Chapter 4: Care of the Patient with a Musculoskeletal Disorder

Chapter 4: Care of the Patient with a Musculoskeletal Disorder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What is the movement of an extremity away from the midline of the body called?

a.	Abduction
b.	Adduction
c.	Flexion
d.	Extension

 

 

ANS:  A

Abduction is movement of an extremity away from the midline of the body.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 114, Box 4-2

OBJ:   6                    TOP:   Movements    KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

2. What is the large, fan-shaped muscle that covers the anterior chest from the sternum to the proximal end of the humerus and acts on the joint of the shoulder to flex, adduct, and rotate?

a.	Serratus anterior
b.	Intercostal
c.	Transversus abdominis
d.	Pectoralis major

 

 

ANS:  D

Pectoralis major is the large, fan-shaped muscle that covers the anterior chest and is an adductor muscle, which will cause the shoulder to flex.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 116, Figure 4-4

OBJ:   4                    TOP:   Muscle functions

KEY:  Nursing Process Step: Assessment   MSC:  NCLEX: Physiological Integrity

 

3. What should the nurse instruct the patient before a magnetic resonance imaging (MRI) procedure?

a.	Void to completely empty the bladder
b.	Omit all citrus food for 12 hours before the procedure
c.	Remove all metal, such as jewelry, glasses, and hair clips
d.	Wear only cotton garments for the procedure

 

 

ANS:  C

MRI procedures require that the patient remove all metal because it will become magnetized.

 

DIF:    Cognitive Level: Application           REF:   Page 116        OBJ:   7

TOP:   Diagnostic examinations                  KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

4. The nurse instructs the patient who is to have a unicompartmental knee replacement that a major advantage of this partial knee replacement is that:

a.	the patient will be up and walking 2 to 3 hours after the operation.
b.	the kneecap  is completely removed.
c.	the procedure is especially helpful in the treatment of rheumatoid arthritis.
d.	a small titanium disk replaces the worn cartilage.

 

 

ANS:  A

Unicompartmental knee arthroplasty is also referred to as partial knee replacement in which the worn cartilage is replaced with a plastic disk. It is not as invasive as a full knee replacement and does not disturb the kneecap so that the patient can be up and walking in 2 to 3 hours after surgery. It is not recommended for RA patients.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 136        OBJ:   13

TOP:   Unicompartmental knee replacement

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

5. A patient who has had a right below the knee amputation continues to complain of unpleasant sensation in the right foot. What can the nurse explain about this “phantom pain”?

a.	It only exists in the mind.
b.	It is a complication following an amputation and can be clarified by the surgeon.
c.	It is related to the severed nerves that are still sending messages to the brain.
d.	It occurs when the person becomes focused on the loss of the limb.

 

 

ANS:  C

Phantom pain (pain felt in the missing extremity as if it were still present) may occur and be frightening to the patient. Phantom pain occurs because the nerve tracts that register pain in the amputated area continue to send a message to the brain (this is normal).

 

DIF:    Cognitive Level: Analysis                REF:   Page 169        OBJ:   21

TOP:   Phantom pain                                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity