Chapter 48 Osborn, Medical-Surgical Nursing, 2e

Question 1 Type: MCSA A patient is newly diagnosed with arthritis of the cervical vertebrae. The nurse plans to assess which type of joint? 1. Spheroidal 2. Synovial 3. Fibrous 4. Cartilaginous Correct Answer: 4 Rationale 1: Spheroidal joints are located in the hip and shoulder. Rationale 2: Synovial joints are between bones that do not come in contact with each other, such as in the knee. Rationale 3: Fibrous joints occur where bones are joined together, such as the sutures of the skull. Rationale 4: Cartilaginous joints are only slightly movable and are located between the vertebrae.Global Rationale: Cognitive Level: Applying Client Need: Health Promotion and Maintenance Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 48-1 Question 2 Type: MCSA A patient tells the nurse that he has damaged cartilage in his knee. How should the nurse respond to this information? 1. “It will take a few months for the damage to heal.” 2. “That is considered a strain and will heal itself in a few weeks.” 3. “Exercise will increase the healing time for the cartilage.” 4. “Did the doctor talk with you about treatment options?” Correct Answer: 4 Rationale 1: Once damaged, cartilage does not heal. Rationale 2: A strain occurs with a tendon. Rationale 3: Exercise will not increase the healing time for the cartilage. Rationale 4: In some instances, cartilage damage in the knee requires arthroscopic surgery or knee replacement. Other treatment options may be available. The nurse should establish baseline information for the plan of care. Global Rationale:Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Implementation