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Medical Surgical Nursing Chapter 62 Musculoskeletal Assessment Question and answers rated A+

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Medical Surgical Nursing Chapter 62 Musculoskeletal Assessment Question and answers rated A+ 1, 3, 4 Electromyography helps to evaluate electrical potential associated with skeletal muscle contraction. Small-gauge needles are inserted into certain muscles. Needle probes are attached to leads tha...

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Medical Surgical Nursing Chapter 62
Musculoskeletal Assessment
1, 3, 4


Electromyography helps to evaluate electrical potential associated with
skeletal muscle contraction. Small-gauge needles are inserted into certain
muscles. Needle probes are attached to leads that feed information to an
electromyogram (EMG) machine. Recordings of electrical activity of the
muscle are traced on audio transmitter and on oscilloscope and recording
paper. There may be some discomfort because of the needles. It is useful in
identifying any lower motor neuron dysfunction or primary muscle diseases.
The procedure is usually done in an EMG laboratory while the patient lies
supine on a special table. It is not performed at the bedside. There is no major
bleeding, and it is not performed under anesthesia.
Text Reference - p. 1503 - correct answer ✔A patient will undergo
electromyography. What information should the nurse give to the patient?
Select all that apply.
1
Small-gauge needles are inserted into certain muscles.
2
This test can be carried out at the bedside.
3
There may be some discomfort because of the needles.
4
It is useful in identifying any lower motor neuron dysfunction or primary
muscle diseases.
5
There may be severe bleeding and pain, and local anesthesia may be given.

,2, 3, 5, 6


Lifting heavy objects can lead to back pain; therefore, it is important to know
whether the patient's work involves lifting heavy objects. Knowing if the pain
has affected the patient's social and professional life helps to determine the
severity of the problem. Knowing if the patient is taking dietary supplements
like calcium and Vitamin D helps to understand how the patient is treating self
and also helps in planning future interventions for the patient. Similarly,
knowing if the patient has frequent changes in position while asleep helps to
understand the severity of the complaint. Vaccination against hepatitis is not
connected to back pain. Similarly, antibiotic therapy is not relevant in the back
pain assessment.
Text Reference - p. 1495 - correct answer ✔What questions should the
nurse ask a patient with severe back pain in the lumbar region when taking
the health history? Select all that apply.
1
Have you been vaccinated against hepatitis?
2
Does your work involve lifting any heavy objects?
3
Has this pain affected your social or professional life?
4
Have you taken any high-dose antibiotic recently?
5
Do you consume any dietary supplements like calcium or vitamin D?
6
Do you require frequent change of position while you are sleeping because of
the pain?


1, 3, 4

, The nature of work helps in knowing about potential injuries in the workplace.
The safety practices at work also aid the nurse in assessing the severity of the
condition. Knowing how the injury exactly occurred is an important factor that
enables the nurse to determine the cause and severity of the injury. Food
preferences affect the general health and nutritional status but do not
specifically lead to wrist joint problems. Respiratory functioning is an important
component of overall general health but is not specifically related to this
scenario involving the musculoskeletal problem.


STUDY TIP: Becoming a nursing student automatically increases stress levels
because of the complexity of the information to be learned and applied and
because of new constraints on time. One way to decrease stress associated
with school is to become very organized so that assignment deadlines or tests
do not come as sudden su - correct answer ✔A patient presents with pain in
the wrist joint radiating up the entire arm. What should the nurse ask the
patient while taking the health history? Select all that apply.
1
Nature of work
2
Food preference
3
Safety practices followed at work
4
Mechanism of injury if any
5
Respiratory function


2, 3, 4

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