NURS 321 Final Exam – Questions With Proven Solutions
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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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Terms in this set (259)
What is included in a history of the 1. HPI/ROS
musculoskeletal system? 2. PMH
3. FH
4. medications
5. diet
6. weight and height
7. exercise
8. occupation
9. ADLs
10. tobacco
What are some common signs and - weakness
symptoms of the musculoskeletal system? - pain/tenderness
- erythema (redness/warmth)
- warmth
- swelling/edema
- gait disturbance
- deformities
How would you do a physical exam for the - inspection
musculoskeletal system? - palpation
- range of motion
- strength
What do you inspect when doing an exam - overlying skin, skeletal structure, musculature
of MS system? - alignment
- contour
- deformity
- size
- color
- swelling
- masses
What do you palpate when doing an exam - bones, joints, surrounding muscles
of the MS system? - muscle tone
- warmth
- tenderness
- swelling
- crepitus
,What range of motion are you examining in active and passive ROM
MS system?
What areas are you examining for strength - hands
in MS system? - shoulders
- feet
What is cephalocaudal organization? comparing one side to the other
When doing a physical exam in the MS cephalocaudal organization
system, what type of organization should
you use?
When doing inspection, what are you - asymmetry, deformity, atrophy
looking for? - posture, ability to sit/stand erect
- skin (erythema, ecchymosis, edema)
- extremities (atrophy)
- muscles
- bony structure
- gait (limping, weight bearing, steady on feel)
When palpating, what are you looking for? - contour
- edema
- tenderness
- heat
- stability
- crepitus
* palpate injured/inflamed joints last
When doing range of motion, what are you - pain
looking for? - limited ROM
- spastic movement
- stability of joints
- deformity
- contractures
- flexion/extension
- adduction/abduction
How can you assess ROM in shoulders? - right arm crossing over opposite side
- shrugging shoulders
- putting arm behind back (scratching back)
How can you assess ROM in back? - bending forward and touch toes
- lean right side then left side
- stand straight and rotate torso left and right
How can you assess ROM in hips? - adduction
- abduction
- internal/external rotation
- hand on hip for crepitus
How can you assess ROM in knee? - flexion
- extension
- hyperextension
How can you assess ROM in foot and ankle? - dorsiflexion and plantar flexion
- eversion and inversion
, What are the muscle strength levels and - 0 (zero): no evidence of muscle contraction
grades? - 1 (trace): evidence of slight muscle contraction, but no
movement
- 2 (poor): full ROM, passive
- 3 (fair): full ROM, active with no resistance
- 4 (good): full ROM, with some resistance
- 5 (normal): full ROM, with full resistance
What are some common disorders of the - low back pain
MS system - fractures
- osteoporosis
- arthritis (osteo, rheumatoid)
- gout
- spinal column deformities
- osteomyelitis
What are red flags in the MS system? - low back pain accompanied by incontinence, lower
extremity pain, impotence
- hip fractures = increases mortality rate
- compound fractures
transverse fracture occurs straight across the bone
oblique fracture occurs at an angle across the bone
longitudinal fracture a fracture that runs parallel to the long axis of the bone
spiral fracture a fracture in which the bone has been twisted apart
comminuted fracture fracture in which the bone is crushed and broken in multiple
places
impacted fracture broken bone ends are forced into each other
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (259)
What is included in a history of the 1. HPI/ROS
musculoskeletal system? 2. PMH
3. FH
4. medications
5. diet
6. weight and height
7. exercise
8. occupation
9. ADLs
10. tobacco
What are some common signs and - weakness
symptoms of the musculoskeletal system? - pain/tenderness
- erythema (redness/warmth)
- warmth
- swelling/edema
- gait disturbance
- deformities
How would you do a physical exam for the - inspection
musculoskeletal system? - palpation
- range of motion
- strength
What do you inspect when doing an exam - overlying skin, skeletal structure, musculature
of MS system? - alignment
- contour
- deformity
- size
- color
- swelling
- masses
What do you palpate when doing an exam - bones, joints, surrounding muscles
of the MS system? - muscle tone
- warmth
- tenderness
- swelling
- crepitus
,What range of motion are you examining in active and passive ROM
MS system?
What areas are you examining for strength - hands
in MS system? - shoulders
- feet
What is cephalocaudal organization? comparing one side to the other
When doing a physical exam in the MS cephalocaudal organization
system, what type of organization should
you use?
When doing inspection, what are you - asymmetry, deformity, atrophy
looking for? - posture, ability to sit/stand erect
- skin (erythema, ecchymosis, edema)
- extremities (atrophy)
- muscles
- bony structure
- gait (limping, weight bearing, steady on feel)
When palpating, what are you looking for? - contour
- edema
- tenderness
- heat
- stability
- crepitus
* palpate injured/inflamed joints last
When doing range of motion, what are you - pain
looking for? - limited ROM
- spastic movement
- stability of joints
- deformity
- contractures
- flexion/extension
- adduction/abduction
How can you assess ROM in shoulders? - right arm crossing over opposite side
- shrugging shoulders
- putting arm behind back (scratching back)
How can you assess ROM in back? - bending forward and touch toes
- lean right side then left side
- stand straight and rotate torso left and right
How can you assess ROM in hips? - adduction
- abduction
- internal/external rotation
- hand on hip for crepitus
How can you assess ROM in knee? - flexion
- extension
- hyperextension
How can you assess ROM in foot and ankle? - dorsiflexion and plantar flexion
- eversion and inversion
, What are the muscle strength levels and - 0 (zero): no evidence of muscle contraction
grades? - 1 (trace): evidence of slight muscle contraction, but no
movement
- 2 (poor): full ROM, passive
- 3 (fair): full ROM, active with no resistance
- 4 (good): full ROM, with some resistance
- 5 (normal): full ROM, with full resistance
What are some common disorders of the - low back pain
MS system - fractures
- osteoporosis
- arthritis (osteo, rheumatoid)
- gout
- spinal column deformities
- osteomyelitis
What are red flags in the MS system? - low back pain accompanied by incontinence, lower
extremity pain, impotence
- hip fractures = increases mortality rate
- compound fractures
transverse fracture occurs straight across the bone
oblique fracture occurs at an angle across the bone
longitudinal fracture a fracture that runs parallel to the long axis of the bone
spiral fracture a fracture in which the bone has been twisted apart
comminuted fracture fracture in which the bone is crushed and broken in multiple
places
impacted fracture broken bone ends are forced into each other
