Lewis Medical Surgical Chap 66:
Assessment, Musculoskeletal System
A patient has a brand new order for magnetic resonance imaging (MRI) with out contrast to
evaluate viable left femur osteomyelitis after hip arthroplasty surgery. Which data suggests the
nurse would consult with the health care provider earlier than scheduling the MRI?
A. The affected person has a pacemaker.
B. The affected person wears a hearing useful resource.
C. The affected person is allergic to shellfish.
D. The patient uses supplemental oxygen. - ANS-ANS: A Patients with most permanent
pacemakers can't have an MRI due to the pressure exerted by way of the magnetic field on
metallic gadgets. Supplemental oxygen can be introduced during the MRI. The affected person
will want to be told to remove the listening to useful resource before the MRI, but this does not
require session with the fitness care company. Because evaluation medium will now not be
used, shellfish allergy isn't always a contraindication to MRI.
A affected person reviews shoulder ache whilst the nurse actions the patient's arm at the back
of the again. Which query could the nurse ask?
A. ―Are you able to feed yourself with out problem?‖
b. ―Do you have got difficulty when you are putting on a blouse?‖
c. ―Are you able to sleep thru the night time without waking?‖
d. ―Do you ever have problem lowering yourself to the rest room?‖ - ANS-ANS: B The patient's
ache will make it extra difficult to accomplish responsibilities which include placing on a blouse
or jacket. This ache must not affect the affected person's potential to feed himself or use the
bathroom because those obligations do now not contain transferring the arm at the back of the
affected person. The arm will no longer typically be located at the back of the patient for the
duration of dozing.
A affected person with left knee pain is identified with bursitis. Which area might the nurse
become aware of as being the web site of infection?
A. A fluid-crammed sac located at the joint
b. A synovial membrane that traces the joint
c. The connective tissue fastening bones inside a joint
d. The fibrocartilage that acts as a shock absorber within the joint - ANS-ANS: A Bursae are
fluid-filled sacs that cushion joints and bony prominences. Fibrocartilage is a solid tissue that
cushions a few joints. Ligaments are connective tissue joining bones within a joint. The synovial
membrane traces many joints however is not affected in bursitis.
A patient with excessive kyphosis is scheduled for twin-strength x-ray absorptiometry (DXA)
checking out. Which motion might the nurse plan to take?
A. Explain the system to the affected person.
B. Start an IV line for assessment injection.
Assessment, Musculoskeletal System
A patient has a brand new order for magnetic resonance imaging (MRI) with out contrast to
evaluate viable left femur osteomyelitis after hip arthroplasty surgery. Which data suggests the
nurse would consult with the health care provider earlier than scheduling the MRI?
A. The affected person has a pacemaker.
B. The affected person wears a hearing useful resource.
C. The affected person is allergic to shellfish.
D. The patient uses supplemental oxygen. - ANS-ANS: A Patients with most permanent
pacemakers can't have an MRI due to the pressure exerted by way of the magnetic field on
metallic gadgets. Supplemental oxygen can be introduced during the MRI. The affected person
will want to be told to remove the listening to useful resource before the MRI, but this does not
require session with the fitness care company. Because evaluation medium will now not be
used, shellfish allergy isn't always a contraindication to MRI.
A affected person reviews shoulder ache whilst the nurse actions the patient's arm at the back
of the again. Which query could the nurse ask?
A. ―Are you able to feed yourself with out problem?‖
b. ―Do you have got difficulty when you are putting on a blouse?‖
c. ―Are you able to sleep thru the night time without waking?‖
d. ―Do you ever have problem lowering yourself to the rest room?‖ - ANS-ANS: B The patient's
ache will make it extra difficult to accomplish responsibilities which include placing on a blouse
or jacket. This ache must not affect the affected person's potential to feed himself or use the
bathroom because those obligations do now not contain transferring the arm at the back of the
affected person. The arm will no longer typically be located at the back of the patient for the
duration of dozing.
A affected person with left knee pain is identified with bursitis. Which area might the nurse
become aware of as being the web site of infection?
A. A fluid-crammed sac located at the joint
b. A synovial membrane that traces the joint
c. The connective tissue fastening bones inside a joint
d. The fibrocartilage that acts as a shock absorber within the joint - ANS-ANS: A Bursae are
fluid-filled sacs that cushion joints and bony prominences. Fibrocartilage is a solid tissue that
cushions a few joints. Ligaments are connective tissue joining bones within a joint. The synovial
membrane traces many joints however is not affected in bursitis.
A patient with excessive kyphosis is scheduled for twin-strength x-ray absorptiometry (DXA)
checking out. Which motion might the nurse plan to take?
A. Explain the system to the affected person.
B. Start an IV line for assessment injection.
