Question 1

What are the modifiable risk factors for vertebral compression fracture? Select all that apply.

Accepted Answer

A,E

Question 2

The nurse is providing care for a client with nonunion at the site of a fracture in a lower extremity. After 12 weeks of monitoring, the fracture site shows no signs of healing. Which prescription does the nurse anticipate from the health-care provider?

Accepted Answer

Bone grafting is a common treatment for nonunion fractures to stimulate healing and provide structural support.

Question 3

The nurse is preparing to discharge a client to a rehabilitation facility after a total hip replacement because of a hip fracture. Which summary of the client's hospitalization best indicates adequate nursing care?

Accepted Answer

D

Question 4

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

Accepted Answer

The Lovett scale is used to grade muscle strength, and a grade of "Trace" is assigned when there is no joint motion but a palpable contraction of the muscle can be felt. This indicates a very low level of muscle strength.

Question 5

Which are signs and symptoms of musculoskeletal trauma? Select all that apply.

Accepted Answer

The answer of Which are signs and symptoms of musculoskeletal...

Question 6

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

Accepted Answer

A dual energy x-ray absorptiometry (DEXA) scan is primarily used to measure bone mineral density (BMD), particularly in the hip and vertebrae, to assess for conditions like osteoporosis.

Question 7

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 more than four steps. Which does the nurse expect the health-care provider to prescribe?

Accepted Answer

The malleolar zone is located around the ankle, and pain in this area combined with the inability to bear weight suggests a potential fracture or serious injury in the ankle region. An ankle x-ray is the appropriate diagnostic test to assess for fractures or other injuries in this area.

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 occurs when bone is crushed, causing the broken bone to be wider or flatter in appearance. This type of fracture is commonly seen in the vertebrae, where it can lead to pain and decreased height. It is often associated with osteoporosis.

Question 9

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

Accepted Answer

The correct technique for performing a valgus stress test involves applying valgus stress with the knee at 30 degrees of flexion, not 90 degrees. This position allows for the assessment of the medial collateral ligament by opening the medial side of the knee joint. Applying stress at 90 degrees of flexion does not accurately test the ligament's integrity and could potentially harm the patient or yield incorrect results.

Question 10

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?

Accepted Answer

The described maneuver is the Apprehension test, which is used to assess shoulder instability or dislocation.

Question 11

The nurse is providing care for a client with a lower extremity fracture immobilized by a cast. Which complication does the nurse identify if assessment reveals tissue ischemia, functional impairment, and pain level disproportionate to the injury?

Accepted Answer

Compartment syndrome is characterized by increased pressure within a muscle compartment of the body, leading to tissue ischemia, functional impairment, and pain that is disproportionate to the initial injury, which aligns with the symptoms described.

Question 12

In order to maintain a high level of understanding about skeletal muscles, the nurse reviews anatomy and physiology concepts. Which recall of information indicates the effectiveness of the nurse's review?

Accepted Answer

The correct answer is D because individual muscle fibers are indeed organized into bundles known as fascicles, which is a fundamental aspect of skeletal muscle anatomy.

Question 13

After assessing a client with a musculoskeletal disorder, the nurse concludes that the client has skeletal injuries. Which characteristics observed in the client support the nurse's conclusion? Select all that apply.

Accepted Answer

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

Question 14

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

Accepted Answer

The answer of Which are the common predisposing factors that...

Question 15

Place the events associated with fracture healing in the order they occur. (Enter the number of each step in the proper sequence; do not use commas or spaces.)
A) Remodeling
B) Callus formation
C) Lamellar bone deposition
D) Granulation tissue formation
E) Fracture and inflammatory phase

Accepted Answer

The answer of Place the events associated with fracture healing...

Question 16

The nurse is assisting the health-care provider while performing some specific maneuvers in a client with a knee injury. The 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 health-care provider performing?

Accepted Answer

The health-care provider is performing the Lachman test, which is used to assess the integrity of the anterior cruciate ligament (ACL) in the knee. This test involves stabilizing the femur and attempting to move the tibia anteriorly to check for excessive forward movement, indicating a potential ACL injury.

Question 17

When assessing a client with a musculoskeletal disorder, the nurse finds lack of sensation in the dermatome areas of the lower extremity L

Accepted Answer

Anteroposterior and lateral x-rays of the lumbar spine are typically prescribed to assess for structural issues or injuries in the lumbar region when there is a lack of sensation in the dermatome areas of the lower extremity.

Quiz 37: Musculoskeletal Trauma