Assess it
What assessment techniques are used in the musculoskeletal system?
What is inspection and palpation?
How do you assess flexion?
What is have a patient bend a limb at a joint?
During a musculoskeletal assessment, the patient complains of pain. What should the nurse do?
What is stop and document findings?
What does subluxation indicate?
What is a dislocation?
What is polydactyly?
What is an extra digit?
What assessment techniques are used in the breast, axillae, and lymphatics system?
What are inspection and palpation?
How do you assess extension?
What is straightening a limb at a joint?
Which of the following statements from the patient requires further education?
A. I should not smoke.
B. I should have a low sodium diet.
C. I need to exercise at least 3 times a week 30 minutes each time.
D. I do not have to wear a bike helmet when riding because I am older.
What is D?
Which of the following is the examiner's first action when assessing the musculoskeletal system?
A. Have the patient move the extremities against resistance
B. Feel for the presence of fluid in the joints
C. Observe the patient's joints, muscle and bones for symmetry
D. Check active and passive range of motion for the extremities
What is C?
What is syndactyly?
What is webbed fingers?
What is the proper pattern for palpation of breasts?
What is vertical strip pattern of palpation?
How do you assess abduction?
What is have a patient move a limb away from the midline of the body?
How should the nurse educate a patient to perform a breast self exam?
What is perform right after menstrual period (day 4-7) of cycle or same time of month, palpate in shower and lying supine, using the vertical strip pattern with three stages of palpation (touch, light palpation, deep palpation)?
What is full extension?
Which condition is characterized by hard, nontender, noninflammatory nodules?
What is osteoarthritis?
What positions do you place the patient in for a breast and axillae exam?
What is supine with arms raised over head, sitting up and hands on hips leaning forward, and raising relaxed arm?
How do you assess retraction?
What is have the patient move a body part backward and parallel to the ground?
What unexpected findings should the nurse educate a patient to report?
What is dimpling, edema, fixation, deviation in nipple pointing, inflammation, erythema, and lumps/masses?
When the nurse is inspecting and palpating a patient's hand and fingers, the patient reports tenderness and swelling is visible. What condition should the nurse be suspecting?
What is rheumatoid arthritis?
What is a condition is characterized by redness, swelling, warmth, and sudden extreme pain?
What is gout?
If you feel a lump or mass, what do you document?
What is location, size, shape, consistency, movable, distinctness, nipple, skin over lump, tenderness, lymphedema?
How do you assess circumducion?
What is have the patient move the arm in a circle around the shoulder?
A nurse is educating a patient with scoliosis on how physical therapy will help with breathing. Which response by the nurse is correct?
A. Certain exercises can help expand the rib cage increasing lung capacity.
B. The exercises will teach the lungs to support the spine.
C. Physical therapy will teach you to shallow breathe.
D. Exercising causes you to breathe heavily.
What is A?
Which findings are expected versus unexpected?
Full range of motion against gravity with full resistance
Patient able to raise leg to 90 degrees
Loud pop/dislocation with open and closing mouth
Decreased pulse strength in extremities
Lifts or shrugs shoulders with abduction
Slight flexion of the hips and knees in older adults
External rotation of the lower leg and foot
Expected:
Full range of motion against gravity with full resistance, patient able to raise leg to 90 degrees, slight flexion of the hips and knees in older adults
Unexpected:
Loud pop/dislocation when opening/closing mouth, decreased pulse strength in extremities, lifts or shrugs shoulders with abduction, external rotation of the lower leg and foot
What is the most common musculoskeletal condition that affects nurses?
What is plantar fasciitis?