MS2 EXAM2 MUSCULOSKELETAL
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Absorbing shock between adjacent vertebrae is the function of disks made of which of the following?
Which of the following is the transmitter at neuromuscular junctions?
Muscles are attached to bones by which of the following?
Which of the following is the part of the brain that initiates muscle contraction?
Which of the following organ systems is not considered directly necessary for muscle contraction?
The nurse is inspecting the knee of a pt who reports pain and stiffness. As the pt moves the knee the nurse hears a grating sound. The nurse documents the grating sound as which of the following?
When the nurse observes a joint that has a grating sound with movement, which of the following actions should the nurse take next?
Avoid joint movement
The nurse is gathering functional data on a pt w/rhematoid arthritis. Which of the following areas would the nurse include in the assessment?
Ability to prepare food
Following a pt's bone biopsy, the nurse inspects the biopsy site. The nurse is monitoring for which of the following complications that may occur immediately following a biopsy?
The nurse understands that increased pain that is unresponsive to analgesic medication in a pt who has had a biopsy may indicate which of the following?
Bleeding in soft tissue
Which of the following would be included in nursing preoperative care for a pt who will have an arthroscopy of the knee with ligament repair in the morning?
- NPO after midnight
- Explaining coughing and deep breathing exercises
Which of the following is the recommended protocol for caring for a severed body part that may be replanted?
Wrap it in a cool moist cloth
Which of these laboratory values should the nurse monitor for a pt w/gout?
A patient is in skin traction using a foam boot with Velcro fasteners for a fractured hip. The nurse would document this type of skin traction as which of the following?
A patient sustains a closed fracture of the right tibia and is placed in a long-leg plaster cast, which is still damp. Which of the following methods should the nurse use to move the cast without causing complications?
Palm the cast to move it
A pt is being treated w/gold therapy for rhematoid arthritis. Which of the following interventions is essential when gold therapy is started?
- Giving a test dose of gold
- Monitoring the patient after the injection
The nurse is caring for a patient who has a fractured ankle that is in a cast. The patient has morphine 10 to 15 mg IM ordered every 3 to 4 hrs. The pt received morphine 10mg 2hrs and 45 min ago and is rating the pain at 10+ and moans that the leg hurts. The pt has good capillary refill. Which action is most appropriate for the nurse to take next?
Prepare morphine 15 mg for administration
The nurse turns a 2day postop pt w/a right total hip replacement using 3 pillows between the legs. The nurse later returns and finds the pt lying supine w/legs crossed. What should the nurse monitor to determine whether a complication has developed?
Monitor the right leg for shortening
Discharge teaching for patients who have gout includes diet teaching. Patients will require additional teaching if they say they will be eating which one of the following?
Which of the following medicatins should a patient with gout be encouraged to avoid to prevent a gout attack?
The nurse is reviewing an erythrocyte sedimentation rate (ESR) for a patient. Which of the following does the nurse understand is the purpose of an ESR test?
To identify the presence of systemic inflammation
Which of the following is a common nursing diagnosis that the nurse will include in POC for a patient with lupus?
A patient asks why a test dose of gold therapy is necessary. Which of the following is the most appropriate response by the nurse?
To assess for an allergic reaction
What symptoms would the nurse most likely to told was the first symptom that caused a patient with rheumatoid arthritis to seek health care?
Stiff, sore joints
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