NURS2730 – MUSCULOSKELETAL SYSTEM TEST
QUESTIONS AND ANSWERS A+ GRADED
Where quadrant can we find the kidneys?
Retroperitoneal Area
What are the common GI Symptoms
Abdominal Pain, Acute and Chronic
Indigestion, N/V, including loss of appetite, hematemesis, early satiety (feeling full)
Dysphagia and/or Odynophagia (Painful Swallowing)
Diarrhea, Constipation
Jaundice
First thing to do during assessment
Always watch the patient's face for signs of discomfort
What is the Correct Sequence of Abdominal Assessment
Inspection
Auscultation
Percussion
Palpation
What is the normal abdominal contour?
Flat
Counter for slightly overweight?
Rounded
Contour for pregnant & ascites (excess abdominal fluid)?
Protuberant
Normal bowel sounds (peristalsis) per minute
Approximately 5-30 per min.
Hypoactive bowel sounds is common to?
Patients with constipation and paralytic ileus (<5 per min)
Hyperactive bowel sounds are common in patients with?
Patients with gastroenteritis and diarrhea (>30 per min)
When auscultations follow the same path of the?
Large Intestine (Colon)
What are the nine regions of the abdomen?
1 - Right Hypochondriac Region
2 - EPIGASTRIC REGION
3 - Left Hypochondriac Region
4 - Right Lumbar Region
5 - Umbilical Region
6 - Left Lumbar Region
7 - Right Inguinal Region
8 - HYPOGASTRIC REGION
9 - Left Inguinal Region
What are the signs of Appendicitis?
Fever, N/V/D, may have peri-umbilical pain migraiting to RLQ
, Also called rebound tenderness test; pain when pressure to LLQ is released
indicates peritoneal irritation or peritonitis. It may indicate Appendicitis or
Infection.
Rovsing's Signs
If there is rebound tenderness or RLQ d/t possibility of popping appendix, what
should we do as nurses?
We no longer deep palpate for it
Type of nursing assessment, we Use 2 hands; do not do if bruits heard
Deep palpation/palpation
Why does percussion important in Abdominal Assessment?
It helps in detection of fluid, masses, gaseous distention, as well as size, position of
underlying organs
What is normal sound for abdomen during percussion?
Tympanic
Where do we percuss the kidneys?
Costovertebral angle strike with ulnar surface of fist; if pain is present might be
indicative of Pyelonephritis (Kidney Stones)
What are the elder considerations?
Poor Dentition
Decrease Production of Saliva or Stomach Acid
Motility and Peristalsis Decrease
The liver shrinks and become less functional
Renal Function Decreases
Decreased Liver and Renal Function
What are the functions of the Musculoskeletal System?
Protection of Vital Organs
Mobility and Movement
Facilitate Return of Blood to the Heart
Production of Blood (Hematopoiesis)
Reservoir for immature blood cells
Reservoir for Vital Minerals
It is the major site of hematopoiesis (Production of Blood Cells)
Cancellous Bone
What connects bone to bone?
Ligaments
What are the common type of Fractures?
Greenstick
Simple
Open
Comminuted
What is the nursing diagnosis for Fracture?
Acute Pain
Impaired Physical Mobility
Risk for Infection
Risk for Peripheral Neurovascular Dysfuntion
Nursing Management of Fracture?
QUESTIONS AND ANSWERS A+ GRADED
Where quadrant can we find the kidneys?
Retroperitoneal Area
What are the common GI Symptoms
Abdominal Pain, Acute and Chronic
Indigestion, N/V, including loss of appetite, hematemesis, early satiety (feeling full)
Dysphagia and/or Odynophagia (Painful Swallowing)
Diarrhea, Constipation
Jaundice
First thing to do during assessment
Always watch the patient's face for signs of discomfort
What is the Correct Sequence of Abdominal Assessment
Inspection
Auscultation
Percussion
Palpation
What is the normal abdominal contour?
Flat
Counter for slightly overweight?
Rounded
Contour for pregnant & ascites (excess abdominal fluid)?
Protuberant
Normal bowel sounds (peristalsis) per minute
Approximately 5-30 per min.
Hypoactive bowel sounds is common to?
Patients with constipation and paralytic ileus (<5 per min)
Hyperactive bowel sounds are common in patients with?
Patients with gastroenteritis and diarrhea (>30 per min)
When auscultations follow the same path of the?
Large Intestine (Colon)
What are the nine regions of the abdomen?
1 - Right Hypochondriac Region
2 - EPIGASTRIC REGION
3 - Left Hypochondriac Region
4 - Right Lumbar Region
5 - Umbilical Region
6 - Left Lumbar Region
7 - Right Inguinal Region
8 - HYPOGASTRIC REGION
9 - Left Inguinal Region
What are the signs of Appendicitis?
Fever, N/V/D, may have peri-umbilical pain migraiting to RLQ
, Also called rebound tenderness test; pain when pressure to LLQ is released
indicates peritoneal irritation or peritonitis. It may indicate Appendicitis or
Infection.
Rovsing's Signs
If there is rebound tenderness or RLQ d/t possibility of popping appendix, what
should we do as nurses?
We no longer deep palpate for it
Type of nursing assessment, we Use 2 hands; do not do if bruits heard
Deep palpation/palpation
Why does percussion important in Abdominal Assessment?
It helps in detection of fluid, masses, gaseous distention, as well as size, position of
underlying organs
What is normal sound for abdomen during percussion?
Tympanic
Where do we percuss the kidneys?
Costovertebral angle strike with ulnar surface of fist; if pain is present might be
indicative of Pyelonephritis (Kidney Stones)
What are the elder considerations?
Poor Dentition
Decrease Production of Saliva or Stomach Acid
Motility and Peristalsis Decrease
The liver shrinks and become less functional
Renal Function Decreases
Decreased Liver and Renal Function
What are the functions of the Musculoskeletal System?
Protection of Vital Organs
Mobility and Movement
Facilitate Return of Blood to the Heart
Production of Blood (Hematopoiesis)
Reservoir for immature blood cells
Reservoir for Vital Minerals
It is the major site of hematopoiesis (Production of Blood Cells)
Cancellous Bone
What connects bone to bone?
Ligaments
What are the common type of Fractures?
Greenstick
Simple
Open
Comminuted
What is the nursing diagnosis for Fracture?
Acute Pain
Impaired Physical Mobility
Risk for Infection
Risk for Peripheral Neurovascular Dysfuntion
Nursing Management of Fracture?
