Med Surg 2, Exam 3
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A patient complains of shoulder pain when the nurse B
moves the patient's arm behind the
back. Which question should the nurse ask?
a. "Are you able to feed yourself without difficulty?"
b. "Do you have difficulty when you are putting on a
shirt?"
c. "Are you able to sleep through the night without
waking?"
d. "Do you ever have trouble lowering yourself to the
toilet?"
A patient with left knee pain is diagnosed with bursitis. A
The nurse will explain that
bursitis is an inflammation of
a. a fluid-filled sac found at some joints.
b. a synovial membrane that lines the joint.
c. the connective tissue joining bones within a joint.
d. the fibrocartilage that acts as a shock absorber in the
knee.
The nurse who notes that a 59-yr-old female patient has D
lost 1 inch in height over the
past 2 years will plan to teach the patient about
a. discography studies.
b. myelographic testing.
c. magnetic resonance imaging (MRI).
d. dual-energy x-ray absorptiometry (DXA).
,Which information in a 67-yr-old woman's health history B
will alert the nurse to the need
for a more focused assessment of the musculoskeletal
system?
a. The patient sprained her ankle at age 13.
b. The patient's mother became shorter with aging.
c. The patient takes ibuprofen for occasional headaches.
d. The patient's father died of complications of miliary
tuberculosis.
Which information obtained during the nurse's C
assessment of a patient's nutritionalmetabolic pattern
may indicates increased risk for musculoskeletal
problems?
a. The patient takes a multivitamin daily.
b. The patient dislikes fruits and vegetables.
c. The patient is 5 ft, 2 in tall and weighs 180 lb.
d. The patient prefers whole milk to nonfat milk.
Which medication information will the nurse identify as a C
potential risk to a patient's
musculoskeletal system?
a. The patient takes a daily multivitamin and calcium
supplement.
b. The patient takes hormone replacement therapy (HRT)
to prevent "hot flashes."
c. The patient has severe asthma requiring frequent
therapy with oral corticosteroids.
d. The patient has headaches treated with nonsteroidal
antiinflammatory drugs
(NSAIDs).
The nurse finds that a patient can flex the arms when no D
resistance is applied but is
unable to flex when the nurse applies light resistance. The
nurse should document the patient's muscle strength as
level
a. 0.
b. 1.
c. 2.
d. 3.
, After completing the health history, the nurse assessing C
the musculoskeletal system will
begin by
a. having the patient move the extremities against
resistance.
b. feeling for the presence of crepitus during joint
movement.
c. observing the patient's body build and muscle
configuration.
d. checking active and passive range of motion for the
extremities
Which nursing action is correct when performing the A
straight-leg raising test for an
ambulatory patient with back pain?
a. Lift the patient's leg to a 60-degree angle from the
bed.
b. Place the patient in the prone position on the exam
table.
c. Ask the patient to dangle both legs over the edge of
the exam table.
d. Instruct the patient to elevate the legs and tense the
abdominal muscles.
A patient with severe kyphosis is scheduled for dual- A
energy x-ray absorptiometry
(DXA) testing. The nurse will plan to
a. explain the procedure.
b. start an IV line for contrast medium injection.
c. give an oral sedative 60 to 90 minutes before the
procedure.
d. screen the patient for allergies to shellfish or iodine
products.
A patient has a new order for magnetic resonance A
imaging (MRI) to evaluate possible
left femur osteomyelitis after hip arthroplasty surgery.
Which information indicates the nurse
should consult with the health care provider before
scheduling the MRI?
a. The patient has a pacemaker.
b. The patient is claustrophobic.
c. The patient wears a hearing aid.
d. The patient is allergic to shellfish