Which assessment is subjective as it relates to the musculoskeletal system?
Vital signs: Temperature 98.2, Pulse 92 bpm, Respirations 18/min, BP 136/84 mm Hg, Oximeter reading 98%.
Patient has been taking nonsteroidal anti-inflammatory drugs (NSAIDs) for his right elbow pain.
Pain 7 to 8.
Grimacing and holding affected body part.
The Correct Answer is C
Choice A reason: Vital signs are objective, measurable data, not specific to musculoskeletal assessment or subjective experience. Pain, a subjective report, better fits the question. Assuming vital signs are subjective risks misclassifying data, leading to errors in prioritizing patient-reported symptoms like pain, critical for musculoskeletal care planning and intervention.
Choice B reason: Taking NSAIDs is a factual history, not a subjective assessment. Subjective data, like pain severity, reflect patient experience. Assuming medication use is subjective misaligns with assessment principles, risking neglect of patient-reported symptoms like pain, essential for evaluating musculoskeletal conditions and guiding effective pain management strategies.
Choice C reason: Pain rated 7 to 8 is subjective, based on the patient’s personal experience, central to musculoskeletal assessment for conditions like arthritis or injury. This guides pain management, like adjusting NSAIDs. Accurate identification ensures patient-centered care, addressing discomfort and improving function, critical for musculoskeletal health outcomes.
Choice D reason: Grimacing and holding a body part are objective, observable signs, not subjective reports. Pain severity, reported by the patient, is subjective. Assuming grimacing is subjective risks misclassification, potentially overlooking patient-reported pain levels, critical for tailoring interventions like analgesics in musculoskeletal assessment and care planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The trigeminal nerve (V) controls facial sensation and chewing, not smell, which is governed by the olfactory nerve (I). Misidentifying this risks incorrect neurological assessment, potentially missing olfactory deficits indicating brain injury or tumors, critical for accurate diagnosis and management in patients with sensory complaints.
Choice B reason: The optic nerve (II) governs vision, not smell, which is the olfactory nerve’s function (I). Assuming optic involvement misguides cranial nerve assessment, risking oversight of olfactory dysfunction, which may signal neurological conditions like Parkinson’s or trauma, requiring targeted evaluation and intervention in clinical practice.
Choice C reason: The olfactory nerve (I) is responsible for the sense of smell, transmitting sensory input from the nasal mucosa to the brain. Accurate identification ensures proper neurological assessment, detecting deficits that may indicate trauma, tumors, or neurodegenerative diseases, guiding diagnosis and treatment in patients with smell-related complaints.
Choice D reason: The vestibulocochlear nerve (VIII) controls hearing and balance, not smell, which is the olfactory nerve’s role (I). Misidentifying this risks incorrect assessment, potentially overlooking olfactory issues signaling neurological pathology, delaying diagnosis and management critical for addressing sensory deficits in clinical neurological evaluations.
Correct Answer is A
Explanation
Choice A reason: The epidermis is the most superficial skin layer, providing a protective barrier against pathogens and UV radiation. Composed of stratified squamous epithelium, it’s critical for skin integrity. Accurate identification guides wound care and assessments, ensuring proper management of superficial injuries or conditions like dermatitis in clinical practice.
Choice B reason: Adipose tissue is deep, within the subcutaneous layer, not superficial. The epidermis is the outermost layer. Misidentifying adipose risks misunderstanding skin anatomy, leading to errors in wound staging or treatment, potentially compromising care for superficial skin conditions requiring targeted interventions like topical therapies.
Choice C reason: The subcutaneous layer lies beneath the dermis, not superficially. The epidermis is the outermost layer. Assuming subcutaneous is superficial misguides skin assessments, risking incorrect wound care or misdiagnosis of skin conditions, critical for accurate treatment and prevention of complications in integumentary health.
Choice D reason: The dermis lies below the epidermis, containing blood vessels and nerves, not the most superficial layer. Misidentifying dermis risks errors in assessing skin injuries or conditions, potentially leading to inappropriate treatments. Recognizing the epidermis ensures proper care for superficial issues like burns or abrasions in clinical settings.
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