: Assessment of Musculoskeletal System Lewis: Medical-Surgical Nursing, 10th Edition
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Assessment of Musculoskeletal System
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Assessment Of Musculoskeletal System
: Assessment of Musculoskeletal System
Lewis: Medical-Surgical Nursing, 10th Edition1. A patient complains of shoulder pain when the nurse moves the patient’s arm behind the back.
Which question should the nurse ask?
a. “Are you able to feed yourself without difficulty?”
b. “Do you have...
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Downloaded by DANIEL NDAMBIRI (ndambiridaniel20@gmail.com)
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A++ Chapter 61: Assessment of Musculoskeletal System
Lewis: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A patient complains of shoulder pain when the nurse moves the patient’s 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?”
ANS: B
The patient’s pain will make it more difficult to accomplish tasks such as 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.
DIF: Cognitive Level: Apply (application) REF: 1452
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
2. A patient with left knee pain is diagnosed with bursitis. The nurse will explain that bursitis is
an inflammation of
a. a fluid-filled sac found at some joints.
b. a synovial membrane that lines the joint.
c. the connective tissue joining bones within a joint.
d. the fibrocartilage that acts as a shock absorber in the knee.
ANS: A
Bursae are fluid-filled sacs that cushion joints and bony prominences. Fibrocartilage is a solid
tissue that cushions some joints. Ligaments are connective tissue joining bones within a joint
The synovial membrane lines many joints but is not a bursa.
3. The nurse who notes that a 59-yr-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).
ANS: D
The decreased height and the patient’s age suggest that the patient may have osteoporosis, and
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.
DIF: Cognitive Level: Apply (application) REF: 1458
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
Downloaded by DANIEL NDAMBIRI (ndambiridaniel20@gmail.com)
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