[Verified Answer]: You are working in the emergency room, and…

You are working in the emergency room, and you must conduct a history and physical assessment on a 68-year-old client. The subjective information indicates the following: The client has pain, swelling and tenderness in the joints of her fingers. She also notices some transient pain in other joints. The onset has been over several years and has gotten worse over the past 4 to 5 months. She is a piano teacher and is having difficulty playing the piano. She also reports that her joints typically hurt more after playing piano and giving lessons. She reports pain in both hands currently at a 5/10 on the numeric pain scale, but it has been as high as 8/10. She denies any fever, unusual fatigue, general malaise or weight loss. Objective findings include the following notations: Assessment of the client’s hands reveal enlargement of some of the proximal interphalangeal joints. with an odd angle on some fingers. Squaring at the bases of both thumbs at the carpometacarpal joints is also noted (refer to the photo on the left). Step 2 Respond to the discussion questions. In your response, address each of the following questions: Explain in detail how to conduct a focused musculoskeletal examination. Include the special considerations, such as the symptoms in the scenario above, that nurses should be aware of when assessing the musculoskeletal system, interpreting findings, and planning nursing care for clients. How would you interpret your findings in relation to the case scenario? What is the priority nursing diagnosis for the client indicated, related to the musculoskeletal system?