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Ch 16: Musculoskeletal Disorders Question and answers already passed

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Ch 16: Musculoskeletal Disorders Question and answers already passed The advanced practice registered nurse (APRN) is serving in a clinic dedicated to patients over age 65. The APRN observes several common characteristics in the posture of older adult patients. Which of the following characteristic...

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  • August 18, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • ch 16 musculoskeletal disorders
  • ch 16 musculoskeletal disorders question and answ

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Ch 16: Musculoskeletal Disorders
The advanced practice registered nurse (APRN) is serving in a clinic
dedicated to patients over age 65. The APRN observes several common
characteristics in the posture of older adult patients. Which of the following
characteristics is common?


1. Increase in the length of the trunk in relationship to the upper extremities
2. The older adult tips their head backward
3. Bony prominences disappear
4. Range of motion (ROM) increases as the patient ages - correct answer
✔Answer: 2


Feedback
1.
Aging often brings about a decrease in height, resulting from a decrease in
the length of the trunk with respect to the length of the extremities.
2.
An older adult may tilt the head backward to compensate for the bend in the
thoracic spine, producing the typical posture of those in this age group.
3.
Because of the loss of subcutaneous fat caused by aging, bony prominences
became more noticeable.
4.
Without continued use muscles stiffen and ROM becomes impaired as an
older adult continues to age.

,While conducting a thorough examination of the musculoskeletal system the
patient asks why such detail is necessary. The APRN gives which
explanation?


1. This is what I do for all of my patients.
2. The purpose of conducting this examination is to regulate your medications.
3. I am looking for symptoms that form a pattern.
4. This is routine for all patients over 65 years of age. - correct answer
✔Answer: 3


Feedback
1.
The APRN should perform a systematic, detailed individualized assessment
for the older adult.
2.
Medications will be taken into consideration after examination findings.
3.
A goal of the APRN in gathering information from the older adult to try and
determine if there is a pattern of symptoms.
4.
In an adult over 65 years who is not presenting any musculoskeletal issues,
this type of examination may not be necessary.


Mrs. Wilbur reports the presence of pain in her lower and upper back. The
APRN responds by doing which of the following first?


1. Determining where the pain is coming from
2. Ignoring any history of injury

, 3. Ruling out the presence of anything inflammatory
4. Determining that this pain does not affect activities of daily living (ADLs)
because the patient came in independently - correct answer ✔Answer: 1


Feedback
1.
Pain is an abnormal finding. It is a sign that there is something happening in
the body.
2.
Past trauma may now be manifesting itself as an articular degeneration.
Because patients who have had a structural deformity or amputation typically
place excessive strain on the joints for years, as older individuals they may
now experience degeneration of the bone and surrounding musculature.
3.
Inflammatory and noninflammatory conditions can coexist in patients.
4.
It is important to ask questions and determine how the pain and stiffness are
affecting function and quality of life regardless of how it appears.


When assessing a patient with a possible musculoskeletal condition it is
important to:


1. Know how much sleep the patient gets per night.
2. Be aware that older adults have pain, which is not abnormal.
3. Not refer to past injuries or conditions.
4. Determine ROM in all limbs. - correct answer ✔Answer: 3


Feedback

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