NCLEX Secrets about Musculoskeletal Injuries (31-35)

NCLEX Secrets about Musculoskeletal Injuries

31. The client is diagnosed to have fibromyalgia. Which of the following signs and symptoms is commonly experienced by the client?

a) irritability
b) headache
c) fever
d) lethargy

32. The client is being prepared for crutch-walking. Which of the following health teachings should be included?

a) flex the arms at 90 degree angle with the crutches
b) the axillae should rest on both crutches
c) bear weight on the palms of the hands
d) going up and down the stairs is not allowed when using crutches

33. The nurse notes that the client on cast has diminished distal pulse. Which of the following is the most appropriate nursing action?

a) check the client's vital signs
b) get doppler and check for distal pulse
c) elevate the affected feet
d) notify the physician

34. The client will go electromyography (EMG). Which of the following information should be given when preparing the client for this procedure?

a) a contrast medium will be injected into your vein
b) you will be placed in a tunnel-like device
c) electrode needles will be inserted into your muscles
d) scalp electrodes will be applied and graphical recording of electrical activities of your brain will be done

35. X-rays confirm that a patient has a fractured femur. While the patient is in balanced skeletal traction, which of these measures is important?

a) adjusting the weights when moving him up in bed
b) supporting his affected leg in plantar flexion
c) raising him up in bed whenever he slips down
d) maintaining him in semi-fowler's position





NCLEX Secrets about Musculoskeletal Injuries:
ANSWERS AND RATIONALE

31) B
- fibromyalgia is a chronic syndrome of musculoskeletal tissues characterized by chronic widespread pain. Assessment: painful muscles, fatigue, sleep disturbances, headache, restlessness leg syndrome, depression.

32) C
- when using crutches, the client should bear weight on the palms of the hands not on the axillae. This is to prevent crutch palsy.

33) D
- diminished distal pulse in an extremity on cast indicates that the cast is too tight. This leads to circulatory impairment. Therefore, the physician should be notified. Bivalving/splitting of the cast will be done by the physician to prevent necrosis and gangrene formation.

34) C
- in EMG, electrode needles will be inserted into the muscles. There will be mild discomfort.

35) C
- raising the patient with traction, up in bed whenever he slips down maintains efficiency of the traction.


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