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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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