ADN 2 Final Exam: Questions & Correct Solutions
What does "shortening" of the leg indicate? Correct Answer -
Can indicate a hip fracture or muscle contracture
Name the treatment for effussion. Correct Answer -
Arthrocentesis
Define effusion. Correct Answer - Abnormal accumulation of
fluid in a body cavity
What is arthrocentesis? Correct Answer - Aspiration of the
joint to remove excess fluid
Psychosocial aspects to rehab. Correct Answer - The health
care team needs to communicate a positive attitude to facilitate
acceptance and participation in rehabilitation (multidisciplinary
team)
Main Goal: Helps the pt achieve the highest possible level of function
and participation in life activities.
Education prior to cast application. Correct Answer - -
Explanation of condition necessitating the cast
- Purpose and goals of the cast
- Expectations during the casting process (HEAT FROM HARDENING
PLASTER. CAST CAN FEEL WARM AT FIRST. KEEP DRY. KEEP BODY
PART ELEVATED)
Cast care. Correct Answer - - Keep dry, do not cover with
plastic
- Elevate extremity with the use of slings
- Hygiene: keep surrounding skin clean & dry
- DO NOT scratch or stick anything under/in cast
- CUSHION rough edges
,What s/s should a pt with a cast report? Correct Answer - -
persistent pain or swelling
- Changes in sensation
- Movement
- Skin color or temperature
- Signs of infection or pressure areas
- CMS (Circulation, motor, sensory)
CMS. Correct Answer - Circulation
Motor
Sensory
What needs to be assessed prior to cast application? Correct
Answer - - General health assessment
- Emotional status
- Presenting s/s & condition of area
- Pain
Interventions surrounding hip dislocations/hip surgery. Correct
Answer - - Use aseptic technique with dressing changes
- Avoid or minimize use of indwelling catheters
- Orient pt to & stabilize environment
- Provide for pt safety
- Encourage participation in self care
- Encourage coughing & deep breathing exercises
- Ensure adequate hydration
- Apply TED hose or SCDs as prescribed
- Encourage ankle exercises
- Pt & family teaching
- Supporting Coping: provide & reinforce info, encourage pt to
express concerns, support coping mechanisms, encourage pt to
participate in decision making and planning, consult social services
or other supportive care services
, Precautions surrounding hip dislocations/hip surgery. Correct
Answer - - Use of an abduction pillow to prevent hip dislocation
after total hip replacement
- Positioning of the leg in abduction to prevent dislocation of
prosthesis
- DO NOT flex hip more than 90 degrees
- Avoid internal rotation
- Check dressing frequently, monitor & record drainage
- Monitor labs, neurovascular status
- provide EARLY ambulation
- Pt should be in a supine position with their head slightly elevated
and the affected leg in a neutral position
- Pt not to cross legs
Complications surrounding hip dislocations/hip surgery. Correct
Answer - - Hip dislocation
- Anemia
- Infection
- Neurovascular compromise
- Venous thromboembolism DVT
Main goals for orthopedic surgery. Correct Answer - - Relief of
pain
- Adequate neurovascular function
- Health promotion
- Improved mobility
- Positive Self Esteem
- Absence of complications
Compound Fracture Correct Answer - bone breaks through the
skin
What does "shortening" of the leg indicate? Correct Answer -
Can indicate a hip fracture or muscle contracture
Name the treatment for effussion. Correct Answer -
Arthrocentesis
Define effusion. Correct Answer - Abnormal accumulation of
fluid in a body cavity
What is arthrocentesis? Correct Answer - Aspiration of the
joint to remove excess fluid
Psychosocial aspects to rehab. Correct Answer - The health
care team needs to communicate a positive attitude to facilitate
acceptance and participation in rehabilitation (multidisciplinary
team)
Main Goal: Helps the pt achieve the highest possible level of function
and participation in life activities.
Education prior to cast application. Correct Answer - -
Explanation of condition necessitating the cast
- Purpose and goals of the cast
- Expectations during the casting process (HEAT FROM HARDENING
PLASTER. CAST CAN FEEL WARM AT FIRST. KEEP DRY. KEEP BODY
PART ELEVATED)
Cast care. Correct Answer - - Keep dry, do not cover with
plastic
- Elevate extremity with the use of slings
- Hygiene: keep surrounding skin clean & dry
- DO NOT scratch or stick anything under/in cast
- CUSHION rough edges
,What s/s should a pt with a cast report? Correct Answer - -
persistent pain or swelling
- Changes in sensation
- Movement
- Skin color or temperature
- Signs of infection or pressure areas
- CMS (Circulation, motor, sensory)
CMS. Correct Answer - Circulation
Motor
Sensory
What needs to be assessed prior to cast application? Correct
Answer - - General health assessment
- Emotional status
- Presenting s/s & condition of area
- Pain
Interventions surrounding hip dislocations/hip surgery. Correct
Answer - - Use aseptic technique with dressing changes
- Avoid or minimize use of indwelling catheters
- Orient pt to & stabilize environment
- Provide for pt safety
- Encourage participation in self care
- Encourage coughing & deep breathing exercises
- Ensure adequate hydration
- Apply TED hose or SCDs as prescribed
- Encourage ankle exercises
- Pt & family teaching
- Supporting Coping: provide & reinforce info, encourage pt to
express concerns, support coping mechanisms, encourage pt to
participate in decision making and planning, consult social services
or other supportive care services
, Precautions surrounding hip dislocations/hip surgery. Correct
Answer - - Use of an abduction pillow to prevent hip dislocation
after total hip replacement
- Positioning of the leg in abduction to prevent dislocation of
prosthesis
- DO NOT flex hip more than 90 degrees
- Avoid internal rotation
- Check dressing frequently, monitor & record drainage
- Monitor labs, neurovascular status
- provide EARLY ambulation
- Pt should be in a supine position with their head slightly elevated
and the affected leg in a neutral position
- Pt not to cross legs
Complications surrounding hip dislocations/hip surgery. Correct
Answer - - Hip dislocation
- Anemia
- Infection
- Neurovascular compromise
- Venous thromboembolism DVT
Main goals for orthopedic surgery. Correct Answer - - Relief of
pain
- Adequate neurovascular function
- Health promotion
- Improved mobility
- Positive Self Esteem
- Absence of complications
Compound Fracture Correct Answer - bone breaks through the
skin
