CCC NURS275 Orthopedics Exam Questions and Answers 100% Pass

CCC NURS275 Orthopedics Exam Questions and Answers 100% Pass What is the single most important predictor for falls? - A recent history of falling. What are three possible signs of hip dislocation post-surgery? - Increased hip pain Shortening of the affected leg Leg rotation What are the four major muscle enzymes affected in skeletal muscle disease or injury? What other enzyme is affected by bone or liver damage? - Creatine-kinase (CK-MM) AST Alsolase (ALD) Lactic dehydrogenase (LDH) Also Alkaline phosphatase (ALP) How is ALP related to bone damage/disease? - Alkaline Phosphatase (ALP) exists in the blood normally. It increases during bone damage or disease, as it leaks into the blood stream. 2COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED How is Creatine-kinase (CK-MM) related to muscle damage/disease? - Serum CK- MM levels rise within 2-4 hours after muscle injury. Inaccuracies may be due to exercise, and certain drugs, and muscle diseases. How is AST related to muscle damage/disease? - It is moderately elevated in certain muscule diseases, such as muscular dystrophy. How is LDH related to muscle damage/disease? - Elevations may indicate muscle trauma, progressive muscular dystrophy. How is Aldolase (ALD) related to muscle damage/disease? - Elevations may indicate muscular dystrophy, or polymyositis or dermatomyositis. What might be indicated by hyercalcemia? - Bone fractures in healing stage metastaic cancers of the bone Paget's disease - enlarged and/or misshapen bones - usually disorganized bone remodelling Why might be indicated by hypocalcemia? - Osteoporosis - weakened and brittle bones Osteomalacia - softening of bones What might be indicated by elevated phosphorus/hyperphosphatemia? - Bone fractures in healing stage Bone tumors Acromegaly - growth of bones after puberty 3COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED What might be indicated by lowered levels of phosphorus/hypophosphatemia? - Osteomalacia - softening of bones, often from Vit D deficiency What is the highest priority for nursing care post-arthroscopy? - Assessing neurovascular status of the affected limb hourly, or more often as indicated by agency or surgeon. What is the single more effective exercise for osteoporosis prevention? - Walking 30 minutes three to five times a week. What classifications of medications are there for treatment of osteoporosis? - Bisphosphonates - slow bone reabsorption Calcitonin Estrogen agonist/antagonists What are important considerations and patient teachings for oral biphosphonates? (Fosomax) - They are associated with esophagitis and esophogeal ulcers They must be taken early in the morning with 8 oz of