Dunphy final clinical exam Nurs 671 Questions and Answers 100% Pass

Dunphy final clinical exam Nurs 671 Questions and Answers 100% Pass One of the initial steps in assessing pt's w/musculoskeletal complaints is to determine whether the complaint is articular or nonarticular in origin. Which of the following is an example of an articular structure? a. Bone b. Synovium c. Tendons d. Fascia - Correct Answer ️️ -b. Synovium You have detected the presence of crepitus on exam of a pt with a musculskeletal complaint. Additionally, there is limited ROM w/both active and passive movement. These findings suggest that the origin of the musculoskeletal complaint is: - Correct Answer ️️ -Articular Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain? a. Decreased CRP b. Hyperalbuminemia c. Morning stiffness d. Weight gain - Correct Answer ️️ -c. Morning stiffness Which of the following statements concerning the musculoskeletal exam is true? a. The uninvolved side should be examined initially and then compared to the involved side. b. The part of the body that is causing the pain should be examined first. c. When possible, the pt should not be asked to perform active ROM exercises to avoid causing pain. d. Radiographs should always be obtained prior to examination so as not to cause further injury to the pt. - Correct Answer ️️ -a. The uninvolved side should be examined initially and then compared to the involved side. You are performing muscle strength testing on a pt presenting w/musculoskeletal pain and find that the pt has complete ROM w/gravity eliminated. Which numeric grade of muscle strength would you give this pt, 1-5? - Correct Answer ️️ -2 Mrs. Gray is a 55yo woman who presents with tightness, pain, and limited movement in her right shoulder. She denies any h/o trauma. Her exam 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 hx is significant for type 1 diabetes mellitus and HTN. Her social hx reveals that she is a secretary and that she is right-handed. Based on her examination and medical hx, you suspect adhesive capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's hx supports this dx? - Correct Answer ️️ -Her h/o diabetes Jennifer is an 18yo who comes to the ER after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited ROM in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation? a. Posterior dislocations are more common than anterior dislocations b. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses c. Recurrent dislocations are uncommon and would require great force to result in injury. d. Surgery is most commonly the treatment of choice - Correct Answer ️️ -b. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses Mrs. Anderson is a 35yo woman who has been recently diagnosed with carpal tunnel syndrome. She has 2 young children and asks the clinician what the chances are that they also will develop carpal tunnel syndrome. Which of the following responses would be correct regarding the risk of developing carpal tunnel syndrome? a. Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account for about one-half the risk of developing carpal tunnel. b. Only people w/occupations that require repeated flexion extension of the wrist, use of hand tools that require forceful gripping, or use of hand tools that vibrate are at risk for developing carpal tunnel. c. An underlying musculoskeletal disorder must be present for a person to develop carpal tunnel. d. Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance. - Correct Answer ️️ -a. Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account for about one-half the risk of developing carpal tunnel. Which of the following statements is true regarding the treatment of carpal tu