Respuesta :
Since the patient has an osteoporosis history, a musculoskeletal assessment is necessary.
In musculoskeletal assessment, the nurse should Inspect the axial and appendicular skeletons for alignment, contour, symmetry, size, and gross deformities.
Bones and muscles must be palpated to check for tenderness, heat, and oedema. The nurse should percuss the spine for tenderness.
Assessment of joints for motion should be done for this the nurse should know the expected movement of every joint. The muscles must be tested for strength bilaterally.
The patient's past surgeries, injuries and illness must be recorded with the family history of disease associated with musculoskeletal (for example, arthritis, osteoporosis, etc)
Disclaimer: The question is not complete.
Jolly Rogers, a 72-year-old female client who lives alone in a townhouse, arrives to the medical-surgical unit after falling down seven icy steps in front of her home.
The vital signs are T. 97° F; BP, 130/80 mm Hg; HR, 88 beats/minute; RR, 22 breaths/minute. She is 5 feet 4 inches tall and weighs 120 lb. She has a history of osteoporosis and diabetes controlled with diet.
The client stated that she has pain in her right arm rated as 6/10, and pain in her right hip rated as 8/10. There is visible bruising and swelling at the right elbow.
The right leg appears shorter than the left leg, with external rotation of the leg and inability to move it and bruising and oedema at the site. The LPN/LVN needs to perform a complete musculoskeletal system assessment.
Explain the elements needed in the nursing assessment of Mrs. Rogers' musculoskeletal system.
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