The pyrexia response is triggered by the production and release of
A.
During expiration, the internal intercostals
B.
The diaphragm is the dominant muscle during respiration. It contracts and pushes downward during inspiration to increase the intrathoracic space. The external intercostal muscles increase the AP diameter during inspiration and the internal intercostals decrease the lateral diameter during expiration.
The perception of pain
B.
Underestimation of blood pressure will occur if the cuff’s width covers
B.
Which pulse characteristic in the neonate may indicate infection?
B.
Infants delivered by Cesarean section demonstrate which respiratory characteristic in comparison to infants delivered vaginally?
D.
Which occurs with malignant hypertension? (Select all that apply.)
a. Blurred vision
b. Sleep disturbance
c. Tachycardia
d. Dyspnea
e. Encephalopathy
A, D, E
Signs of malignant hypertension include headache, blurred vision, dyspnea, and encephalopathy.
The type of joint that has the widest range of motion in all planes is the
C.
Spinal vertebrae are separated from each other by
A.
The joint where the humerus, radius, and ulna articulate is the
D.
The articulation of the radius and carpal bones is the
B.
The tibia, fibula, and talus articulate to form the
A.
Long bones in children have growth plates known as
D.
The elasticity of pelvic ligaments and softening of cartilage in a pregnant woman are the result of
A.
Skeletal changes in older adults are the result of
C.
Light skin and thin body habitus are risk factors for
B.
Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of
C.
A particular concern
with the older adults is that this may be a sign of intermittent claudication.
Fasciculation occurs after injury to a muscle’s
A.
The physical assessment technique most frequently used to assess joint symmetry is
B.
A goniometer is used to assess
B.
The angle of a joint can be accurately measured by using a goniometer. A goniometer is used
when the joint range of motion is beyond normal limits.
When palpating joints, crepitus may occur when
C.
The temporomandibular joint is palpated
C.
The temporalis and masseter muscles are evaluated by
A.
The strength of the trapezius muscle is evaluated by having the patient
B.
Expected normal findings during the inspection of spinal alignment include
C.
Spinal alignment is considered within normal limits when the patient’s head is positioned directly over the gluteal cleft. The skin folds should be symmetric, the scapulae are at even heights, and both the cervical and lumbar curves are convex.
A common finding in markedly obese patients and pregnant women is
C.
Bowing of the back, or lordosis, is more commonly found in pregnant women or obese patients because of an altered center of gravity. Kyphosis is more commonly seen in older adults. Paraphimosis is a penile condition. Scoliosis is more commonly seen in teenagers
A wheelchair-dependent older woman would most likely develop skin breakdown at
D.
When the patient flexes forward at the waist, which spinal observation would lead you to suspect scoliosis?
A.
When a patient abducts an arm and the ipsilateral scapula becomes more prominent (winged), this usually means that
A.
When the shoulder contour is asymmetric and one shoulder has hollows in the rounding contour, you would suspect
B.
Ulnar deviation and swan neck deformities are characteristics of
C.
A finding that is indicative of osteoarthritis is (are)
C.
Carpal tunnel syndrome would result in
B.
Median nerve compression, as in carpal tunnel syndrome, results in a positive Tinel sign, positive Phalen test, reduced abduction of the thumb, and sparing of palm tingling.
Cardinal signs for rheumatoid disorders include which of the following? (Select all that apply.)
a. Gradual onset
b. Weakness that is usually localized and not severe
c. Coarse crepitus on motion
d. Joint tenderness
e. Sleep disturbance
ANS: A, D, E
Hallmark signs of rheumatoid arthritis are gradual onset of stiffness for 1 hour after rising, sleep disturbance, joint tenderness, and medium to fine crepitus.
Neer test
C.
Hawkins test
A.
Katz hand diagram
B.
Straight leg raising
A.
Femoral stretch test
B.
Ballottement
C.
Bulge sign
C.
McMurray test
D.
Anterior and posterior drawer test
A.
Varus-valgus stress test
B.
Lachman test
B.
Thomas test
B.
Trendelenburg sign
A.
Author
BodeS
ID
364790
Card Set
week 8
Description
CH 6 Vital Signs and Pain Assessment
CH 22 Musculoskeletal system
