Musculoskeletal Exam Completed

MUSCULOSKELETAL EXAM COMPLETED [Document subtitle] [DATE] [COMPANY NAME] [Company address] A nurse is reviewing the medical record of a female client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? A. Decreased intake of phosphate containing foods B. Spending several hours in the sun daily C. Increased estrogen levels D. History of anorexia nervosa D. History of anorexia nervosa RATIONALE: A- opposite is true (high phosphate= low calcium) A nurse is caring for a client who is scheduled to undergo surgery to repair an open hip fracture. In which of the following positions should the nurse plan to place the client postoperatively? A. With the leg on the affected side adducted B. With the hip externally rotated on the affected side C. With the leg on the affected side abducted D. With the hip flexed to 90 degrees on the affected side C. With the leg on the affected side abducted RATIONALE: The nurse should AVOID adduction, external rotation and flexion because it can cause the leg to dislocate A nurse is assessing a client who has osteoarthritis. The clients medical record indicates the presence of Heberden's nodes. Which of the following findings should the nurse expect? A. Inflamed, fluid filled sacs over the joints B. Clubbing of the fingernails C. Flexion contracture of the fingers D. Hard lumps over the joints of the fingers D. Hard lumps over the joints of the fingers RATIONALE: Heberden's nodes are bony lumps/nodules A nurse is preparing a client who is postoperative following a total hip arthroplasty for discharge. Which of the following statements indicates that the client understands the instructions? A. "I'll use alcohol pads to clean my incision each day" B. "When I'm doing my exercises, I'll include bent -leg raises" C. "I'll use a reacher to help me pick up anything from the floor" D. "When I can walk without my walker, I can stop attending PT" C. "I'll use a reacher to help me pick up anything from the floor" RATIONALE: This is to prevent dislocation; the client must avoid flexing at 90 degrees at the waist A- use soap and water B- perform STRAIGHT leg raises, ankle pumps, and other exercises per PT A nurse is caring for a client who is 3 days postoperative following a below -the-knee amputation. Which of the following actions should the nurse take? A. Place the client on a soft mattress B. Rewrap the residual limb with a bandage 3 times per day C. Assist the client into a prone position for 20min every 8hr daily D. Turn the client every 4hr while in bed B. Rewrap the residual limb with a bandage 3 times per day RATIONALE: This keeps the bandage taught, which ensure the residual limb will shrink; rewrapping the bandage also allows the nurse to check the skin for redness/breakdown A- FIRM mattress to prevent contractures C- Prone position for 20 -30min every 3 -4hr daily to help prevent hip contractures D- Every 2 hr A nurse is caring for a client who is postoperative following a total knee arthroplasty and has been prescribed a continuous passive motion (CPM) machine and PCA. The client tells the nurse "I am in so much pain". Which of the following actions should the nurse take first? A. Remind the client to push the button for the PCA device B. Discuss activities the client may use to distract them from the pain C. Ask the client to describe the characteristics of the pain D. Pause the CPM machine briefly to apply a cold pack to the client's knee C. Ask the client to describe the characteristics of the pain RATIONALE: Assessment first to create a plan of action