Chapter 68- Management of Patients With Musculoskeletal Disorders

Chapter 68- Management of Patients With Musculoskeletal Disorders Brunner: Medical-Surgical Nursing, 11th Edition Test Bank Chapter 68: Management of Patients With Musculoskeletal Disorders Multiple Choice 1. Which of the following is important information for the nurse to provide to a group of manual laborers in a class on prevention of back pain? A) Avoid lifting more than one-third of body weight without assistance B) Focus on using back muscles during lifting C) Lift objects while holding the object away from the body D) Tighten the abdominal muscles and lock the knees during the lifting of an object Ans: A Chapter: 68 Cognitive Level: Application Difficulty: Moderate Integrated Process: Teaching/Learning Objective: 2 Patient Needs: D-3 Feedback: The nurse instructs the group on the safe and correct way to lift objects using the strong quadriceps muscles of the thighs, with minimal use of the weak back muscles. To prevent recurrence of acute low-back pain, the nurse may instruct the group to avoid lifting more than one-third of body weight without help. The group will be informed to place the feet a hip width apart to provide a wide base of support. The manual laborer should bend the knees, tighten the abdominal muscles, and lift the object close to the body with a smooth motion, avoiding twisting and jerking. 2. Which of the following may be an effective approach to managing tendonitis conservatively? A) Weight reduction B) Stress reduction C) Intermittent application of ice and heat to the affected joint D) Range of motion of the affected joint Ans: C Chapter: 68 Cognitive Level: Application Difficulty: Difficult Integrated Process: Teaching/Learning Objective: 3 Patient Needs: D-4 Feedback: Conservative management of tendonitis includes rest of the extremity, intermittent ice and heat to the joint, and the use of nonsteroidal anti-inflammatory drugs to control the inflammation and pain. 3. While discussing pain management with a patient experiencing low back pain, the nurse discusses modifiable risk factors. Which of the following is a modifiable risk factor that may contribute to the presence of low back pain? A) Obesity B) History of a musculoskeletal disorder C) Age D) Depression Ans: A Chapter: 68 Cognitive Level: Application Difficulty: Easy Integrated Process: Nursing Process Objective: 1 Patient Needs: B Feedback: Obesity is a modifiable risk factor that may contribute to back pain. Through proper nutritional intake, the patient will be able to modify his weight and reduce his back pain. 4. A patient who works as a jackhammer operator informs the nurse at the ambulatory clinic that he is experiencing pain in his wrist at night and has noticed numbness and weakness in the hand during the day. Based upon this information, the nurse anticipates that the patient will be diagnosed with: A) Impingement syndrome B) Carpal tunnel syndrome C) Ganglion D) Dupuytren's contracture Ans: B Chapter: 68 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing Process Objective: 3 Patient Needs: D-4 Feedback: The patient will most likely be diagnosed with carpel tunnel syndrome. Patients who perform repetitive movements along with hand exposure to cold, vibration, or extreme direct pressure are at a greater risk of developing carpal tunnel syndrome. The patient experiences pain, numbness, paresthesia, and possibly weakness along the median nerve. 5. An orthopedic nurse instructs a patient with plantar fasciitis that the pain associated with this condition is best relieved by: A) Wrapping the affected area in lamb's wool or gauze B) Gently stretching the foot and the Achilles tendon C) Wearing open-toed shoes D) Application of keratolytic ointment Ans: B Chapter: 68 Cognitive Level: Application Difficulty: Difficult Integrated Process: Teaching/Learning Objective: 4 Patient Needs: D-3 Feedback: Plantar fasciitis leads to pain that is localized to the anterior medial aspect of the heel and diminishes with gentle stretching of the foot and Achilles tendon. 6.