ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 60 : Introduction to the Musculoskeletal System Questions
Question 1 of 5
A client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. The nurse understands that this injury involves which structure?
Correct Answer: B
Rationale: Tendons are cordlike structures that attach muscles to the periosteum of the bone. Ligaments consisting of fibrous tissue connect two adjacent, freely movable bones. Cartilage is a firm dense type of connective tissue that reduces friction between articular surfaces, absorbs shock, and reduces the stress on joint surfaces. A joint is the junction between 2 or more bones.
Question 2 of 5
A client scheduled to undergo an electomyrography asks the nurse what this test will evaluate. What is the correct response from the nurse?
Correct Answer: A
Rationale: Electomyrography tests the electric potential of the muscles and nerves leading to the muscles. It is done to evaluate muscle weakness or deterioration, pain, disability, and to differentiate muscle and nerve problems. A bone biopsy is done to identify bone composition. Bone densitometry is done to evaluate bone density. A bone scan would be appropriate to detect metastatic bone lesions.
Question 3 of 5
The nurse is taking an initial history of a new client with a musculoskeletal problem. Which factor is most important for the nurse to keep in mind for this assessment?
Correct Answer: C
Rationale: The focus of the initial history depends on the nature of the musculoskeletal problem, whether the client has a chronic disorder or a recent injury. If the disorder is long-standing, the nurse obtains a thorough medical, drug, and allergy history. If the client is injured, the nurse finds out when and how the trauma occurred. The client's age, lifestyle, or duration and location of discomfort or pain, although important, have little influence on the focus of the initial history and assessment of the client.
Question 4 of 5
A client is receiving treatment for a head injury. What action would the nurse take related to positioning to reduce the risk of further injury?
Correct Answer: D
Rationale: In cases of head injury, the nurse should elevate the client's head slightly while keeping the neck neutral to reduce the risk of further injury because of increased intracranial pressure. Maintaining the client in a sitting position or elevating the rest of the client's body slightly above the neck and head may cause discomfort to the client. On the other hand, if the neck and the head are positioned in line with the rest of the client's body, the risk of further injury to the client will not be reduced.
Question 5 of 5
The nurse is caring for a client who underwent an invasive joint examination of the knee. The nurse would closely monitor the client for what complication?
Correct Answer: B
Rationale: When the client undergoes an invasive knee joint examination, the nurse should inspect the knee area for swelling, bleeding, and serious drainage. An invasive joint examination does not cause lack of sleep or appetite, depression, or shock. The client may be in shock due to the injury itself.