NCLEX Secrets about Musculoskeletal Injuries (36-40)

NCLEX Secrets about Musculoskeletal Injuries

36. A patient was admitted and diagnosed with fibromyalgia. Which of the following is true of the disease?

a) the disease is characterized by muscle weakness
b) the signs and symptoms are relieved by steroids
c) the disease is related to arthritis
d) the disease is characterized by tender points in the different parts of the body and headache

37. The client with cervical spinal cord injury is on halo-vest traction. Which of the following emergency equipment is most important to keep readily available at the bedside?

a) small wrench
b) suction apparatus
c) ambu bag
d) tracheostomy tray

38. The client had undergone total hip replacement. Which of the following crutch-walking gaits is most appropriate for the client?

a) four-point gait
b) two-point gait
c) swing-to gait
d) three-point gait

39. Which non-pharmacologic intervention should the nurse include in the care plan for a patient who has moderate rheumatoid arthritis?

a) massaging inflamed joints
b) avoiding range of motion
c) selecting clothing that have Velcro fasteners
d) using assistive devices at meal times

40. A client with Paget's disease develops osteoporosis due to

a) vitamin D deficiency
b) inadequate calcium in diet
c) bone resorption is rapid
d) lack of pressure on the bones




NCLEX Secrets about Musculoskeletal Injuries:
ANSWERS AND RATIONALE

36) D
- fibromyalgia is characterized by muscle pain and tender points in the different parts of the body and headache. Treatment of choice is non-steroidal anti-inflammatory drugs.

37) A
- the small wrench taped over the vest will be used for untightening the screws of the traction if CPR needs to be done to the client with halo-vest traction.

38) D
- three point gait is the most appropriate crutch gait for the client who had undergone total hip replacement. It is a non-weight bearing crutch gait.

39) C
- selecting clothing that have Velcro fasteners facilitates task of the client with rheumatoid arthritis. Joints of fingers of the client are the most commonly affected joint. This makes it difficult for the client to perform activities of daily living like dressing and grooming.

40) C
- paget's disease is characterized by very rapid bone resorption, followed by very rapid bone regeneration. However, the new bone tissues formed are weak. The client is prone to fracture.




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