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Chapter 61 Question and answers 100% correct

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Chapter 61 Question and answers 100% correct A 42-year-old male patient complains of shoulder pain when the nurse moves his arm behind the back. Which question should the nurse ask? a. "Are you able to feed yourself without difficulty?" b. "Do you have difficulty when you are putting on a shirt?"...

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  • August 18, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • chapter 61
  • chapter 61 question and answers 100 correct

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Chapter 61: Assessment of
Musculoskeletal System
A 42-year-old male patient complains of shoulder pain when the nurse moves
his arm behind the back. Which question should the nurse ask?
a. "Are you able to feed yourself without difficulty?"
b. "Do you have difficulty when you are putting on a shirt?"
c. "Are you able to sleep through the night without waking?"
d. "Do you ever have trouble lowering yourself to the toilet?" - correct answer
✔B. The patient's pain will make it more difficult to accomplish tasks like
putting on a shirt or jacket. This pain should not affect the patient's ability to
feed himself or use the toilet because these tasks do not involve moving the
arm behind the patient. The arm will not usually be positioned behind the
patient during sleeping.


A patient with left knee pain is diagnosed with bursitis. The nurse will explain
that bursitis is an inflammation of
a. the synovial membrane that lines the joint.
b. a small, fluid-filled sac found at some joints.
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. -
correct answer ✔B. Bursae are fluid-filled sacs that cushion joints and bony
prominences. Fibrocartilage is a solid tissue that cushions some joints. Bursae
are a specific type of connective tissue. The synovial membrane lines many
joints but is not a bursa.


The nurse who notes that a 59-year-old female patient has lost 1 inch in
height over the past 2 years will plan to teach the patient about
a. discography studies.
b. myelographic testing.

,c. magnetic resonance imaging (MRI).
d. dual-energy x-ray absorptiometry (DXA). - correct answer ✔D. The
decreased height and the patient's age suggest that the patient may have
osteoporosis and that bone density testing is needed. Discography, MRI, and
myelography are typically done for patients with current symptoms caused by
musculoskeletal dysfunction and are not the initial diagnostic tests for
osteoporosis.


Which information in a 67-year-old woman's health history will alert the nurse
to the need for a more focused assessment of the musculoskeletal system?
a. The patient sprained her ankle at age 13.
b. The patient's mother became shorter with aging.
c. The patient takes ibuprofen (Advil) for occasional headaches.
d. The patient's father died of complications of miliary tuberculosis. - correct
answer ✔B. A family history of height loss with aging may indicate
osteoporosis, and the nurse should perform a more thorough assessment of
the patient's current height and other risk factors for osteoporosis. A sprained
ankle during adolescence does not place the patient at increased current risk
for musculoskeletal problems. A family history of tuberculosis is not a risk
factor. Occasional nonsteroidal antiinflammatory drug (NSAID) use does not
indicate any increased musculoskeletal risk.


Which information obtained during the nurse's assessment of a 30-year-old
patient's nutritional-metabolic pattern may indicate the risk for musculoskeletal
problems?
a. The patient takes a multivitamin daily.
b. The patient dislikes fruits and vegetables.
c. The patient is 5 ft 2 in and weighs 180 lb.
d. The patient prefers whole milk to nonfat milk. - correct answer ✔C. The
patient's height and weight indicate obesity, which places stress on weight-
bearing joints. The use of whole milk, avoiding fruits and vegetables, and use
of a daily multivitamin are not risk factors for musculoskeletal problems.

, Which nursing action is correct when performing the straight-leg raising test
for an ambulatory patient with back pain?
a. Raise the patient's legs to a 60-degree angle from the bed.
b. Place the patient initially in the prone position on the exam table.
c. Have the patient dangle both legs over the edge of the exam table.
d. Instruct the patient to elevate the legs and tense the abdominal muscles. -
correct answer ✔A. When performing the straight leg-raising test, the patient
is in the supine position and the nurse passively lifts the patient's legs to a 60-
degree angle. The other actions would not be correct for this test.


Which medication information will the nurse identify as a concern for a
patient's musculoskeletal status?
a. The patient takes a daily multivitamin and calcium supplement.
b. The patient takes hormone therapy (HT) to prevent "hot flashes."
c. The patient has severe asthma and requires frequent therapy with oral
corticosteroids.
d. The patient has migraine headaches treated with nonsteroidal
antiinflammatory drugs (NSAIDs). - correct answer ✔C. Frequent or chronic
corticosteroid use may lead to skeletal problems such as avascular necrosis
and osteoporosis. The use of HT and calcium supplements will help prevent
osteoporosis. NSAID use does not increase the risk for musculoskeletal
problems.


A 72-year-old patient with kyphosis is scheduled for dual-energy x-ray
absorptiometry (DXA) testing. The nurse will plan to
a. explain the procedure.
b. start an IV line for contrast medium injection.
c. give an oral sedative 60 to 90 minutes before the procedure.

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