Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
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Chapter 45. Musculoskeletal Function and Assessment
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is caring for a patient who had a bone biopsy on the right leg. Which activity should the nurse implement?
| a. | Ambulate twice daily. |
| b. | Monitor site of biopsy for bleeding. |
| c. | Perform hourly passive range of motion. |
| d. | Perform active range of motion every 2 hours. |
____ 2. The nurse is caring for a patient 1 hour after a diagnostic arthroscopy of the right knee. Which activity should the nurse implement?
| a. | Strict bedrest |
| b. | Straight-leg raises |
| c. | No weight-bearing on right leg for 3 days |
| d. | Partial weight-bearing on left leg for 1 week |
____ 3. The nurse, who is inspecting the knee of a patient who fell and reports stiffness, hears a grating sound with knee movement. How should the nurse document this finding?
| a. | Arthritis |
| b. | Crepitus |
| c. | Synovitis |
| d. | Inflammation |
____ 4. The nurse is gathering functional data on a patient with rheumatoid arthritis. Which of these areas should be included?
| a. | Ability to dress |
| b. | Muscular build |
| c. | Nutritional status |
| d. | Height and weight |
____ 5. A patient recovering from a bone biopsy of the left leg has pain unrelieved by morphine 5 mg intramuscularly given 1.5 hours ago. The morphine is prescribed for every 3 hours. What should the nurse do?
| a. | Elevate the extremity. |
| b. | Repeat morphine now. |
| c. | Notify the charge nurse. |
| d. | Administer morphine in 30 minutes. |
MULTIPLE CHOICE
After a bone biopsy the site should be monitored for bleeding. A. Ambulating may be indicated after it is determined that bleeding is not occurring at the site. C. D. Active or passive range of motion exercises should not be done until it is determined that bleeding will not occur at the site.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
If the patient had a diagnostic arthroscopy and no surgical repair, the nurse should encourage the patient to exercise the leg, including straight-leg raises. A. Strict bedrest is not indicated. C. D. The patient can resume regular activities in 24 to 48 hours.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
Crepitation is a grating sound as joint or bone moves. A. There is not enough information to determine if the patient has arthritis. C. Synovitis is an inflammation of synovial fluid within a joint. D. Inflammation would cause a joint area to feel warm, painful, and edematous.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
Rheumatoid arthritis may make it difficult to perform activities such as dressing. Observe the patient’s range of motion for performing independent activities of daily living. Pay particular attention to the hands, and observe movement in finger joints. B. C. D. Muscular build, height and weight, and nutritional status do not provide information about the patient’s functional status.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
The nurse should notify the charge nurse because the patient needs pain relief and cannot wait 2 hours. An assessment should be done to determine the cause of the pain as increased pain that is unresponsive to analgesic medication may indicate bleeding in the soft tissue. A. Elevating the extremity might help however the patient needs additional pain medication. B. C. The nurse cannot provide the pain medication now or in 30 minutes because the order is written for the medication to be provided every 3 hours.
PTS: 1 DIF: Moderate
KEY: Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application
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