Which statement is NOT true regarding myositis ossificans of the hip?

Correct Answer: A

Rationale: The correct answer is A because ultrasound, heat, and massage are NOT recommended treatments for myositis ossificans as they can potentially worsen the condition by promoting further inflammation and ossification. The ideal treatment involves rest, avoiding aggravating activities, and physical therapy focused on gentle range of motion exercises. Surgery may be considered in certain cases to remove the ossified tissue. Choices B, C, and D are all true statements regarding myositis ossificans, emphasizing the importance of preventing contractures, timing of surgery, and the definition of the condition.

Correct Answer: D

Rationale: The correct answer is D: Elbow. Heterotopic ossification is the abnormal formation of bone in soft tissues. In burn patients, the elbow joint is the most common site due to the frequent positioning of the arm during treatment, leading to immobilization and subsequent bone formation. The hip, shoulder, and knee joints are less commonly affected in burn patients. This is because the elbow joint is more prone to prolonged immobilization compared to the other joints, increasing the risk of heterotopic ossification.

Correct Answer: A

Rationale: The correct answer is A: Phonophoresis. Phonophoresis is a technique that uses ultrasound waves to enhance the delivery of medications through the skin. Ultrasound waves help to increase the permeability of the skin, allowing the medications to penetrate deeper into the tissues. This method is commonly used in physical therapy to treat various musculoskeletal conditions. Summary of other choices: B: Diathermy is a therapeutic technique that uses high-frequency electromagnetic currents for deep heating of tissues. C: Iontophoresis is a technique that uses electrical currents to drive medications into the skin. D: None of the above is incorrect as phonophoresis is the correct technique described in the question.

Correct Answer: C

Rationale: The correct answer is C: MRI. MRI is the 'gold standard' for evaluating the rotator cuff because it provides detailed images of soft tissues like tendons and muscles. It offers superior resolution compared to other imaging modalities, allowing for accurate detection of rotator cuff tears and other pathologies. Plain x-ray (A) is not ideal for soft tissue evaluation. Physical exam (B) can provide valuable information but may not definitively diagnose rotator cuff issues. Ultrasound (D) is useful but may not offer the same level of detail and accuracy as MRI for evaluating the rotator cuff.

Correct Answer: D

Rationale: The correct answer is D because it follows the proper sequence for abdominal palpation. Light palpation should always precede deep palpation to detect surface characteristics and allow the patient to get accustomed to being touched. This approach helps the nurse gather initial information and establish rapport with the patient. Palpating reportedly tender areas should not be avoided (Choice A) as it is important to assess all areas for potential issues. Quickly palpating a tender area (Choice B) may cause unnecessary discomfort to the patient. Beginning with deep palpation (Choice C) before light palpation is not recommended as it may cause discomfort and prevent the nurse from effectively assessing the abdomen.