Unexpected findings of the musculoskeletal assessment are all of the following except?
Joint deformity.
Symmetrical degrees of movement.
Limited ability to complete the maneuver.
Differences in movement between the right and left sides of the body.
The Correct Answer is B
Choice A reason: Joint deformity is an unexpected musculoskeletal finding, indicating conditions like arthritis or trauma, requiring intervention. Symmetrical movement is normal. Assuming deformity is expected risks neglecting serious issues, delaying treatments like physical therapy or surgery, critical for restoring function and preventing disability in affected patients.
Choice B reason: Symmetrical degrees of movement are expected in musculoskeletal assessments, indicating normal joint function and muscle strength. Asymmetry, deformity, or limited movement are abnormal. Recognizing this ensures focus on true abnormalities, guiding accurate diagnosis and interventions for musculoskeletal issues, critical for maintaining mobility and function in patients.
Choice C reason: Limited ability to complete maneuvers is an unexpected finding, suggesting joint stiffness, pain, or weakness, possibly from arthritis or injury. Symmetrical movement is normal. Assuming this is expected risks missing treatable conditions, delaying interventions like therapy or medication, critical for improving musculoskeletal function and patient quality of life.
Choice D reason: Differences in movement between right and left sides are unexpected, indicating asymmetry from conditions like stroke or injury. Symmetrical movement is normal. Assuming asymmetry is expected risks overlooking neurological or musculoskeletal issues, delaying diagnosis and rehabilitation, critical for restoring balanced function in patients with movement disparities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A friction rub is a scratching or squeaking sound from inflamed pleural surfaces, persisting throughout the respiratory cycle and unaffected by coughing, as pleural inflammation (e.g., pleurisy) causes consistent friction. Accurate recognition ensures proper reporting, guiding diagnosis and treatment of underlying conditions like pneumonia or pulmonary embolism in respiratory assessments.
Choice B reason: Assuming false is incorrect, as friction rubs indeed persist through the respiratory cycle without clearing by coughing, unlike rhonchi. Misidentifying this risks misdiagnosis, potentially overlooking pleural inflammation needing anti-inflammatory or antibiotic therapy, delaying treatment and increasing complications in patients with respiratory conditions causing friction rubs.
Correct Answer is D
Explanation
Choice A reason: A blood pressure of 90/80 mmHg is below normal, indicating hypotension, especially with a low systolic value. Normal adult blood pressure, per guidelines, is around 120/80 mmHg. Low readings may suggest dehydration or cardiovascular issues, requiring evaluation, making this choice incorrect.
Choice B reason: A reading of 95/60 mmHg is hypotensive, with both systolic and diastolic values below normal ranges. Normal blood pressure is approximately 120/80 mmHg, per American Heart Association guidelines. Such low readings may indicate shock or autonomic dysfunction, rendering this choice incorrect.
Choice C reason: A blood pressure of 180/60 mmHg is abnormal, with elevated systolic pressure indicating hypertension and a low diastolic value suggesting possible aortic regurgitation. Normal blood pressure is 120/80 mmHg. This reading requires urgent assessment, making it an incorrect choice for normal adult values.
Choice D reason: A blood pressure of 120/80 mmHg is considered normal for adults, per current guidelines like those from the American Heart Association. It reflects balanced systolic and diastolic pressures, indicating healthy cardiovascular function without signs of hypertension or hypotension, making it the correct choice.
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