A 62-year-old female patient is scheduled to have a DEXA exam. ...

[stevenposner]

A 62-year-old female patient is scheduled to have a DEXA exam. What should the nurse consider as most likely the reason the test has been ordered for this patient?
 
  1. to check for fractures
  2. to check the degree of osteoporosis
  3. to screen for osteomyelitis
  4. to evaluate bone cancer

Question 2

The nurse is preparing to assess a patient's musculoskeletal status. In which order should the nurse perform the techniques of this examination?
 
  Choice 1. Assess joints for swelling, pain, redness, warmth, crepitus, and range of motion (ROM).
  Choice 2. Inspect and palpate the bones for any obvious deformity or changes in size, shape, or a painful response.
  Choice 3. Measure the extremities for length and circumference, and compare limbs bilaterally.
  Choice 4. Assess gait and posture.

[aham8f]

Answer to Question 1

Correct Answer: 2
The bone density exam (DEXA) evaluates bone mineral density and the degree of osteoporosis. X-rays would be used to assess for the presence of fractures. Bone scans would be used in the evaluation of osteomyelitis and potential bone cancer.

Answer to Question 2

Correct Answer: 4, 2, 3, 1
When performing an assessment of the musculoskeletal system, first review the patient's gait and posture. Inspection is the next technique. Inspect and palpate the bones for any obvious deformity or changes in size or shape. Palpation also will elicit tenderness or pain. Inspect the extremities for symmetry, having equal length and muscle mass. If a difference is noted, measure extremity length and circumference, comparing limbs bilaterally. Inspect and palpate joints for swelling, pain, redness, or warmth.

[stevenposner]

Thank you

[aham8f]

Happy to help you