Question 1

A patient is preparing for tomography as ordered to enhance visualization of tissue hidden by bone.What assessment by the nurse should be immediately addressed?

Accepted Answer

A)   History of recent urinary tract infection
B)   Allergy to Sulfa
C)   Reports of claustrophobia
D)   Diagnosis of bipolar disorder C

Question 2

A nurse is educating an osteoporotic patient taking alendronate (Fosamax).Which instruction should the nurse stress?

Accepted Answer

A)   Take the drug after breakfast.
B)   Avoid the use of supplemental vitamin D.
C)   Decrease fluid intake.
D)   Sit or stand for 30 minutes after administration. D

Question 3

Immobility reduces muscle contractions and can produce muscle ______.

Accepted Answer

atrophy

Question 4

A nurse is educating a patient with gout about the medication probenecid (Benemid).What active effect should the nurse relay when explaining why this medication is prescribed?

Accepted Answer

A)   Reduces inflammation in the affected joint
B)   Relieves pain
C)   Diminishes swelling
D)   Increases excretion of uric acid

Question 5

______ uses sound waves to determine the presence of pulses in the extremities.

Accepted Answer

The answer of ______ uses sound waves to determine the...

Question 6

The physician orders antinuclear antibodies for a patient with suspected rheumatoid arthritis.What information will the nurse provide to the patient in preparation for this study?

Accepted Answer

A)   Fast for 8 hours before test.
B)   Refrain from exercise the day before test.
C)   Do not take medications 24 hours before test.
D)   Void prior to test.

Question 7

A nurse is collecting a health history from a patient with a connective tissue disease.What is the most important inquiry by the nurse?

Accepted Answer

A)   Family history of atherosclerosis
B)   Last time the patient had his or her blood tested
C)   History of a prior injury to a specific body part
D)   Family history of a fracture

Question 8

A(n)______ measures the range of movement of the joints.

Accepted Answer

The answer of A(n)______ measures the range of movement of...

Question 9

A nurse questions an older patient about the age-related changes she has experienced in her connective tissue, which have lessened her mobility.What do these changes most commonly include? (Select all that apply.)

Accepted Answer

A)   Loss of bone mass, which may cause fragile bones
B)   Decline in muscle mass, causing loss of strength
C)   Bony deposits in the joints, causing pain and altered movement
D)   Loss of cartilage, causing more friction in joints
E)   Diminished energy, causing decreased activity

Question 10

Which diagnostic test result should the nurse expect for a patient with polymyositis?

Accepted Answer

A)   Muscle biopsy positive for muscle degeneration
B)   Positive antinuclear antibody (AN
A)  blood test result
C)   Positive 24-hour urine test result for urate crystals
D)   Urate crystals in the synovial fluid

Exam 43: Musculoskeletal System Introduction