NUR 2210 EAQ Musculoskeletal Questions with Correct Answers and Rationales

NUR 2210 EAQ Musculoskeletal Questions with Correct Answers and Rationales A patient reports muscle weakness in the lower extremities. What factors are important for the nurse to assess to promote safety? Select all that apply.  Select all that apply  Abnormality in gait  Risk for fall and injury  Need for ambulatory devices  Presence of spinal deformities  Inability to perform activities of daily living (ADLs)  Rationale  A patient with a muscle weakness in the lower extremities is at increased risk for fall and injury, abnormality in gait, and may need ambulatory devices. The patient is unable to bear weight and maintain balance so the risk for fall and injury is increased. Painful legs or weak muscles in the buttocks or leg cause abnormality in gait; the patient finds it difficult to walk without assistance and often needs ambulatory devices. Patients with weakness in the upper extremities have difficulty in performing ADLs. The patient with spinal deformities has difficulty in maintaining good posture.  p.  The nurse is assessing a patient who sustained a crush injury when a tree fell and trapped his leg for several hours. What lab values does the nurse expect to see? Select all that apply.  Select all that apply  Some correct answers were not selected  Hypocalcemia  Hypophosphatemia  Elevated creatinine kinase (CK-MM)  Elevated alkaline phosphatase (ALP)  Elevated aspartate aminotransferase (AST)  Rationale  The major muscle enzymes affected in skeletal muscle disease or injuries are creatine kinase (CK-MM), aspartate aminotransferase (AST), aldolase (ALD), and lactic dehydrogenase (LDH). As a result of damage, the muscle tissue releases additional