A nurse in a long-term care facility is caring for an older adult client and notes their muscles
have become smaller and weaker. The nurse ought to have a suspicion that the client is
experiencing which of the following? A. Sarcopenia
B. Osteoporosis from overuse C. Atrophy
D. ANS-C joint contracture Atrophy
The nurse should suspect the client is experiencing atrophy of their muscles. When the body's
muscles shrink and become weaker, this is called atrophy. This can happen when a limb isn't
used or stays immobile for a long time. A nurse is assisting with a skin assessment for a client
who has a wound on their heel that is blistered and lighter in color than the client's skin tone.
The nurse should identify that the wound is in which of the following stages of damage?
A. Damage into the skin layer
B. Damage beyond the skin layer
C. severe injury to the skin and surrounding tissue D. Damage with the skin intact - ANS-A.
Injuries to the skin's surface The client's wound should indicate damage to the skin layer,
according to the nurse. In this stage, the wound can be lighter in color than the client's skin tone,
along with temperature differences and an intact or open blister.
A nurse is assisting with completing the Mobility Assessment Tool (MAT) for a client and
determines that the client is at Level 1 Mobility. The nurse should identify that the client is
unable to perform which of the following tasks?
A. Walk in place.
B. Stand in place for 5 seconds.
C. For one minute, lie on the bed's edge. D. ANS-C: Take a step forward and a step back. Sit
on the edge of the bed for 1 min.
The nurse should identify that the client who is at Level 1 Mobility of the MAT requires
maximum assistance. The client should be able to sit on the edge of the bed for 2 min and
extend their arms across their chest to shake hands with the nurse before advancing to the next
level. The client remains at Level 1 Mobility of the MAT if they are unable to complete both
tasks. A nurse is assisting with performing a focused assessment on an older adult client's
mobility. Which of the following findings should indicate to the nurse that the client is
experiencing an age-related change to their musculoskeletal system?
A. Increased curvature of the thoracic spine
B. Reduced depth perception
C. narrower standing posture D. Quick steps when ambulating - ANS-A. Increased curvature
of the thoracic spine
The nurse should identify that an increased curvature of the thoracic spine, along with
protrusion of the neck, indicates an age-related change to the client's musculoskeletal system.
This occurs due to bone loss and degeneration of vertebral discs. The client may suffer from
unsteady walking and standing posture as a result of this. A nurse is assisting with preparing a
, poster presentation about the musculoskeletal system. The nurse should include that which of
the following is responsible for body posture?
A. gravity's center B. Bones
C. Muscles
D. ANS-C synovial joints Muscles
The skeleton is connected to the skeletal muscles. They keep their body and position. A nurse
is assisting with preparing a presentation about muscle function for a group of newly licensed
nurses. Which of the following information should the nurse plan to include?
A. Muscles store calcium and magnesium.
B. Muscles produce red blood cells and platelets.
C. Muscles assist with thermoregulation in the body.
D. Muscles provide protection of internal organs. - ANS-C. Muscles assist with
thermoregulation in the body.
Contracting muscles generate heat that assists in maintaining body temperature. One sign that
the muscles are working hard to make heat is shivering. A nurse is assisting with preparing a
presentation for a group of clients who are scheduled for joint replacement surgery. The nurse
should include which of the following information regarding joint flexion. A. Synovial joints
contain sensory receptors that trigger flexion.
B. The contraction of a muscle results in flexion of a joint.
C. Neurotransmitters coordinate with cartilage to initiate flexion.
D. ANS-B states that flexion of a joint is made possible by tendons extending. The contraction
of a muscle results in flexion of a joint.
Shortening and pulling against the bone that they are attached to occur when muscles contract.
The joint experiences flexion as a result. A nurse is assisting with teaching an in-service about
the use of ergonomics to a group of staff members. Which of the following information should
the nurse include?
A. The use of ergonomics improves blood circulation in the body.
B. Utilizing ergonomics reduces costs associated with workers' compensation. C. Utilizing
ergonomics improves employee satisfaction. D. The use of ergonomics maintains the body's
balance and a lower center of gravity. - ANS-C. The use of ergonomics increases job
satisfaction.
The use of ergonomics increases job satisfaction along with productivity of staff members.
When staff members can work safely and effectively, they can perform at a higher level.
A client who had a stroke is being cared for by a nurse, and the nurse reports having trouble
with proprioception. The nurse should plan to collect data from the client for which of the
following?
A. restricted movement as a result of a joint's abnormal fixation B. a decrease in blood
pressure caused by changing positions C. Altered gait with dragging of the toes while
ambulating
D. diminished awareness of balance and body position - ANS-D. Diminished awareness of
body position and balance
Kinesthesia, also known as proprioception, is a sense of self-awareness and body position. It is
the result of feedback from nerve sensory receptors that alert the brain to fine-tune muscle
movement in order to regulate balance, coordination, and movement.