What should be the most significant assessment when gathering data concerning the musculoskeletal system?
Degree of motion of all joints
Enlarged joints
Crepitus in joints
Slow gait
The Correct Answer is A
A. Degree of motion of all joints
Range of motion (ROM) reflects joint function, mobility, and physical independence, making it the most comprehensive and important musculoskeletal assessment.
B. Enlarged joints
This could indicate arthritis, but it does not quantify functional ability like ROM does.
C. Crepitus in joints
Common in older adults due to cartilage breakdown, but it is not as clinically significant as functional assessment.
D. Slow gait
Important but less specific than assessing actual joint mobility across the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Only ask questions with yes or no answers.
This limits communication and is not necessary. Hearing-impaired clients can engage in meaningful conversation when communication is properly supported.
B. Maintain eye contact with the client.
Maintaining eye contact and facing the client helps with lip reading and understanding facial cues, enhancing communication.
C. Stand to one side of the client and speak in their good ear.
Speaking directly in the ear is not appropriate as it may distort sound and invade personal space. Face the client instead.
D. Speak loudly with exaggerated enunciation.
This can actually distort speech and appear patronizing. Speaking clearly and at a normal volume is more effective.
Correct Answer is C
Explanation
A. Dementia: Usually presents with memory loss and cognitive decline, not primarily with low energy, insomnia, or anorexia.
B. Sarcopenia: This is muscle mass loss, which may cause weakness but is not associated with insomnia or anorexia.
C. Depression: In older adults, depression often presents with physical complaints like low energy, sleep disturbances, and appetite loss, even when labs are normal.
D. Diabetes: May cause fatigue, but typically includes additional findings like polyuria, polydipsia, and abnormal labs.
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