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WorksheetsMS Clinical - MS Musculoskeletal
Total questions: 25
Worksheet time: 15mins
The left lower leg is pale & cool in a total knee arthroplasty patient. What action is best?
Assess the neurovascular status of the leg.
Document the findings in the client chart.
Elevate the left leg on at least two pillows.
Notify the provider of the findings immediately.
A nurse is concerned when assessing a client with a fracture being treated by traction when:
Blood pressure increases to 130/86 mmHg
Traction weights are resting on the floor
Oozing of clear fluid is noted at pin site
Cap refill is less than 3 seconds
Which client is the highest risk at developing a fat embolus?
An 18-yr-old male athlete with a fractured clavicle
A 74-year-old man who smokes with a fractured pelvis
A 23-year-old trauma patient with fractured femur
A 36-year-old female with type 2 diabetes and fractured ribs
A nurse is preparing a patient with SLE for discharge. Which of the following instructions are not true?
Stay out of direct sunlight
Monitor body temperature
Taper the steroid dosage as prescribed when feeling better
Apply cold packs to joints to relieve pain
What is the pharmacologic class of hydrocodone?
Opiod analgesic
topical anesthetic
NSAID
salicylate
What are the adverse effects of opioids? Select all that apply
Slowed breathing
constipation
dilated pupils
feeling of euphoria
hypotension
What role do osteoclasts play in bone structure?
Stimulate bone formation
Lend support and tensile strength
Resorb bone; major role in mineral homeostasis
Induce cartilage, bone, tendon, and ligament formation and repair
What is the best diagnostic test for determining bone density?
MRI
Ultrasound
Dual-energy x-ray absorptiometry (DEXA)
CT Scan
Which vitamin is essential for calcium absorption and bone health?
Vitamin A
Vitamin B12
Vitamin C
Vitamin D
Procedure that uses a contrast dye that is injected into a joint followed by the use of X-Ray, MRI, CT Scan to create slices of images of the joint
(a)
Select possible treatment methods for osteoporosis?
Healthy Diet
doing nothing and hoping for the best
Resistant Training
Weight-bearing exercises
What would appear on an x-ray if osteoarthritis was present in a client?
Increased joint space
Decreased joint space
Abnormal cartilage
Osteoarthritis occurs as a result of:
Deficiency of calcium in young people
Gradual degeneration of the articular cartilage
Low levels of estrogen in older women
A person with rhabdomyolysis would experience which symptom?
GI cramping
Muscle weakness
Hematuria
Atherosclerosis
What happens to muscle cells as they die with age?
They regenerate
They are replaced with connective tissue and adipose
They remain unchanged
They become stronger
What role does myoglobin play in muscle cells?
It stores calcium
It helps transport and store oxygen
It breaks down glucose
It produces ATP
Which of the following is a potential complication of rhabdomyolysis?
Kidney failure
Improved muscle strength
Increased flexibility
Enhanced endurance
Lack of muscle coordination during voluntary movement is called
myoparesis
ataxia
myoclonus
spasm
Compression of nerves/vessels due to swelling within space created by fascia separating groups of muscles is known as
myasthenia gravis
compartment syndrome
shin splint
contracture
A patient is scheduled for magnetic resonance imaging of the pelvis. Which of the following actions would the nurse take if during data collection it was revealed that the patient had had a previous surgery for heart problems?
Ask if there is any metal in the patient’s body.
Obtain an order for a chest x-ray
Cancel the magnetic resonance imaging.
Inform the physician.
The nurse is caring for a patient with a fractured left leg. Which of the following findings during a neurovascular assessment of the lower extremities would the nurse recognize as a priority to report to the health care provider?
Strong bilateral left leg post tibial pulse
Right foot capillary refill less than 2 seconds
Bilateral dorsal flexion
Pallor of the left leg
Disease-modifying ____________________ drugs (DMARDs) slow the progression of rheumatoid arthritis.
antirheumatoid
antirheumatic
antirheumix
anti-inflammatories
An infection of a bone and its marrow is called ______________.
Osteitis
Osteomyelitis
Osteosis
Osteomyelosis
Positioning post amputation is necessary to prevent deformity/contractures. How should a patient with a transfemoral amputation be positioned in the wc?
With a wedge cushion that places the hip into flexion
With a flat cushion that puts the hip in neutral
with a pillow under the thigh
with a pillow on the elevated legrest
