Chapter 22: Musculoskeletal System Jarvis: Physical Examination & Health Assessment, 7th Edition

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Question: A patient is … for range-of-joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called: Question: A patient tells the nurse that she is h... aving a hard time bringing her hand to her mouth when she eats or tries to brush her teeth. The nurse knows that for her to move her hand to her mouth, she must perform which movement? Question: The functional units of the musculoskeletal system are the: Question: When reviewing the musculoskeletal system, the nurse recalls that hematopoiesis takes place in the: Question: Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement in undesirable directions are … : Question: The nurse notices that a woman in an exercise class is unable to jump rope. The nurse is aware that to jump rope, ones shoulder has to be capable of: Question:The articulation of the mandible and the temporal bone is known as the: Question: To palpate the temporomandibular joint, the nurses fingers should … placed in the depression __________ of the ear. Question: Of the 33 vertebrae in the spinal column, there are: Question: An imaginary line connecting the highest point on each iliac crest would cross the __________ vertebra. Question: The nurse is explaining to a patient that there are shock absorbers in his back to cushion the spine and to help it move. The nurse is referring to his: Question: The nurse is providing patient education for a man who has … with a rotator cuff injury. The nurse knows that a rotator cuff injury involves the: Question: During an interview the patient states, I can feel this bump on the top of both of my shouldersit doesnt hurt but I am curious about what it might … The nurse should tell the patient that it is his: Question: The nurse is checking the range of motion in a patients knee and knows that the knee is capable of which movement(s)? Question: A patient is visiting the clinic for an evaluation of a swollen, painful knuckle. The nurse notices that the knuckle above his ring on the left hand is swollen and that he is unable to remove his wedding ring. This joint is … _________ joint. Question: The nurse is assessing a patients ischial tuberosity. To palpate the ischial tuberosity, the nurse knows that it is best to have the patient: Question: The nurse is examining the hip area of a patient and palpates a flat depression on the upper, lateral side of the thigh when the patient is standing. The nurse interprets this finding as the: Question: The ankle joint is the articulation of the tibia, fibula, and: Question: The nurse is explaining the mechanism of the growth of long bones to a mother of a toddler. Where does lengthening of the bones occur? Question: A woman who is 8 months pregnant comments that she has noticed a change in her posture and is having lower back pain. The nurse tells her that during pregnancy, women have a posture shift to compensate for the enlarging fetus. This shift in posture is known as: Question: An 85-year-old patient comments during his annual physical examination that he seems to be getting shorter as he ages. The nurse should explain that decreased height occurs with aging because: Question: A patient has been … with osteoporosis and asks the nurse, What is osteoporosis? The nurse explains that osteoporosis is defined as: Question: The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. Which of these actions is the best way to prevent or delay bone loss in this group? Question: A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. The nurse examines her hand and would expect a fracture if the girl complains of a: Question: A patient is complaining of pain in his joints that is worse in the morning, better after he moves around for a while, and then gets worse again if he sits for long periods. The nurse should assess for other signs of what problem? Question: A patient states, I can hear a crunching or grating sound when I kneel. She also states that it is very difficult to get out of bed in the morning because of stiffness and pain in my joints. The nurse should assess for signs of what problem? Question: A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his arm because of pain and muscle spasms. The nurse should suspect: Question: A professional tennis player comes into the clinic complaining of a sore elbow. The nurse will assess for tenderness at the: Question: The nurse suspects that a patient has carpal tunnel syndrome and wants to perform the Phalen test. To perform this test, the nurse should instruct the patient to: Question: An 80-year-old woman is visiting the clinic for a checkup. She states, I cant walk as much as I used to. The nurse is observing for motor dysfunction in her hip and should ask her to: Question: The nurse has completed the musculoskeletal examination of a patients knee and has found a positive bulge sign. The nurse interprets this finding to indicate: Question: During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down his buttock into his leg. The nurse suspects: Question: The nurse is examining a 3-month-old infant. While the nurse holds his or her thumbs on the infants inner mid thighs and the fingers on the outside of the infants hips, touching the greater trochanter, the nurse adducts the legs until the his or her thumbs touch and then abducts the legs until the infants knees touch the table. The nurse does not notice any clunking sounds and is confident to record a: Question: During a neonatal examination, the nurse notices that the newborn infant has six toes. This finding is documented as: Question: A mother brings her newborn baby boy in for a checkup; she tells the nurse that he does not seem to … moving his right arm as much as his left and that he seems to have pain when she lifts him up under the arms. The nurse suspects a fractured clavicle and would observe for: Question: A 40-year-old man has come into the clinic with complaints of extreme pain in his toes. The nurse notices that his toes are slightly swollen, reddened, and warm to the touch. His complaints would suggest: Question: A young swimmer comes to the sports clinic complaining of a very sore shoulder. He was running at the pool, slipped on some wet concrete, and tried to catch himself with his outstretched hand. He landed on his outstretched hand and has not been able to move his shoulder since. The nurse suspects: Question: A 68-year-old woman has come in for an assessment of her rheumatoid arthritis, and the nurse notices raised, firm, nontender nodules at the olecranon bursa and along the ulna. These nodules are most commonly … as: Question: A woman who has … rheumatoid arthritis for years is starting to notice that her fingers are drifting to the side. The nurse knows that this condition is commonly … to as: Question: A patient who has had rheumatoid arthritis for years comes to the clinic to ask about changes in her fingers. The nurse will assess for signs of what problems? Question: A patients annual physical examination reveals a lateral curvature of the thoracic and lumbar segments of his spine; however, this curvature disappears with forward bending. The nurse knows that this abnormality of the spine is … : Question: A 14-year-old boy who has been … with Osgood-Schlatter disease reports painful swelling just below the knee for the past 5 months. Which response by the nurse is appropriate? Question: When assessing muscle strength, the nurse observes that a patient has complete range of motion against gravity with full resistance. What grade of muscle strength should the nurse record using a 0- to 5-point scale? Question: The nurse is examining a 6-month-old infant and places the infants feet flat on the table and flexes his knees up. The nurse notes that the right knee is significantly lower than the left. Which of these statements is true of this finding? Question: The nurse is assessing a 1-week-old infant and is testing his muscle strength. The nurse lifts the infant with hands under the axillae and notices that the infant starts to slip between the hands. The nurse should: Question: The nurse is examining a 2-month-old infant and notices asymmetry of the infants gluteal folds. The nurse should assess for other signs of what disorder? Question: The nurse should use which test to check for large amounts of fluid around the patella? Question: A patient tells the nurse that, All my life … called knock knees. The nurse knows that another term for knock knees is: Question: A man who has had gout for several years comes to the clinic with a problem with his toe. On examination, the nurse notices the presence of hard, painless nodules over the great toe; one has burst open with a chalky discharge. This finding is known as: Question: When performing a musculoskeletal assessment, the nurse knows that the correct approach for the examination should be: Question: The nurse is assessing the joints of a woman who has stated, I have a long family history of arthritis, and my joints hurt. The nurse suspects that she has osteoarthritis. Which of these are symptoms of osteoarthritis [Show More]

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