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WorksheetsNCM 101 - MUSCULOSKELETAL ASSESSMENT
Total questions: 15
Worksheet time: 8mins
The patient arrives in the clinic with musculoskeletal problem. The nurse know that the common chief concern of the patient is if the client verbalizes the following:
"I have on and off fever for several days now"
"I have a tingling sensation on my left leg"
"I have difficulty moving my arms on left side"
"I have no appetite to eat"
The nurse on duty provides health teachings to patient with musculoskeletal problems. All of the following is an essential component, Except
Physical activity
Spiritual belief
Safety habits
Poper positioning
The client is complaining of difficulty with chewing accompanied with pain and tenderness. The nurse should assess the temporomandibular joint of the patient by performing the following:
Put the index and middle finger just posterior to the external ear opening
Put the index and pinky finger just anterior to the external ear opening
Put the index and middle finger just anterior to the external ear opening
Put the index and pinky finger just posterior to the external ear opening
The nurse assigned in emergency unit is assessing the patient with Joint stiffness. History reveals that the patient had received immunization. The nurse understand that this could be a transient effect of the following:
Pneumonia vaccine
Hepatitis vacciine
Polio vaccine
HPV vaccine
Which of the following patient is at higher risk of developing musculoskeletal problem:
A 42 year old woman with 3 children, currently taking Levonogestrel
A 55 year old menopausal woman, currently taking Diethylstilbestrol (DES)
A 43 year old woman with 2 children, currently taking Depo-Provera
A 44 year old menopausal woman, currently taking Estradiol
The nurse is reviewing the health history of patient. The nurse expect to note that some medications might affect the musculoskeletal function such as muscle weakness.
Calcium channel blockers
Diuretics
Potassium channel blockers
Antacids
The nurse assessing the musculoskeletal function of the patient and notes that there is joint pain and stiffness. The nurse instruct the patient to avoid the following foods, Except.
Sardines
Red meat
Liver
Citrus
A client is complainingof low back pain that radiates down the left posterior thigh. The nurse further assesses the client to see if the pain worsened or aggravated by:
Bed rest
Bending or lifting
NSAIDs medication
Application of heat
The nurse is giving health teachings to patient about immobiity and prolonged bedrest. The patient correctly understand the nurse by verbalizing the following statement.
"I will go out everyday at 9 am for 20 minutes under the heat of the sun"
"Vitamin E deficiency can cause to decrease bone density"
"Exposure to 20 minutes of sunlight per day promotes the production of Vitamin D in the body"
"I will eat foods rich in Vitamin E to increase muscle strength"
The nurse is aasessing the patient who refused to go out and mingle with friends because of muscular deformities. What is the most appropriate nursing diagnosis?
Self esteem disturbance related to present situation as manifested by self negating verbalization
Social isolation related to alterations in physical status as manifested by possibility of rejection
Adjustment, impaired related to disability as manifested by nonacceptance of health status
Activity intolerance related to physical deformities
The nurse is interviewing the patient and ask how the patient view himself now that he has musculoskeletal problem. The patient lacks eye contact and silently responded "I feel useless". The appropriate nursing diagnosis is:
Chronic low self-esteem related to negative self evaluation
Impaired social interaction related to self concept disturbance
Body image disturbance related to physical change
Ineffective coping pattern related to physical impairment
The nurse inspect proper posture of the patient while standingwith feet together. The nurse should take note the following:
Alignment of head, trunk, pelvis and extremities
Alignment of face, trunk, abdomen and extremities
Alignment of head, breast, pelvis and extremities
Alignment of face, trunk, neck and extremities
The patient complains of decreased range of motion of the jaw. History reveals Arthritis. The nurse further assesses the patient and finds out the following:
Snapping sound
Crepitus
Clicking sound
Retraction
In observing the Sternoclavicular joint of the patient. The nurse note that it is normal by documenting the following:
Visible bony overgrowth
Swelling
Non enlarged joint
Painful joint
In observing the cervical, thoracic, and lumbar curves. The nurse knows that abnormal findings demonstrate the following:
Spine is straight
Thoracic spine is convex
Flattened lumbar curvature
Cervical spines are concave
