28 Questions
Which of the following is NOT a component of the musculoskeletal system?
Heart
What is the primary function of the musculoskeletal system?
Support and protection of body organs
What is the role of joints in the musculoskeletal system?
Allowing body movement
What is the primary purpose of conducting a health history assessment for a patient with musculoskeletal dysfunction?
To gather data on exercise patterns
What is the primary goal of the medical management for osteomyelitis?
Controlling infection
Which diagnostic test is commonly used for assessing osteoarthritis?
Joint aspiration
What is the most common symptom of low back pain?
Morning stiffness
What is the primary risk factor for developing osteomyelitis?
Aging
Which procedure may be considered for some cases of osteoarthritis?
Bone grafting
Which diagnostic test is commonly used for assessing osteomyelitis?
X-rays
What is the main symptom of osteomyelitis?
Fever
Which diagnostic evaluation is used to detect bone disease before it can be seen on x-rays?
Bone scans
What is the purpose of arthrography in musculoskeletal system diagnostic evaluations?
To visualize joint structures
What is the primary purpose of performing arthrocentesis (joint aspiration) in nursing interventions during imaging techniques?
To obtain synovial fluid for examination
Which imaging technique provides high-resolution images of bones and soft tissues using magnetic fields and radio waves?
Magnetic resonance imaging (MRI)
What should nursing staff prohibit patients with cardiac pacemakers from undergoing?
Magnetic resonance imaging (MRI)
What is the primary purpose of a bone densitometry in musculoskeletal system diagnostic evaluations?
To evaluate bone density changes
Which diagnostic test is commonly used for assessing disc disease of the spine?
MRI
What is the primary purpose of using muscle relaxants in non-surgical treatment for back pain?
To relieve pain
What surgical treatment option involves removing the disc and replacing it with artificial parts?
Disc Replacement
Which intervention consists of the insertion of needles at specific acupuncture points?
Acupuncture
What is the primary indication for total hip replacement surgery?
Hip pain that limits everyday activities
What is the primary purpose of using an abduction pillow after hip replacement surgery?
To prevent dislocation of the joint
What specific post-operative complication may lead to osteomyelitis?
Infection
Which medication should be taken on a routine schedule rather than as needed for back pain?
Muscle Relaxants
Which surgical procedure involves the stabilization of a reduced fracture by using metal nails, pins, or plates?
Internal Fixation
What is the primary purpose of using ice bags over the incision after total hip replacement surgery?
To decrease fluid or blood accumulation
Which action should the patient avoid to prevent displacement of the hip joint after total hip replacement surgery?
Bringing the operative leg up toward the chest
Study Notes
- Pain is described as a dull, deep ache that can interfere with sleep and movement, sometimes indicating joint sprain, muscle strain, or compartment syndrome.
- Musculoskeletal problems can cause altered sensation, including paresthesias (sensations of burning, tingling, or numbness), which may be caused by pressure on nerves or circulatory impairment.
- Muscle strength and size are assessed through noting muscular strength and coordination, muscle size, and a patient's ability to change positions, with weakness indicating potential issues.
- The skin is inspected for edema, temperature, color, and signs of injury or cuts.
- Posture is assessed for normal curvature and common deformities,eg Kyphosis (increased thoracic spine curvature), lordosis (exaggerated lumbar spine curvature), and scoliosis (lateral spinal deviation).
- Gait is assessed by having the patient walk away from the examiner for a short distance.
- Bone integrity is assessed for deformities, alignment, symmetry, and abnormal growth or fracture findings.
Musculoskeletal system diagnostic evaluations include:
- X-rays, which determine bone density, texture, erosion, and changes in bone relationships, requiring multiple views and potentially serial imaging for full assessment.
- Computed tomography (CT) scans, which provide more detailed cross-sectional imaging and can assess soft tissue, ligaments, tendons, and severe trauma to various body areas.
- Magnetic resonance imaging (MRI), a noninvasive technique that uses magnetic fields and radio waves to create high-resolution images of bones and soft tissues, used to diagnose torn muscles, ligaments, cartilages, herniated discs, and various hip or pelvic conditions.
- Bone scans, which detect bone disease before it can be seen on x-rays and can diagnose stress fractures.
- Arthrography, which injects a contrast agent into the joint cavity to visualize joint structures, including ligaments, cartilage, tendons, and joint capsule, and assess joint pain and progression of joint disease.
- Bone densitometry, which evaluates bone metabolic diseases through accurate monitoring of bone density changes in patients with osteoporosis.
Nursing interventions during imaging techniques include:
- Instructing the patient to lie still during the procedure.
- Preparing the patient for conditions that may require special consideration during the study, such as pregnancy, claustrophobia, disabilities, or metal implants.
- Assessing the patient for possible allergies before using contrast agents for CT scans, MRIs, or arthrography.
- Providing comfort measures such as mild analgesics and ice bags.
- Removing metal pins or magnetic cards before MRI and CT scans.
- Prohibiting patients with cardiac pacemakers from undergoing MRI and CT scans.
- Performing arthrocentesis (joint aspiration) to obtain synovial fluid for examination or to relieve pain due to joint effusion.
Test your knowledge about electromyography (EMG), a diagnostic procedure that provides information about the electrical potential of muscles and nerves. Learn about the insertion of needle electrodes, reading responses on an oscilloscope, and post-study care.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
