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Exam (elaborations)

NUR 603 Final Exam Study Guide – Comprehensive Nursing Exam Review

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NUR 603 Final Exam Study Guide – Comprehensive Nursing Exam Review

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NUR 603 Final Exam Study Guide {100%Success}
NUR 603 Final Exam Study Guide
Study online at https://quizlet.com/_d5m80a

1. You have detected the presence of crepitus on exam- Articular
ination of a patient with a musculoskeletal complaint.
Additionally, there is limited range of motion (ROM
with both active and passive movement. These find-
ings suggest that the origin of the musculoskeletal
complaint is:

2. Which of the following signs or symptoms indicate an Morning stiffness
inflammatory etiology to musculoskeletal pain?

3. Which of the following statements concerning the The uninvolved side
musculoskeletal examination is true? should be examined ini-
tially and then compared
to the involved side.

4. Mrs. Gray is a 55-year-old woman who presents with Her history of diabetes
tightness, pain, and limited movement in her right mellitus
shoulder. She denies any history of trauma. Her ex-
amination reveals a 75% reduction in both active and
passive ROM of the right shoulder. Mrs. Gray also is
experiencing tenderness with motion and pain at the
deltoid insertion. Her medical history is significant for
type 1 diabetes mellitus and hypertension. Her social
history reveals that she is a secretary and that she is
right-handed. Based on her examination and medical
history, you suspect adhesive capsulitis, or "frozen
shoulder." Which clue in Mrs. Gray history supports
this diagnosis?

5. Jennifer is an 18-year-old woman who comes to the There is a risk of neu-
emergency room after a fall during a soccer game. rovascular and neurosen-
Jennifer explains that she fell on her left side and sory trauma, so the clini-



, NUR 603 Final Exam Study Guide {100%Success}
NUR 603 Final Exam Study Guide
Study online at https://quizlet.com/_d5m80a

kept her arm straight to break her fall. She has been cian should check for dis-
experiencing severe pain and limited ROM in her left tal pulses.
shoulder. The clinician has diagnosed Jennifer with
a dislocated shoulder. Which of the following state-
ments are true concerning shoulder dislocation?

6. Fred has been diagnosed with a trigger finger of Local anesthetic injection
the ring finger. Which of the following management into the tendon sheath
strategies is appropriate?

7. Mrs. Anderson is a 35-year-old woman who has been People with occupations
recently diagnosed with carpal tunnel syndrome. She that require repeated flex-
has two young children and asks the clinician what the ion extension of the wrist,
chances are that they also will develop carpal tunnel use of hand tools that re-
syndrome. Which of the following responses would be quire forceful gripping, or
correct regarding the risk of developing carpal tunnel use of hand tools that vi-
syndrome? brate are at risk for devel-
oping carpal tunnel.

8. Which of the following statements is true regarding All of the above: goal of
the treatment of carpal tunnel syndrome? tx is to prevent flexion and
extension movements of
wrist, splints are used be-
cause they allow for free
movement of the fingers
and thumb while main-
taining the wrist in neu-
tral position, and corticos-
teroid injections are dis-
couraged in the treatment
because the risks for me-




, NUR 603 Final Exam Study Guide {100%Success}
NUR 603 Final Exam Study Guide
Study online at https://quizlet.com/_d5m80a

dian nerve damage, scar-
ring, and infection

9. Sam is a 25-year-old who has been diagnosed with low Unilateral radicular pain
back strain based on his history of localized low back symptoms that extend be-
pain and muscle spasm along with a normal neurolog- low the knee and are
ical examination. As the clinician, you explain to Sam equal to or greater than
that low back pain is a diagnosis of exclusion. Which the back pain
of the following symptoms would alert the clinician
to the more serious finding of a herniated nucleus
pulposus or ruptured disc?

10. The clinician has instructed Sirius, a 23-year-old pa- "You should start with the
tient with low back strain, to us NSAIDs to manage his lowest dose that is ef-
symptoms of pain and discomfort. Which of the fol- fective in managing your
lowing statements would be most appropriate when pain, because long-term
teaching Sam about the use of NSAIDs? use of NSAIDs can result in
gastrointestinal (GI) dis-
orders such as ulcers and
hemorrhage.

11. Which of the following statements is true concerning Intolerable pain for more
the management of the client with a herniated disc? than a 3mo period is an
indication for surgical in-
tervention.

12. John is a 16-year-old boy who presents to the emer- McMurray circumduction
gency room after hurting his knee in a football game. test
He described twisting his knee and then being unable
to extend it completely. John tells the clinician that he
heard a pop when the injury occurred and has been
experiencing localized pain. The clinician suspects a

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