Deck 27: Musculoskeletal Function

Question 1

An older adult is diagnosed with rheumatoid arthritis.When discussing exercise with the client, the nurse makes the greatest positive impact on the client's quality of life when stating:

A)"Exercising will be important to the flexibility of your joints."
B)"It seems to help if you have someone to exercise with."
C)"I'll provide you with a list of gyms where you can exercise."
D)"Let's discuss ways for you to exercise your joints."

Answer 1

"Let's discuss ways for you to exercise your joints."

Question 2

An older adult client has been admitted to the hospital with suspected Paget's disease.What clinical manifestation will the nurse want to monitor for in an attempt to differentiate Paget's disease from other types of musculoskeletal diseases?

A)Red, swollen upper and lower extremity joints
B)Pain on awakening that subsides with activity
C)Ataxia and/or mild hearing loss
D)Back deformity in the absence of pain

Answer 2

Ataxia and/or mild hearing loss

Question 3

When caring for the older adult client who underwent knee replacement surgery 8 days ago, the nurse assesses for symptoms of the complication that the client is at greatest risk for when:

A)determining whether the client can "feel me touching your foot."
B)asking the client to rate his current pain.
C)observing the incision site.
D)monitoring the pedal pulse on the affected leg.

Answer 3

monitoring the pedal pulse on the affected leg.

Question 4

To best identify a risk for injury resulting in hospitalization of an older adult client who has experienced evidence of musculoskeletal aging, the nurse assesses for:

A)decreased muscle mass in the legs.
B)history of falls.
C)hyperextension of the spine.
D)decreased bone density of the spine and long bones.

Question 5

An older adult client has been casted for fractured left wrist.The nurse shows an understanding of the client's risk for the development of compartment syndrome when:

A)assessing capillary refill in the nail beds of the fingers of the left hand.
B)instructing the client on how to effectively rate pain on the pain scale.
C)wrapping the cast in plastic when the client showers.
D)providing the client with a protein-enriched milkshake as a bedtime snack.

Question 6

The nurse is assisting a 65-year-old female client with planning an exercise program to prevent osteoporosis.The nurse shows an understanding of appropriate exercise when stating:

A)"The local gym offers aerobics for seniors on Tuesday and Thursday evenings."
B)"Bicycling along the park's 2-mile trail twice a week would be ideal."
C)"Do you have a friend who would walk with you for 30 to 60 minutes?"
D)"Are you aware that rowing is an excellent form of strengthening bone?"

Question 7

An effective nursing activity to reduce the risk of hip dislocation after hip replacement surgery in the older adult client is for the nurse to:

A)instruct staff to use a fracture pan when the client needs to toilet.
B)administer ordered pain medication prior to turning.
C)elevate the client's knee on the affected side with a pillow.
D)apply an abduction splint while the client is in bed.

Question 8

The nurse caring for an older adult client prescribed allopurinol (Zyloprim) minimizes the client's risk for developing a serious outcome of this therapy by:

A)offering him fresh, cold water frequently during the day.
B)monitoring temperature every 4 hours.
C)ensuring sufficient protein intake.
D)assessing for depression symptoms daily.

Question 9

An older adult client has experienced a left knee replacement asks the nurse, "When will I be back to normal?" The nurse responds that:

A)"Bending your left knee to a 90-degree angle will likely feel normal to you."
B)"Normal means different things to different people."
C)"You should be back to normal after 6 to 8 weeks of rehabilitative therapy."
D)"Surgery will improve your mobility but I'm not sure about being normal."

Question 10

To assist in the diagnosing of osteoarthritis in an older adult client, the nurse assesses for symptoms when asking which of the following questions? Select all that apply.

A)"Do you have pain in your finger joints?"
B)"Do your knees crackle when you bend down?"
C)"Does your neck hurt when you turn your head?"
D)"Does it hurt when you get up from a chair?"
E)"Does your back creak when you bend over?"

Question 11

The nurse caring for an older client diagnosed with spinal stenosis encourages the client to notify his physician if he experiences:

A)sharp pain when turning his neck side-to-side.
B)stabbing pain in his lower back.
C)a cramping sensation in his feet.
D)a burning sensation in either one or both legs.

Question 12

An older confused client is recovering from a stage IV sacral pressure ulcer.The nurse shows an understanding of this client's risk for developing osteomyelitis by:

A)adhering to sterile technique when changing the wound's dressing.
B)assessing and documenting the client's vital signs regularly.
C)managing the client's antibiotic therapy as prescribed.
D)ensuring that the client's diet includes sufficient protein.