Musculoskeletal Trauma Surgeries and Disorders,
Connective Tissue, and Arthritis Questions With Complete
Solutions
A 60-year-old woman has pain on motion in her fingers and asks
the nurse whether this is just a result of aging. The best response
by the nurse includes the information that
a. joint pain with functional limitation is a normal change that
affects all people to some extent
b. joint pain that develops with age is usually related to previous
trauma or infection of the joints
c. this is a symptom of a systemic arthritis that eventually affects
all joints as the disease progresses
d. changes in the cartilage and bones of joints may cause
symptoms of pain and loss of function in some people as they
age Correct Answer D. changes in the cartilage and bones of
joints may cause symptoms of pain and loss of function in some
people as they age.
A 69-year-old client asks the nurse what the difference is
between osteoarthritis (OA) and rheumatoid arthritis (RA).
Which response is correct?
1. "OA is a noninflammatory joint disease. RA is characterized
by inflamed, swollen joints."
2. "OA and RA are very similar. OA affects the smaller joints
and RA affects the larger, weight-bearing joints."
3. "OA affects joints on both sides of the body. RA is usually
unilateral."
4. "OA is more common in women. RA is more common in
men." Correct Answer 1. "OA is a noninflammatory joint
disease. RA is characterized by inflamed, swollen joints."
,A 70-year old patient is being evaluated for symptoms of RA.
The nurse recognizes that a major problem in the management
of RA in the older adult is that
a. RA is usually more severe in older adults
b. older patients are not as likely to comply with treatment
regimens
c. drug interactions and toxicity are more likely to occur with
multidrug therapy
d. laboratory and other diagnostic tests are not effective in
identifying RA in older adults Correct Answer C. drug
interactions and toxicity are more likely to occur with multidrug
therapy
A 72-year-old female client reports that she has lost an inch in
height since menopause. The nurse explains to the client that she
has a musculoskeletal disorder. What's this disorder called?
1. Osteoarthritis (OA)
2. Rheumatoid arthritis (RA)
3. Paget's disease
4. Osteoporosis Correct Answer 4. Osteoporosis
A 78-year-old client has a history of osteoarthritis. Which signs
and symptoms would the nurse expect to find on physical
assessment?
1. Joint pain, crepitus, Heberden's nodes
2. Hot, inflamed joints; crepitus; joint pain
3. Tophi, enlarged joints, Bouchard's nodes
4. Swelling, joint pain, and tenderness on palpation Correct
Answer 1. Joint pain, crepitus, Heberden's nodes
,A cast has just been removed from a leg. Which clinical
manifest is an abnormal finding?
1. restricted motion
2. smaller, atrophied muscle
3. skin peeling, wrinkled, and dry
4. the bony prominences are excoriated Correct Answer 4. the
bony prominences are excoriated
A client comes to the outpatient department with suspected
carpal tunnel syndrome. When assessing the affected area, the
nurse expects to find which abnormality that's typically
associated with this syndrome?
1. Positive Tinel's sign
2. Negative Phalen's sign
3. Positive Chvostek's sign
4. Negative Trousseau's sign Correct Answer 1. Positive Tinel's
sign
A client has a comminuted fracture of the distal tibia. How do
you describe this when explaining the injury to the client?
Correct Answer The bone is splintered into pieces
A client has sustained a closed fracture and had a cast applied to
the arm. The client has C/O intense pain. The nurse has elevated
the limb, applied ice, and administered an analgesic, which was
ineffective in relief of pain. The nurse interprets that this pain
may be caused by:
1.Infection under the cast
2.The anxiety of the client
, 3.Impaired tissue perfusion
4.The newness of the fracture Correct Answer 3.Impaired
tissue perfusion
A client in the postanesthesia care unit with a left below-the-
knee amputation has pain in her left big toe. Which of the
following should the nurse do first?
1. Tell the client it is impossible to feel the pain.
2. Show the client that the toes are not there.
3. Explain to the client that her pain is real.
4. Give the client the prescribed opioid analgesic. Correct
Answer 4. GIVE THE CLIENT THE PRESCRIBED OPIOID
ANALGESIC
The nurse's first action should be to administer the prescribed
opioid analgesic to the client, because this phenomenon is
phantom sensation and interventions should be provided to
relieve it. Pain relief is the priority. Phantom sensation is a real
sensation. It is incorrect and inappropriate to tell a client that it
is impossible to feel the pain. Although it does relieve the
client's apprehensions to be told that phantom sensations are a
real phenomenon, the client needs prompt treatment to relieve
the pain sensation. Usually phantom sensation will go away.
However, showing the client that the toes are not there does
nothing to provide the client with relief.
A client is about to go to surgery but is still wearing a class ring.
Which nursing action is most appropriate regarding care of the
clients valuables? Correct Answer Take the ring to the hospital
safe
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