Which patient’s description of pain is consistent with injury to a bone?

1. Which patient’s description of pain is consistent with injury to a bone?

1. “Deep, dull, and boring”

2. “Cramping even when not moving”

3. “Intermittent, sharp, and radiating”

4. “Tingling with pins and needles sensation with movement”

2. How does the nurse determine if a patient’s musculoskeletal examination is normal?

1. By reading the examination findings documented in the patient’s chart

2. By comparing findings from other patients in the same age group

3. By reading descriptions in health assessment books

4. By comparing the patient’s left side with the right side

3. While assessing a patient’s bicep muscle strength, the nurse applies resistance and asks the patient to perform which motion?

1. Extension of the arm

2. Flexion of the arm

3. Adduction of the arm

4. Abduction of the arm

4. The nurse assessing the patient’s muscle strength finds that the patient has full resistance to opposition. Using Table 14.1, how would this finding be documented?

1. Poor or 2/5

2. Fair or 3/5

3. Good or 4/5

4. Normal or 5/5

5. While assessing the range of motion of the patient’s knee, the nurse expects the patient to be able to perform which movements?

1. Flexion, extension, and hyperextension

2. Circumduction, internal rotation, and external rotation

3. Adduction, abduction, and rotation

4. Flexion, pronation, and supination

6. A patient reports joint pain interfering with sleep and morning joint stiffness for the first hour after getting out of bed. Considering this report, what abnormal findings does the nurse anticipate during the examination?

1. Hot, painful, deformed, and edematous wrists and peripheral interphalangeal joints bilaterally

2. Decreased range of motion of one hip and knee, with pain on flexion and crepitus during movement of these joints

3. Erythema in one great toe, ankle, and lower leg that is painful to the touch

4. Abrupt onset of local tenderness, edema, and decreased range of motion of the shoulder and hip bilaterally

7. The nurse is comparing the right and left legs of a patient and notices that they are asymmetric. Which additional data does the nurse collect at this time?

1. Passively moves each leg through range of motion and compares the findings

2. Observes the patient’s gait and legs as he or she walks across the room

3. Measures the length of each leg and compares the findings

4. Palpates the joints and muscles of each leg and compares the findings

8. A patient complains of her jaw popping when chewing. Which examination techniques are appropriate for the nurse to use with this patient?

1. Inspecting the musculature of the face and neck for symmetry

2. Observing the range of motion of and palpating each temporomandibular joint for movement, sounds, and pain

3. Asking the patient to move her chin to her chest, hyperextend her head, and move her head from the right side to the left side

4. Asking the patient to open her mouth as widely as possible and inspecting the lower jaw for redness, edema, or broken teeth

9. When a nurse asks a patient to place the right arm behind the head, the nurse is assessing for which range of motion?

1. Flexion of the elbow

2. Hyperextension of the shoulder

3. Internal rotation and adduction of the shoulder

4. External rotation and abduction of the shoulder

10. With the patient in a supine position, how does a nurse assess the external rotation of the patient’s right hip?

1. Asking the patient to move the right leg laterally with the right knee straight

2. Asking the patient to flex the right knee and turn medially toward the left side (inward)

3. Asking the patient to place the right heel on the left patella

4. Asking the patient to raise the right leg straight up and perpendicular to the body

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