While assessing a client with a musculoskeletal disorder,the nurse abducts the client's arm to 90 degrees and places anteriorly directed force on the posterior humeral head from behind.Which test is the nurse performing?

Why is a dual energy x-ray absorptiometry scan used for a client with a musculoskeletal disorder?

The nurse is performing a physical examination on a client with a suspected musculoskeletal disorder.What is the first nursing intervention during the examination?

What is the most commonly dislocated joint in the body?

A client presents with a swollen left thigh and a lower extremity that appears shortened.The primary care provider orders an arteriogram.What is the client's most likely condition?

While assessing a client with a musculoskeletal disorder,the nurse abducts the client's arm to 90degrees and places anteriorly directed force on the posterior humeral head from behind.Which test is the nurse performing?