Week #11: Musculoskeletal Flashcards

1
Q

The nurse is developing a plan of care for a client found to have a strength problem. What would be an appropriate nursing diagnosis for this client?
a) Activity intolerance
b) Self-care deficit
c) Impaired physical mobility
d) Impaired walking

A

c) Impaired physical mobility

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2
Q

The Romberg test is one assessment that can be completed to assess balance.
a) True
b) False

A

a) True

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3
Q

What term is abbreviated “ROM”?

A

Range of Motion

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4
Q

Moving a part of the body away from the mid-line is called?
a) Abduction
b) Adduction
c) Extension
d) Flexion

A

a) Abduction

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5
Q

When assessing a client’s strength, it is necessary to:
a) Compare one side to the other
b) Assess the extremities at the same time
c) Compare upper and lower extremities
d) Assess upper and lower extremities at the same time

A

a) Compare one side to the other

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6
Q

An older adult client has been admitted to the unit. The client has problems with fine motor movement. What would be important to do for this client?
a) Open all packages and arrange the meal tray while communicating actions to the client
b) Teach the client to call for assistance when getting up to the bathroom
c) Evaluate for assistance devices
d) Assess gross motor function

A

a) Open all packages and arrange the meal tray while communicating actions to the client

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7
Q

Loss of bone density that occurs with greatest frequency in postmenopausal women is called?
a) Scoliosis
b) Lordosis
c) Osteoporosis
d) Kyphosis

A

c) Osteoporosis

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8
Q

A client presents to the ED after falling off a ladder while doing some outside painting at home. The client’s ankle appears swollen, out of alignment, and is painful to touch. What is the nurse’s first action?
a) Encourage early weight bearing and ambulation
b) Apply an ice pack to the affected extremity
c) Check for a pulse, color, temperature, and capillary refill
d) Splint and immobilize the affected extremity

A

c) Check for a pulse, color, temperature, and capillary refill

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9
Q

A client comes to the clinic and reports a sore knee. The nurse notes popping and cracking noises when the client attempts to bend the knee. The client exhibits signs of pain by facial expression. The nurse knows that the popping and cracking noises should be charted as what?
a) Crepitus
b) Grating noise
c) Tactile emphysema
d) Popping and cracking noises

A

a) Crepitus

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10
Q

Decreasing the angle between bones is called:
a) Extension
b) Eversion
c) Flexion
d) Inversion

A

c) Flexion

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11
Q

Turning the sole of the foot outward

A

Eversion

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12
Q

Movement of a part away from the center of the body

A

Abduction

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13
Q

Maneuver that decreases the angle between bones or brings bones together

A

Flexion

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14
Q

Turning the sole of the foot inward

A

Inversion

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15
Q

Movement of a part toward the center of the body

A

Adduction

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16
Q

Movement of a joint whereby one part of the body is moved away from another; increases the angle to a straight line or 0-degrees

A

Extension

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17
Q

Turning a structure to face upward

A

Supination

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18
Q

Turning a structure to face downward

A

Pronation

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19
Q

Extension beyond the neutral position

A

Hyperextension

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20
Q

The musculoskeletal system is composed of skeletal muscle and 5 types of connective tissues: bone, cartilage, ligaments, tendons, and articulations.
a) True
b) False

A

a) True

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21
Q

Nurses should compare each extremity to the other and examine painful or tender areas last.
a) True
b) False

A

a) True

22
Q

____________ occurs in all people, but is most evident in women with small bony frames. Women experience rapid loss of bone density for the first 5-7 years after menopause.

A

Osteoporosis

23
Q

Bone marrow cavities serves as sites of __________________, or the manufacturing of blood cells.

A

Hematopoiesis

24
Q

_______________ is the lateral curvature of the spine, usually affecting both the thoracic and lumbar parts, with a deviation in one direction in the thoracic spine and in the other direction in the lumbar spine.

A

Scoliosis

25
Q

_________________ is an exaggerated forward curvature of the spine that may occur in older adults.

A

Kyphosis

26
Q

Name the type & # of each vertebrae:

A

Cervical (7)
Thoracic (12)
Lumbar (5)
Sacral (5)
Coccygeal (3-4)

27
Q

Shortening of tendons, fascia, or muscles

A

Contracture

28
Q

Wasting or shrinking of the muscle; can be caused by disuse such as wearing a cast

A

Atrophy

29
Q

bending the ankles so that the toes move toward the head

A

dorsiflexion

30
Q

moving the foot so that the toes move away from the head

A

plantar flexion

31
Q

turning of a joint around a longitudinal axis

A

rotation

32
Q

rotating an extremity medially along its axis

A

internal rotation

33
Q

rotating an extremity laterally along its axis

A

external rotation

34
Q

a circular motion that combines flexion, extension, abduction, and adduction

A

circumduction

35
Q

moving a body part forward & parallel to the ground

A

protraction

36
Q

moving a body part backward and parallel to the ground

A

retraction

37
Q

moving a body part upward

A

elevation

38
Q

moving a body part downward

A

depression

39
Q

moving the thumb to touch the little finger

A

opposition

40
Q

Describe the grading scale of muscle strength:

A

5/5 (100%), Normal: complete ROM against gravity & full resistance
4/5 (75%), Good: complete ROM against gravity & moderate resistance
3/5 (50%), Fair: complete ROM against gravity
2/5 (25%), Poor: complete ROM with the joint supported; cannot perform ROM against gravity
1/5 (10%), Trace: muscle contraction detectable, but no movement of the joint
0/5 (0%), Zero: no visible muscle contraction

41
Q

episode of pain that lasts from seconds to less than 6 MOS

A

acute pain

42
Q

temporary flare-up of moderate to severe pain that occurs when the Pt is taking around-the-clock meds for persistent pain

A

breakthrough pain

43
Q

episode of pain that lasts for 6 MOS or longer; may be intermittent or continuous

A

chronic pain

44
Q

superficial pain usually involving the skin or subcutaneous tissue

A

cutaneous pain

45
Q

severe pain that is extremely resistant to relief measures

A

intractable pain

46
Q

pain that result from a normal process that results in noxious stimuli being perceived as painful

A

nociceptive pain

47
Q

pain that results as a direct consequence of a lesion or disease affecting abnormal functioning of the PNS or CNS

A

neuropathic pain

48
Q

sensation of pain without demonstratable physiologic or pathologic substance; commonly observed after the amputation of a limb

A

phantom pain

49
Q

pain in an area removed from that in which stimulation has its origin

A

referred pain

50
Q

pain originating in structures in the body’s external wall

A

somatic pain

51
Q

pain originating in the internal organs in the thorax, cranium, or abdomen

A

visceral pain