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NSG 430 Exam 3 – Questions & Answers By Expert

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NSG 430 Exam 3 – Questions & Answers By Expert

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NSG 430 Exam 3 – Questions & Answers By Expert

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Terms in this set (226)



Key difference between cast and Cast = circumferential, rigid, long-term
splint? Splint = non-circumferential, flexible, temporary
(allows for swelling)


What is electrical bone growth therapy that uses electrical currents or
stimulation? electromagnetic fields to stimulate bone healing and
promote fracture repair
- promotes osteogenesis


What is compartment syndrome? Increased pressure within a closed muscle
compartment → decreased blood flow → tissue
ischemia and nerve damage
- Medical emergency

,What are the classic 5 P's of 1. Pain (earliest sign)
compartment syndrome? 2. Paresthesia
3. Pallor
4. Paralysis
5. Pulselessness (late sign)




What should NOT be done in - Do NOT elevate above heart excessively (can
suspected compartment syndrome? reduce perfusion)
- Do NOT apply ice
- Do NOT delay treatment


When does fat embolism typically 24-72 hours after injury or surgery
occur? - Not immediate




What are the 3 classic signs of fat - Respiratory distress (EARLIEST)
embolism syndrome? - Neurologic changes (confusion)
- Petechial rash




What is the priority nursing action for Oxygen therapy first
fat embolism?


What is the most important way to Early immobilization of long bone fractures
prevent fat embolism syndrome? - Prevents fat globules from entering circulation

,What is rhabdomyolysis? Breakdown of skeletal muscle → release of muscle
contents (myoglobin, potassium, creatine kinase) into
bloodstream




What is the classic urine finding in Dark "tea-colored" or brown urine
rhabdomyolysis?


What is the priority treatment for Aggressive isotonic IV fluid resuscitation
rhabdomyolysis? - Flush myoglobin through kidneys
- Prevent acute kidney injury


What position is best for mandibular Semi-Fowler's or upright
fracture patients? - Promotes drainage
- Reduces aspiration risk


What position should be avoided after Flexion of residual limb
lower limb amputation? - Avoid hip or knee flexion contractures
- Do NOT place pillow under stump


What is muscular dystrophy? A group of inherited disorders characterized by
progressive skeletal muscle weakness and
degeneration due to abnormal or absent muscle
proteins


What is the most common form of Duchenne Muscular Dystrophy (DMD)
muscular dystrophy in children? - Most common and severe childhood form
- X-linked recessive → primarily affects males
- Caused by absence of dystrophin

, At what age do symptoms of Becker Later than Duchenne, usually:
muscular dystrophy usually appear? - Late childhood
- Adolescence
- Early adulthood


Becker vs. Duchenne Muscular Becker:
Dystrophy - onset age 5-15
- slower progression
- primarilly proximal muscles affected


Duchenne:
- onset age 2-5
- rapid progression
- wheelchair by adolescence
- shortened lifespan




What laboratory value is elevated in Creatine kinase (CK) ↑
Becker muscular dystrophy? - Released from damaged muscle cells
- Elevated early in the disease
- Usually not as high as in Duchenne


What medications are given to help The primary medications used are corticosteroids
slow the progression of muscular - Prednisone
dystrophy? - Deflazacort


What is radicular pain? pain radiating from the nerve root

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