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Chapter 4 Care of the Patient with a Musculoskeletal Disorder
Complete chapter Questions And Answers
Sample Questions
MULTIPLE CHOICE
1. What is the movement of an extremity away from the midline of the body called?
a. |
Abduction |
b. |
Adduction |
c. |
Flexion |
d. |
Extension |
ANS: A
Abduction is movement of an extremity away from the midline of the body.
DIF:Cognitive Level: KnowledgeREF:Page 114, Box 4-2
OBJ: 6 TOP: Movements KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
2. What is the large, fan-shaped muscle that covers the anterior chest from the sternum to the proximal end of the humerus and acts on the joint of the shoulder to flex, adduct, and rotate?
a. |
Serratus anterior |
b. |
Intercostal |
c. |
Transversus abdominis |
d. |
Pectoralis major |
ANS: D
Pectoralis major is the large, fan-shaped muscle that covers the anterior chest and is an adductor muscle, which will cause the shoulder to flex.
DIF:Cognitive Level: KnowledgeREF:Page 116, Figure 4-4
OBJ:4TOP:Muscle functions
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
3. What should the nurse instruct the patient before a magnetic resonance imaging (MRI) procedure?
a. |
Void to completely empty the bladder |
b. |
Omit all citrus food for 12 hours before the procedure |
c. |
Remove all metal, such as jewelry, glasses, and hair clips |
d. |
Wear only cotton garments for the procedure |
ANS: C
MRI procedures require that the patient remove all metal because it will become magnetized.
DIF: Cognitive Level: Application REF: Page 116 OBJ: 7
TOP: Diagnostic examinations KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
4. The nurse instructs the patient who is to have a unicompartmental knee replacement that a major advantage of this partial knee replacement is that:
a. |
the patient will be up and walking 2 to 3 hours after the operation. |
b. |
the kneecap is completely removed. |
c. |
the procedure is especially helpful in the treatment of rheumatoid arthritis. |
d. |
a small titanium disk replaces the worn cartilage. |
ANS: A
Unicompartmental knee arthroplasty is also referred to as partial knee replacement in which the worn cartilage is replaced with a plastic disk. It is not as invasive as a full knee replacement and does not disturb the kneecap so that the patient can be up and walking in 2 to 3 hours after surgery. It is not recommended for RA patients.
DIF: Cognitive Level: Comprehension REF: Page 136 OBJ: 13
TOP:Unicompartmental knee replacement
KEY:Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
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