Question 1

A client is receiving treatment for a head injury. Which of the following would the nurse do related to positioning to reduce the risk of further injury?

Accepted Answer

Elevating the client's head slightly while keeping the neck neutral helps reduce the risk of further injury by promoting venous drainage and reducing intracranial pressure. This position also maintains the alignment of the head and neck, which is important for preventing further damage. It is not recommended to maintain the client in a sitting position for as long as possible, as this can increase intracranial pressure. Elevating the rest of the client's body above the neck and head is also not recommended, as it can exacerbate brain swelling. Positioning the neck and head in line with the rest of the client's body is not specific enough to prevent further injury.

Question 2

A group of students are reviewing information about bones in preparation for a quiz. Which of the following indicates that the students have understood the material?

Accepted Answer

Osteoclasts are indeed responsible for the breakdown and resorption of bone tissue, which is a crucial part of the bone remodeling process. This activity allows bones to adapt to stress or heal from injuries.

Question 3

A client is recovering from a fractured hip. The nurse would suggest that the client increase intake of which of the following to facilitate calcium absorption from food and supplements?

Accepted Answer

Vitamin D is necessary for the absorption of calcium from the GI tract. A client recovering from a fractured hip may benefit from increasing their vitamin D intake to support bone healing and prevent future fractures. Amino acids and vitamin B6 are not directly involved in calcium absorption, and while dairy products are a good source of calcium, they do not facilitate absorption on their own.

Question 4

A client undergoes an invasive joint examination of the knee. The nurse would closely monitor the client for which of the following?

Accepted Answer

The answer of A client undergoes an invasive joint examination...

Question 5

A group of students are reviewing the structure and function of bones. The students demonstrate understanding of the information when they state that cortical bone is found primarily in which of the following?

Accepted Answer

Cortical bony tissue covers bones and is found chiefly in the long shafts, or diaphyses, of bones in the arms and legs.

Question 6

A client has injured her elbow. The physician informs her that the injury involves the cartilage in that joint. The nurse understands that which type of cartilage has been affected?

Accepted Answer

Hyaline cartilage is found in the joints and helps cushion and protect bones from rubbing together. Injuries to hyaline cartilage in the elbow joint can lead to pain, inflammation, and limited mobility.

Question 7

Which of the following would be most important for the nurse to include in the teaching plan for a client who has undergone arthrography?

Accepted Answer

It is important for the nurse to educate the client to report any joint crackling or clicking noises occurring after the second day after the arthrography procedure as it may indicate complications such as bleeding or infection. Avoiding sunlight or harsh climate, avoiding intake of dairy products, and gently massaging joints with any crackling or clicking joint noises are not relevant to arthrography post-procedure care.

Question 8

The nurse is discussing an older adults risk for skeletal fractures with a group of students assigned to the clinical area. Which of the following would the nurse most likely explain as the underlying reason for the increased risk?

Accepted Answer

As people age, bone resorption (the breaking down of bone tissue) occurs more rapidly than bone formation, resulting in decreased bone density and increased risk for skeletal fractures.

Question 9

A client is scheduled to have an x-ray examination of his shoulder in which the synovial fluid will be aspirated and sent to the laboratory for analysis. This will be followed by administration of a contrast medium and x-rays. The nurse understands that the client will be undergoing which of the following?

Accepted Answer

An arthrogram involves the injection of a contrast medium into a joint space, such as the shoulder, and then taking x-rays to visualize the structure and function of the joint, which matches the procedure described.

Question 10

A client comes to the Emergency Department complaining of pain in his left ankle. The client states, "I missed a step coming down the stairs, and landed funny." The ankle is swollen and tender to the touch. Which of the following would the nurse do to help control the swelling?

Accepted Answer

Raising the left leg above the level of the heart will help to reduce swelling by promoting venous return and decreasing edema. Applying heat or having the client flex the left foot may actually increase swelling, and dangling the leg may not be effective in reducing swelling.

Question 11

The nurse is conducting a physical assessment of a client with a traumatic injury. Which information would the nurse gather first?

Accepted Answer

Vital signs are crucial for assessing the immediate physiological status of a client with a traumatic injury, providing essential information on the body's basic functions such as heart rate, blood pressure, respiratory rate, and temperature. This helps in determining the severity of the injury and prioritizing further assessment and interventions.

Question 12

The nurse is performing a neurovascular assessment of a client's injured extremity. Which of the following would the nurse report?

Accepted Answer

A dusky skin color suggests poor circulation, which is a concern in a neurovascular assessment. Positive distal pulses and warm skin are good signs, and capillary refill of up to 3 seconds is considered normal for a neurovascular assessment.

Question 13

An instructor is describing the process of bone development. Which of the following would the instructor describe as being responsible for the process of ossification?

Accepted Answer

Ossification is the process of bone development where cartilage is replaced by bone tissue. Osteoblasts are bone-forming cells responsible for the deposition of new bone matrix during this process. Cortical bone and cancellous bone are types of bone tissue and osteoclasts are bone-resorbing cells.

Question 14

A client is being scheduled for an arthroscopy. Which of the following would be most important for the nurse to ensure before the procedure?

Accepted Answer

Ensuring that the client has signed a consent form is crucial before any surgical procedure, including an arthroscopy, as it is a legal requirement and ensures that the client is informed about the procedure and its risks.

Question 15

A group of students are studying for an examination on joints. The students demonstrate understanding of the material when they identify which of the following as an example of a synarthrodial joint?

Accepted Answer

Synarthrodial joints are immovable joints, and the only option that fits this description is D, the joint between the skull bones (temporal and occipital bones).

Question 16

Which of the following factors would the nurse need to keep in mind about the focus of the initial history when assessing a new client with a musculoskeletal problem?

Accepted Answer

The initial history for a musculoskeletal problem should focus on any chronic disorder or recent injury, as these can provide critical context for understanding the current issue and guiding further assessment and treatment.

Question 17

A nurse is preparing a presentation for a health class about ways to ensure bone health, including the need for an adequate calciumintake. The participants are high-school aged girls. The nurse would encourage them to consume adequate calcium to maximize peak bone mass by which age?

Accepted Answer

The answer of A nurse is preparing a presentation for...

Question 18

During a general musculoskeletal assessment, which of the following would help the nurse determine the client's muscle strength?

Accepted Answer

Applying force to the client's extremity as the client pushes against that force, also known as manual muscle testing, is the most effective method for determining muscle strength during a musculoskeletal assessment. This can be done by asking the client to resist pressure while the nurse applies force to a specific muscle, such as asking the client to push their foot against the nurse's hand to test the strength of the ankle dorsiflexors. This allows the nurse to grade the strength of the muscle on a scale of 0-5. Palpating muscles and joints and examining extremities for symmetry can provide important information about musculoskeletal problems, but they do not directly assess muscle strength. Asking the client to lift weights can also provide insight into their strength, but it may not be appropriate for all clients and may not be as accurate as manual muscle testing.

Question 19

A client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. The nurse understands that this injury involves which of the following?

Accepted Answer

A tendon is the structure that connects a muscle to a bone.

Question 20

The physician orders an opioid analgesic for a client with a traumatic injury. The nurse would monitor the client closely for which of the following as the priority?

Accepted Answer

Respiratory depression is a potential adverse effect of opioid analgesics and can lead to life-threatening complications. Therefore, it is essential to monitor clients closely for this adverse effect. Allergic reactions and joint inflammation can occur, but they are not the priority over respiratory depression. Hypotension is also a potential adverse effect, but it is less critical than respiratory depression.

Quiz 60: Introduction to the Musculos Keletal System