MUSCULOSKELETAL EXAM HIGH-YIELD
NEUROLOGIC ASSESSMENT, ORTHOPEDIC
CARE, AND REHABILITATION SUMMARY 2026
◉ right hemispheric stroke - neuro deficits should the nurse expect?
Answer: impulsive behavior
The nurse should expect clients who had a right hemispheric stroke
to demonstrate impulsive behavior, poor judgment, and lack of
awareness of neurologic deficits.
◉ client w advancing amyotrophic lateral sclerosis - which
intervention is priority?
Answer: monitor pulse ox findings
The greatest risk to the client is respiratory compromise due to
progressive paralysis of respiratory muscles. Therefore, the priority
intervention is to monitor the client's oxygen saturation to identify
respiratory compromise as soon as possible.
◉ new dx of osteoarthritis - expected findings? SATA
Answer: crepitus w joint mvmt
, decreased ROM of the affected joint
joint pain that resolves w rest
Osteoarthritis is a degenerative joint disease. Crepitus, a grating
sound, is an expected finding with clients who have osteoarthritis as
loosened bone and cartilage move around in the fluid inside the
joint.
Decreased range of motion is an expected finding with clients who
have osteoarthritis because the client's pain limits movement. Joint
pain that resolves with rest is an expected finding with clients who
have osteoarthritis. A client who has osteoarthritis experiences
increased pain with activity and decreased pain with rest.
◉ quad - throbbing pain and nausea - facial flushing and bp 220/110
- which action first?
Answer: elevate the HOB
◉ retinal detachment - expected?
Answer: flashes of bright light
The nurse should expect a client who has a retinal detachment to see
flashes of bright light or floating dark spots in the affected eye as the
retinal layers separate