CHAPTER 6 Musculoskeletal System^281
- In obtaining the patient history for your patient with carpal tunnel syn-
drome, you would expect to note a history of:
(a) pain and numbness or tingling sensation in the hand (over the palmar
surface of the thumb, index finger, middle finger, and lateral aspect of
the ring finger) that is worse at night.
(b) crepitus (grating feeling on palpation over joint during range of motion)
due to loss of articular cartilage and bony overgrowth in joint.
(c) excessive forward curvature of the thoracic spine (kyphosis) due to
pathologic vertebral fractures, and collapsing of the anterior portion of
the vertebral bodies in the thoracic area.
(d) acute onset of excruciating pain in joint due to accumulation of uric
acid within the joint. - Initial treatment of the patient with a fracture should include:
(a) surgical reduction of the fracture.
(b) insertion of internal fixation device.
(c) reduction of the fracture.
(d) immobilization of the area. - The first priority of care of the patient with a new fracture includes assessing:
(a) respiratory rate and effort, pulse.
(b) the fracture site for bleeding.
(c) for signs of infection at the wound site of an open fracture.
(d) for circulation and sensation distal to the fracture site. - Patients with a history of osteoporosis have an increased risk for:
(a) infection in the bone.
(b) peripheral blood clot formation.
(c) painful joint inflammation.
(d) fracture formation. - Teaching patients about proper use of bisphosphonate medications for
treatment of osteoporosis should include taking medication:
(a) on a full stomach.
(b) first thing in the morning on an empty stomach with a full glass of
water, 30 to 60 minutes before eating, without lying down.
(c) just before getting into bed.
(d) with an acidic liquid, like orange juice.