Exam 24: Musculoskeletal System

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During assessment of the ankle joint, the nurse asks the patient to flex and extend the articulation of the tibia, fibula, and:

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A

During assessment of a 75-year-old female admitted with a hip fracture after falling, the patient states a history of osteoporosis.The nurse recognizes that the patient is more susceptible to bone fractures because of:

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B

The nurse is assessing the joints of a woman who has stated, "I have a long family history of arthritis, and my joints hurt." The nurse suspects that she has osteoarthritis.Which of these are symptoms of osteoarthritis? (Select all that apply.)

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B, C, D

A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his arm because of pain and muscle spasms.The nurse should suspect:

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A woman who is 8 months pregnant comments that she has noticed a change in her posture and is having lower back pain.The nurse tells her that during pregnancy, women have a posture shift to compensate for the enlarging uterus.This shift in posture is known as:

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A patient tells the nurse, "All my life I've been called 'knock knees'." The nurse knows that another term for "knock knees" is:

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A patient is complaining of pain in his joints that is worse in the morning, better after he moves around for a while, and then gets worse again if he sits for long periods.The nurse should assess for other signs of what problem?

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The nurse suspects that a patient has carpal tunnel syndrome and wants to perform the Phalen test.To perform this test, the nurse should instruct the patient to:

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A woman who has had rheumatoid arthritis for years is noticing that her fingers are starting to drift to the side.The nurse knows that this condition is commonly referred to as:

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A professional tennis player comes into the clinic complaining of a sore elbow.The nurse will assess for tenderness at the:

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To palpate the TMJ, the nurse's fingers should be placed in the depression __________ of the ear.

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The nurse is teaching a class on preventing osteoporosis with a group of perimenopausal women.The nurse recommends:

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A patient's annual physical examination reveals a lateral curvature of the thoracic and lumbar segments of his spine; however, this curvature disappears with forward bending.The nurse recognizes these findings to likely be:

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The nurse is examining a 3-month-old infant and performs the Ortolani manoeuvre.The nurse notes that the movements feel smooth and no sounds are produced.The nurse will document the findings as a:

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During assessment of a 15-year-old patient who developed knee pain and swelling after a soccer game, the nurse will check for large amounts of fluid around the patella using:

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A patient who has had rheumatoid arthritis for years comes to the clinic to ask about changes in her fingers.The nurse will assess for signs of what problems?

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The nurse is examining the hip area of a patient and palpates a flat depression on the upper, lateral side of the thigh when the patient is standing.The nurse interprets this finding as the:

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When assessing muscle strength, the nurse observes that a patient has complete ROM against gravity with full resistance.What grade of muscle strength should the nurse record using a 0-to-5-point scale?

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The nurse is assessing a patient who sprained his ankle playing soccer.The nurse explains that the fibrous bands which usually connect the medial and lateral malleolus and strengthen that joint have been stretched beyond their limits.The nurse identifies these bands as:

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A patient is visiting the clinic for an evaluation of a swollen, painful knuckle.The nurse notices that the knuckle above his ring on the left hand is swollen and that he is unable to remove his wedding ring.This joint is called the _________ joint.

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