NSG 210 EVALUATION ALL QUESTIONS AND
ANSWERS RATED A+
Skin traction vs skeletal traction - ✔✔Skin Traction - short term treatment 48 to 72 hours
until skeletal traction or surgery is possible, prevent muscle spasm
Skeletal Traction - application of a pulling force to an injured extremity, fixes alignment
of bone
MS drugs - ✔✔Glatiramer, Mitoxantrone (rf leukemia and cardiotoxicity), Natalizumab (rf
leukoencepjalopathy, anaphylaxis, liver damage), Fingolimod (rf bradycardia, flushing,
GI upset), baclofen (muscle relaxant)
Teaching for MS - ✔✔Infection risk/control, avoid heat, stress, and overexertion
Osteomalacia - ✔✔bone loss related to deficient Vit D
Interventions for osteoporosis - ✔✔Nutrition: adequate daily intake of protein, calcium,
and vitamin D.
Avoid smoking and excessive alcohol and caffeine intake.
Weight bearing exercises on a regular basis: Active / Passive ROM, walking 30 min 3-5
times/week
30 minutes of sunlight, at least twice a week
#1 priority for osteoporosis patients - ✔✔Risk for fractures/safety
Labs to be completed for osteoporosis - ✔✔Phospohorus, DEXA, calcium, thyroid
function
If patient is experiencing unrelieved pain/5 p's, what should the nurse do? -
✔✔Neurovascular assessment. REPORT to provider!
, What to know about traction - ✔✔NEVER touch/remove the weights, patient's feet
should not touch the foot of the bed, weights must hang freely, pin care, body should be
properly aligned
Post op for hip replacement - ✔✔Ambulate within 1 day, infection, weight bearing as
prescribed, cannot adduct the hip, elevated chairs/toilet seats, high protein and calcium
diet
Complete fracture - ✔✔break is across the entire width of the bone
Incomplete fracture - ✔✔Fracture does not extend completely across the bone
Open (compound) fracture - ✔✔Skin surface over the broken bone is disrupted causing
an external wound (huge infection risk!!)
Closed (simple) fracture - ✔✔break that does not penetrate the skin
Fragility fracture - ✔✔Pathologic/spontaneous, occurs after minimal trauma after bone
has weakened due to disease
Compression fracture - ✔✔occurs when the bone is pressed together (compressed) on
itself, typically in vertebrae of pts with osteoporosis
What medication should children under 12 not take when they have a fracture? -
✔✔NSAIDs (cox 2 inhibitors)
Rf for hip dysplasia - ✔✔Family hx, female, breech
S/S of hip dysplasia (infant) - ✔✔Hip instability, asymmetry, abnormal gait,
Ortolani/Barlow test, sonogram
Interventions for hip dysplasia - ✔✔Facilitate hip socket development, Parlik harness,
closed/open reduction, spica cast
Spica cast care - ✔✔•Do not lift by bar between legs
•Turn/reposition frequently
•Pay attention to alignment- head up
•High cal diet, sit up for 30 min after food
•Clothing: shorts can be split down sides and Velcro attached
For diapered children:
-Use plastic to tuck into cast
-Use two diapers -small inside,
large over outside
-Tuck diaper into cast
ANSWERS RATED A+
Skin traction vs skeletal traction - ✔✔Skin Traction - short term treatment 48 to 72 hours
until skeletal traction or surgery is possible, prevent muscle spasm
Skeletal Traction - application of a pulling force to an injured extremity, fixes alignment
of bone
MS drugs - ✔✔Glatiramer, Mitoxantrone (rf leukemia and cardiotoxicity), Natalizumab (rf
leukoencepjalopathy, anaphylaxis, liver damage), Fingolimod (rf bradycardia, flushing,
GI upset), baclofen (muscle relaxant)
Teaching for MS - ✔✔Infection risk/control, avoid heat, stress, and overexertion
Osteomalacia - ✔✔bone loss related to deficient Vit D
Interventions for osteoporosis - ✔✔Nutrition: adequate daily intake of protein, calcium,
and vitamin D.
Avoid smoking and excessive alcohol and caffeine intake.
Weight bearing exercises on a regular basis: Active / Passive ROM, walking 30 min 3-5
times/week
30 minutes of sunlight, at least twice a week
#1 priority for osteoporosis patients - ✔✔Risk for fractures/safety
Labs to be completed for osteoporosis - ✔✔Phospohorus, DEXA, calcium, thyroid
function
If patient is experiencing unrelieved pain/5 p's, what should the nurse do? -
✔✔Neurovascular assessment. REPORT to provider!
, What to know about traction - ✔✔NEVER touch/remove the weights, patient's feet
should not touch the foot of the bed, weights must hang freely, pin care, body should be
properly aligned
Post op for hip replacement - ✔✔Ambulate within 1 day, infection, weight bearing as
prescribed, cannot adduct the hip, elevated chairs/toilet seats, high protein and calcium
diet
Complete fracture - ✔✔break is across the entire width of the bone
Incomplete fracture - ✔✔Fracture does not extend completely across the bone
Open (compound) fracture - ✔✔Skin surface over the broken bone is disrupted causing
an external wound (huge infection risk!!)
Closed (simple) fracture - ✔✔break that does not penetrate the skin
Fragility fracture - ✔✔Pathologic/spontaneous, occurs after minimal trauma after bone
has weakened due to disease
Compression fracture - ✔✔occurs when the bone is pressed together (compressed) on
itself, typically in vertebrae of pts with osteoporosis
What medication should children under 12 not take when they have a fracture? -
✔✔NSAIDs (cox 2 inhibitors)
Rf for hip dysplasia - ✔✔Family hx, female, breech
S/S of hip dysplasia (infant) - ✔✔Hip instability, asymmetry, abnormal gait,
Ortolani/Barlow test, sonogram
Interventions for hip dysplasia - ✔✔Facilitate hip socket development, Parlik harness,
closed/open reduction, spica cast
Spica cast care - ✔✔•Do not lift by bar between legs
•Turn/reposition frequently
•Pay attention to alignment- head up
•High cal diet, sit up for 30 min after food
•Clothing: shorts can be split down sides and Velcro attached
For diapered children:
-Use plastic to tuck into cast
-Use two diapers -small inside,
large over outside
-Tuck diaper into cast
