Chapter 59-- Musculoskeletal Dysfunction: Nursing Management

Chapter 59– Musculoskeletal Dysfunction: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A client is diagnosed with osteoarthritis. The nurse would not expect to find which of the following during assessment?

ANS:  4

Symmetrical joint involvement is seen with rheumatoid arthritis, not osteoarthritis. Bouchard’s nodes, Heberden’s nodes and crepitus are all assessment findings consistent with osteoarthritis.

PTS:   1                    DIF:    Apply

REF:   Osteoarthritis: Assessment with Clinical Manifestations

2. The nurse is instructing a client diagnosed with osteoarthritis. Which of the following statements indicates that the client understands these instructions?

ANS:  2

Exercise and weight reduction help maintain joint mobility and muscle strength. Walking can be done at home and is low stress to the joints. Scheduled medications should be taken to relieve inflammation, and pain medications should be taken before the pain gets “very bad.” The client should schedule rest periods with activity so as not to do too much at one time.

PTS:   1                    DIF:    Analyze

REF:   Osteoarthritis: Collaborative Management; Evaluation of Outcomes

3. A client diagnosed with gout is concerned about the formation of nodules. The nurse should explain that these nodules are called:

ANS:  4

A tophus is the characteristic nodule that develops in the patient with gout. A tophus consists of uric acid crystals. Bouchard’s and Heberden’s nodes are present in patients with osteoarthritis. Cysts are fluid-filled areas.

PTS:   1                    DIF:    Apply            REF:   Gout: Pathophysiology

4. A client is experiencing an acute attack of gout. The nurse should be prepared to provide which of the following medications as prescribed?

ANS:  2

Colchicine is used for the acute attack phase. The other medications would be used for further treatment of the gout.

PTS:   1                    DIF:    Apply            REF:   Gout: Pharmacology

5. A client is going to have tender points examined to determine the diagnosis of fibromyalgia. The nurse should instruct the client the number of tender points that must be positive for the diagnosis would be:

ANS:  1

The presence of at least 11 of 18 tender points is considered diagnostic for fibromyalgia. The other higher numbers would just be useful to confirm the diagnosis.

PTS:   1                    DIF:    Apply

REF:   Fibromyalgia: Assessment with Clinical Manifestations