Ch. 43 Musculoskeletal System Introduction/ Med-surg 8th edition

A nurse is collecting a health history from a patient with a connective tissue disease. Which is the most important inquiry by the nurse?

• Family history of atherosclerosis

• Last time the patient had his or her blood tested

• History of a prior injury to a specific body part

• Family history of a fracture

A nurse is educating an osteoporotic patient taking alendronate (Fosamax). Which instruction should the nurse stress?

• Take the drug after breakfast.

• Avoid the use of supplemental vitamin D.

• Decrease fluid intake.

• Sit or stand for 30 minutes after administration.

Which diagnostic test result should the nurse expect for a patient with polymyositis?

• Muscle biopsy positive for muscle degeneration

• Positive antinuclear antibody (ANA) blood test result

• Positive 24-hour urine test result for urate crystals

• Urate crystals in the synovial fluid

A nurse is educating a patient with gout about the medication probenecid (Benemid). Which active effect should the nurse relay when explaining why this medication is prescribed?

The physician orders antinuclear antibodies for a patient with suspected rheumatoid arthritis. Which information will the nurse provide to the patient in preparation for this study?

• Fast for 8 hours before test.

• Refrain from exercise the day before test.

• Do not take medications 24 hours before test.

• Void prior to test.

A patient is preparing for tomography as ordered to enhance visualization of tissue hidden by bone. Which assessment by the nurse should be immediately addressed?

• History of recent urinary tract infection

• Allergy to Sulfa

• Reports of claustrophobia

• Diagnosis of Bipolar Disorder

A nurse questions an older patient about the age-related changes she has experienced in her connective tissue, which have lessened her mobility. Which changes are most commonly included?

• Loss of bone, which may cause fragile bones

• Thickening of the tendons, causing loss of strength

• Bony deposits in the joints, causing pain and altered movement

• Hardening of cartilage, causing more friction in joints

• Diminished energy, causing decreased activity

Immobility reduces muscle contractions and can produce muscle _______.

• atrophy

• hypertrophy

• spasm

• growth

A(n) _______ measures the range of movement of the joints.

• goniometer

• thermometer

• sphygmomanometer

• stethoscope

_______ uses sound waves to determine the presence of pulses in the extremities.

• Doppler ultrasound

• Electrocardiogram

• X-ray imaging

• Thermography