NSG 222 Musculoskeletal system Preparedness baseline Exam knowledge Questions with Expertly written solution 2024/2025
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Course
NSG 222
Institution
NSG 222
NSG 222 Musculoskeletal system Preparedness baseline Exam knowledge Questions with Expertly written solution 2024/2025
The nurse understands that care of the older adult may be affected by which physiologic change in the musculoskeletal system? - correct answer decreased range of motion (rom)
C...
NSG 222 Preparedness baseline Exam
knowledge Questions with Expertly
written solution 2024/2025
The nurse understands that care of the older adult may be affected by which physiologic
change in the musculoskeletal system? - correct answer decreased range of motion
(rom)
Correct: decreased rom occurs in the older adult. The client may need assistance with
self-care skills.
The nurse is conducting a musculoskeletal history in the older adult client who requires
a caregiver to perform all activities of daily living. Which level of functioning does the
nurse record in the client's history using gordon's functional health patterns? - correct
answer level iv-is dependent and does not participate
Correct: level iv indicates that the client is dependent and does not participate in
activities of daily living such as dressing himself.
The nurse plans to use which tool to measure joint range of motion (rom)? - correct
answer goniometer
Correct: a goniometer provides an exact measurement of flexion and extension or joint
rom.
The 65-year-old female client has chronic hip pain and muscle atrophy from an arthritic
disorder. Which musculoskeletal assessment finding does the nurse expect to see in the
client? - correct answer antalgic gait
Correct: this client would have a combination of antalgic gait and lurch. The client with
chronic hip pain and muscle atrophy from arthritic disorders would likely have a lurch in
the gait.
The nurse is using lovett's scale to grade a client's muscle strength. The client is able to
complete range of motion (rom) with gravity eliminated. Which grade will the nurse
document in this client's record? - correct answer 2. Correct: two indicates poor: can
complete range of motion with gravity eliminated.
,The nurse is caring for an older adult client diagnosed with osteomalacia. The nurse
anticipates that the physician will request which medication? - correct answer
ergocalciferol (calciferol)
Correct: osteomalacia is loss of bone related to vitamin d deficiency. The major
treatment for osteomalacia is vitamin d in an active form such as ergocalciferol
(calciferol).
An older adult client is discharged from the hospital for treatment of osteoporosis. What
will the nurse include in client teaching related to the client's home safety? - correct
answer keep walkways free of clutter.
Correct: walkways in the home must be clear of clutter and obstacles to help prevent
falls.
The nurse plans to refer a client diagnosed with osteoporosis to which community
resource? - correct answer hospital support group
Correct: large hospitals often have osteoporosis specialty clinics and support groups for
clients with osteoporosis.
The nurse is assessing a client with ewing's sarcoma. Which finding will the nurse
expect to observe? - correct answer leukocytosis
Correct: ewing's sarcoma is a malignant tumor, and the client may experience systemic
manifestations including leukocytosis, anemia, and low-grade fever.
Which nursing intervention helps to prevent the incidence of osteomyelitis for a client
receiving hemodialysis? - correct answer instructing the client to brush teeth after
every meal
Correct: proper dental hygiene helps prevent periodontal infection, which can be a
causative factor in osteomyelitis of the facial bone.
The nurse is teaching a client newly diagnosed with osteoporosis about dietary and
lifestyle interventions to decrease risk factors for osteoporosis. Which is the best way to
decrease the risk for osteoporosis? - correct answer walk for 30 minutes three times a
week.
, Correct: walking for 30 minutes three to five times a week is the single most effective
exercise for osteoporosis prevention. Walking is a safe way to promote weight-bearing
and muscle strength.
The nurse is taking the history of an adult female client. Which factor places the client at
risk for osteoporosis? - correct answer working at a desk and playing the piano for a
hobby
Correct: sedentary lifestyle and prolonged immobility produce rapid bone loss.
A mother is a carrier of muscular dystrophy (md) and has a daughter. The client asks
the nurse what the daughter's genetic risk is for having md. What is the nurse's best
response? - correct answer "there is a 50% chance that your daughter may carry the
gene."
Correct: md is an x-linked recessive disorder. The daughter of a mother who is a carrier
has a 50% chance of carrying the gene.
The nurse is assessing a client with osteomalacia. Which findings will the nurse expect
to observe? Select all that apply. - correct answer hypophosphatemia. Correct:
osteomalacia is loss of bone related to vitamin d deficiency, which can lead to bone
softening and inadequate deposits of calcium and phosphorus in the bone matrix; this
may cause hypophosphatemia.
Looser's lines or zones. Correct: looser's lines or zones (radiolucent bands) represent
stress fractures and are a classic diagnostic finding of osteomalacia.
Unsteady gait. Correct: muscle weakness in the lower extremities may cause waddling
and an unsteady gait.
Incorrect feedback:
The nurse is caring for a client with bone cancer of the right hip who has undergone
radical resection of the tumor and has received a prosthetic implant. Which client
statement indicates effective coping after the procedure? - correct answer "physical
therapy and counseling will help me adjust to my prosthesis."
Correct: this statement illustrates effective coping and acceptance.
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