NEW Musculoskeletal System (ATI Med/Surg) QUESTIONS AND CORRECTLY RATIONALE ANSWERS 2024 GRADED A+

NEW
Musculoskeletal
System (ATI
Med/Surg)
QUESTIONS AND
CORRECTLY
RATIONALE
ANSWERS 2024
GRADED A+
A 70-year-old client is diagnosed with cartilaginous degeneration.
Which action should the nurse take?
Multiple choice question
Advise the client to use moist heat
Teach the client isometric exercises
Provide the client with supportive armchairs
Demonstrate weight-bearing exercises to the client - ANSWER-Advise
the client to use moist heat
RATIONALE=Clients with cartilaginous degeneration are advised to take
moist heat showers because they increase blood flow to the region.
Isometric exercises are indicated for clients with muscular atrophy.
Sitting in a supportive armchair provides support to bony structures
and prevents further deformities in a client with kyphosis. Weightbearing exercises are indicated in clients with decreased bone density.
A client is on tobramycin therapy. Which assessment findings should be
given priority? Select all that apply.
Throat sores
Blurred vision
Watery diarrhea
Hearing impairment
Decreased sense of smell - ANSWER-Blurred vision
Rationale
The client may suffer blurred vision, hearing impairment, or decreased
sense of smell as side effects associated with tobramycin. These
findings should be given high priority, and measures to reverse the
toxicity should be taken so as to prevent permanent damage. Excessive
use of tobramycin is associated with side effects that include
nephrotoxicity, neurotoxicity, and hearing deficit. Neurotoxicity results
in damage to the nerves that affect the functioning of sensory organs
(e.g., eyes, ears, nose, skin). Throat sores and watery diarrhea are the
symptoms of cephalosporins such as cephazolin.
A client is on tobramycin therapy. Which assessment findings should be
given priority? Select all that apply.
Throat sores
Blurred vision
Watery diarrhea
Hearing impairment
Decreased sense of smell - ANSWER-Blurred vision
Rationale
The client may suffer blurred vision, hearing impairment, or decreased
sense of smell as side effects associated with tobramycin. These
findings should be given high priority, and measures to reverse the
toxicity should be taken so as to prevent permanent damage. Excessive
use of tobramycin is associated with side effects that include
nephrotoxicity, neurotoxicity, and hearing deficit. Neurotoxicity results
in damage to the nerves that affect the functioning of sensory organs
(e.g., eyes, ears, nose, skin). Throat sores and watery diarrhea are the
symptoms of cephalosporins such as cephazolin.
The nurse is planning care for an immobilized client who has suffered a
stroke. The client has right-sided hemiparesis. Which activity takes
priority for this client?
Assess the client lung sounds every 8 hours.
Assist the client in performing range-of-motion (ROM) exercises every 1
to 2 hours.
Allow the client to sit upright in the chair for as long as tolerated.
Have the nursing assistant turn and reposition the client every 2 to 3
hours. - ANSWER-Assist the client in performing range-of-motion (ROM)
exercises every 1 to 2 hours.
Rationale
ROM exercises should be performed often to prevent muscle atrophy
and contractures. Assessing the client's lung sounds every 8 hours is the
minimum the nurse should assess lung sounds, and it is important, but
it is not a priority in planning care for immobilization. The client should
not be allowed to dangle in a chair for prolonged periods of time
because of skin breakdown and venous return. The nursing assistant
should be instructed to turn the client at least every 2 hours.
Identify abnormal assessmenthe t findings in client's musculoskeletal
system.
Multiple selection question
Joint crepitation
Muscular atrophy
Muscle strength of 5
Tenderness of the spine
Full range of motion in joints - ANSWER--Joint crepitation
-Muscular atrophy
-Tenderness of the spine
Crepitation, a cracking and popping sound of the joint, is not a normal
assessment finding. Muscular atrophy, wasting of the muscle, is also an
abnormal finding. Spine tenderness on palpation of spine, joints, or
muscles is not a normal finding on physical assessment of the
musculoskeletal system. Muscle strength of 5 indicates active
movement of the muscle against full resistance without evident fatigue,
or normal muscle strength. Full range of motion in the joints is a normal
finding