Essay on Chapter 62 Nursing Assessment Musculoskeletal System
1. A 42-year-old male patient complains of shoulder pain when the nurse moves his arm behind
the back. Which question should the nurse ask?
a. “Are you able to feed yourself without difficulty?”
b. “Do you have difficulty when you are putting on a shirt?”
c. “Are you able to sleep through the night without waking?”
d. “Do you ever have trouble lowering yourself to the toilet?”
The patient’s pain will make it more difficult to accomplish tasks like putting on a shirt or jacket. This pain should not affect the patient’s ability to feed himself or use the toilet because these tasks do not involve moving the arm behind the patient. The arm will not …show more content…
a. The patient takes a daily multivitamin and calcium supplement.
b. The patient takes hormone therapy (HT) to prevent “hot flashes.”
c. The patient has severe asthma and requires frequent therapy with oral corticosteroids. d. The patient has migraine headaches treated with nonsteroidal antiinflammatory drugs (NSAIDs).
Frequent or chronic corticosteroid use may lead to skeletal problems such as avascular necrosis and osteoporosis. The use of HT and calcium supplements will help prevent osteoporosis. NSAID use does not increase the risk for musculoskeletal problems.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
7. The nurse finds that a patient can flex the arms when no resistance is applied but is unable to
flex when the nurse applies light resistance. The nurse should document the patient’s muscle strength as level
A level 3 indicates that the patient is unable to move against resistance but can move against gravity. Level 1 indicates minimal muscle contraction, level 2 indicates that the arm can move when gravity is eliminated, and level 4 indicates active movement with some resistance.
DIF: Cognitive Level: Understand (comprehension)