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Chapter 18 Questions with complete solution
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Chapter 18 Questions with complete solution During the history, a young adult woman tells the nurse, "My mother has osteoporosis. What can I do to help reduce my risk?" Which response by the nurse would be most appropriate? - correct answer "Try to avoid drinking too much coffee or other caffeina...

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  • August 18, 2024
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  • 2024/2025
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  • chapter 18
  • chapter 18 questions with complete solution

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Chapter 18: The Musculoskeletal System
During the history, a young adult woman tells the nurse, "My mother has
osteoporosis. What can I do to help reduce my risk?" Which response by the
nurse would be most appropriate? - correct answer ✔"Try to avoid drinking
too much coffee or other caffeinated fluids."


To reduce the risk of osteoporosis, the nurse would instruct the client to avoid
excessive caffeine or alcohol consumption; increase physical exercise or
activity, especially weight-bearing activities; increase calcium intake to
approximately 1000 to 1500 mg daily; and get adequate vitamin D to absorb
calcium such as with sun exposure.


Which joint movement is a nurse testing when asking a client to move an
extremity towards the body? - correct answer ✔Adduction


Adduction is the movement towards the midline of the body. Flexion is
bending the extremity at the joint and decreasing the angle of the joint.
Extension is straightening the extremity at the joint and increasing the angle of
the joint. Abduction is moving away from the midline of the body.


The nurse is assessing an elderly client and finds an exaggerated thoracic
curve. This would be documented as what? - correct answer ✔Kyphosis


Kyphosis is an exaggerated thoracic curve and is common with aging.
Scoliosis is lateral curvature of the thoracic spine with an increase in the
convexity on the curved side. An exaggerated lumbar curve is lordosis.
Ankylosing spondylitis is associated with a flattening of the lumbar curvature.


Which of the following tools would a nurse practitioner be more likely than a
registered nurse to use during the performance of a musculoskeletal

, assessment on a client to measure maximum flexion of a joint? - correct
answer ✔Goniometer


A goniometer measures the angle at which a joint can flex or extend. Nurses
do not use flashlights or gradiometers during musculoskeletal assessments.
The registered nurse would be more likely than the advanced practice nurse
to use a scale to weigh a client.


What finding should a nurse expect when performing the Phalen's test on a
client with suspected carpal tunnel syndrome? - correct answer ✔Reports of
tingling, numbness, and pain in the involved wrist


The Phalen's test is performed by asking the client to place the backs of both
hands against each other while flexing the wrists 90 degrees downward. The
client holds this position for 60 seconds. A positive test would be the report of
tingling, numbness, and pain in the involved wrist by the client. Inability to
perform active range of motion with the involved wrist and stiffness in the
hands and fingers after holding and releasing a tight fist may be seen in
clients with arthritis in the joints. A change in the color of the fingers from red
to white (pale) is seen in clients with Reynaud's disease.


A nurse is working with a client who has cervical disc degenerative disease
with resulting impaired range of motion and pain that radiates to the back. The
nurse understands that joints between the vertebrae are which type of joint? -
correct answer ✔Cartilaginous


Fibrous joints (e.g., sutures between skull bones) are joined by fibrous
connective tissue and are immovable. Cartilaginous joints (e.g., joints
between vertebrae) are joined by cartilage. Synovial joints (e.g., shoulders,
wrists, hips, knees, ankles) contain a space between the bones that is filled
with synovial fluid, a lubricant that promotes a sliding movement of the ends of
the bones. Compact is a type of bone, not a type of joint.

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