NU272 HESI Prep: Med-surg Musculoskeletal Questions
with Answers (100% Correct Answers)
Which joint helps in the gliding movement of the wrist?
Ans: Biaxial joint
- The biaxial joint helps in the gliding movement of the wrist. Pivot joints permit
rotation in the radioulnar area. Hinge joints allow for flexion and extension. Ball and
socket joints permit movement in the shoulders and hips.
Which element would the nurse focus on when teaching crutch-walking to a client
who has a casted leg fracture?
Ans: Modifying the home environment to prevent accidents
- Modifications in the home may be needed to permit safe use of crutches. Pain
medications should not be required on a regular basis. The client may vary the schedule
of activities based on abilities and responses to activities. The client does not have to be
sedentary; crutches are used for ambulation.
After signing a legal consent for hip replacement surgery and within hours before
the surgery, the client states, "I decided not to go through with the surgery." Which
response would the nurse use initially?
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, 2
Ans: "Let's talk about your concerns regarding the procedure."
- The response, "Let's talk about your concerns regarding the procedure," attempts to
explore why the client is refusing the procedure and promotes communication. The
response, "Then you shouldn't have signed the consent," is accusatory; the client has
the right to withdraw consent at any time. The response, "I can understand why you
changed your mind," draws a conclusion without adequate data; also, the statement
may increase the client's anxiety level. The response, "Tell me why you decided to
refuse the operation," may be too direct and authoritative; also the statement may put
the client on the defensive.
Which daily diet recommendation would the nurse reinforce with a client who has
arthritis?
Ans: Foods from a variety of food groups
- There is no special diet for arthritis. A balanced diet, consisting of foods from all
groups of the MyPlate dietary guidelines, is essential in maintaining nutrition. Limiting
the diet to particular foods does not provide all the essential nutrients. If nutritional
intake is adequate, large doses of multivitamins are unnecessary and are dangerous.
Which tissue connects the client's tibia to the femur at the knee joint?
Ans: Ligaments
- A ligament is a dense, fibrous connective tissue that connects bone to bone, such as
the tibia to the femur at the knee joint. Ligaments provide stability while permitting
controlled movement at the joint. Fascia is a connective tissue that can withstand
limited stretching; it provides strength to muscle tissues. Bursae are small sacs of
connective tissue lined with synovial membrane and synovial fluid that are located at
bony prominences and joints to relieve pressure. A tendon is a dense, fibrous
connective tissue that attaches muscle to bone.
Which foot disorder is caused by continual pressure over bony prominences?
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