Which information in a 67-year-old woman's health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?
a. The patient sprained her ankle at age 13.
b. The patient's mother became shorter with aging.
c. The patient takes ibuprofen (Advil) for occasional headaches.
d. The patient's father died of complications of miliary tuberculosis.
ANS: B
A family history of height loss with aging may indicate osteoporosis, and the nurse should perform a more thorough assessment of the patient's current height and other risk factors for osteoporosis. A sprained ankle during adolescence does not place the patient at increased current risk for musculoskeletal problems. A family history of tuberculosis is not a risk factor. Occasional nonsteroidal antiinflammatory drug (NSAID) use does not indicate any increased musculoskeletal risk.
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