HESI Case Study: Musculoskeletal System Already Passed!!

The Registered nurse (RN) notes the client's history of osteoporosis and her report of low back pain. As Ms. Lieu walks to the exam room, the RN prepares to complete a history and physical assessment, focusing on the musculoskeletal system. 1. The RN begins the assessment as the client ambulates in the hallway. What observations should the RN make while client is walking to the exam room? (Select all that apply). -Fine Motor function -Gait -Balance -Posture -Bone density - Gait, Balance Posture 2. Once the client is settled int he exam room, which action by the RN has the highest priority? -Review the client's medical record for any history of bone or spinal fractures. -Obtain more in-depth information about the client's osteoporosis management -Compare bilateral muscle strength and tone in the client's lower extremities. -Gather data about the nature, location and duration of the client's back pain - Gather data about the nature, location and duration of the client's back pain Ms. Lieu places her hand over her lubar area to show the RN the location of her pain and rates it at a 7 on a scale of 1-10. The RN consults the electronic medication administration record and notes a prescription for an anti-inflammatory medication. 3. Indomethacin 50mg capsules by mouth every 6 hours as needed for back pain is prescribed. Indomethacin 25mg capsules are available. The how many capsules should the RN administer? - 2The RN returns 30 minutes after administering the medication, and Ms. Lieu states her back pain is now a 1 on a scale of 1-10. Ms. Lieu stats that she is able to proceed with the rest of the musculoskeletal assessment. 4. Because of Ms. Lieu's history of knee pain and current report of low back pain, which nursing action is most useful in developing an initial plan of care for the client? -Observe for callus formation -Obtain a family medical history -Ask about any recent weight gain -Complete a functional assessment - -complete a functional assessment