Chapter 59 Musculoskeletal Dysfunction: Nursing Management

Chapter 59  Musculoskeletal Dysfunction: Nursing Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A client is diagnosed with osteoarthritis. The nurse would not expect to find which of the following during assessment?
1.
Bouchard’s nodes
2.
Crepitus
3.
Heberden’s nodes
4.
Symmetrical joint involvement

ANS: 4
Symmetrical joint involvement is seen with rheumatoid arthritis, not osteoarthritis. Bouchard’s nodes, Heberden’s nodes and crepitus are all assessment findings consistent with osteoarthritis.

PTS: 1 DIF: Apply
REF: Osteoarthritis: Assessment with Clinical Manifestations

2. The nurse is instructing a client diagnosed with osteoarthritis. Which of the following statements indicates that the client understands these instructions?
1.
“Exercise will not be of help because it will stress my joints.”
2.
“I will need to lose weight; my doctor says about 20 pounds.”
3.
“I will take my medications only if the pain is very bad.”
4.
“I can still go on my marathon shopping trips with my daughter.”

ANS: 2
Exercise and weight reduction help maintain joint mobility and muscle strength. Walking can be done at home and is low stress to the joints. Scheduled medications should be taken to relieve inflammation, and pain medications should be taken before the pain gets “very bad.” The client should schedule rest periods with activity so as not to do too much at one time.

PTS: 1 DIF: Analyze
REF: Osteoarthritis: Collaborative Management; Evaluation of Outcomes

3. A client diagnosed with gout is concerned about the formation of nodules. The nurse should explain that these nodules are called:
1.
Bouchard’s nodes.
2.
cysts.
3.
Heberden’s nodes.
4.
tophi.

ANS: 4
A tophus is the characteristic nodule that develops in the patient with gout. A tophus consists of uric acid crystals. Bouchard’s and Heberden’s nodes are present in patients with osteoarthritis. Cysts are fluid-filled areas.

PTS: 1 DIF: Apply REF: Gout: Pathophysiology

4. A client is experiencing an acute attack of gout. The nurse should be prepared to provide which of the following medications as prescribed?
1.
Allopurinol
2.
Colchicine
3.
Probenecid
4.
Sulfinpyrazone

ANS: 2
Colchicine is used for the acute attack phase. The other medications would be used for further treatment of the gout.

PTS: 1 DIF: Apply REF: Gout: Pharmacology