Musculoskeletal Test Bank

Musculoskeletal Test Bank A 42-year-old male patient complains of shoulder pain when the nurse moves his arm behind the back. Which question should the nurse ask? a. Are you able to feed yourself without difficulty? b. Do you have difficulty when you are putting on a shirt? c. Are you able to sleep through the night without waking? d. Do you ever have trouble lowering yourself to the toilet? - CORRECT ANSWERS b. Do you have difficulty when you are putting on a shirt? The patients pain will make it more difficult to accomplish tasks like putting on a shirt or jacket. This pain should not affect the patients ability to feed himself or use the toilet because these tasks do not involve moving the arm behind the patient. The arm will not usually be positioned behind the patient during sleeping. A patient with left knee pain is diagnosed with bursitis. The nurse will explain that bursitis is an inflammation of a. the synovial membrane that lines the joint. b. a small, fluid-filled sac found at some joints. c. the fibrocartilage that acts as a shock absorber in the knee joint. d. any connective tissue that is found supporting the joints of the body. - CORRECT ANSWERS b. a small, fluid-filled sac found at some joints. Bursae are fluid-filled sacs that cushion joints and bony prominences. Fibrocartilage is a solid tissue that cushions some joints. Bursae are a specific type of connective tissue. The synovial membrane lines many joints but is not a bursa. The nurse who notes that a 59-year-old female patient has lost 1 inch in height over the past 2 years will plan to teach the patient about a. discography studies. b. myelographic testing. c. magnetic resonance imaging (MRI). d. dual-energy x-ray absorptiometry (DXA). - CORRECT ANSWERS d. dual-energy xray absorptiometry (DXA). The decreased height and the patients age suggest that the patient may have osteoporosis and that bone density testing is needed. Discography, MRI, and myelography are typically done for patients with current symptoms caused by musculoskeletal dysfunction and are not the initial diagnostic tests for osteoporosis. Which information in a 67-year-old womans health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system? a. The patient sprained her ankle at age 13. b. The patients mother became shorter with aging