NURS 310 Exam 2 With Complete Solution
Immobility, inactivity
Cushing dz
Reduction in estrogen and androgen (Postmenopausal)
Steroids
Genetics--Caucasian or Asian, Female, Family history, Small frame
Postmenopausal/low testosterone in men
Advanced age
Decreased calcitonin
Increased PTH
Corticosteroids
pts w/ bariatric surgery
What are Osteoporosis risk factors/ potential cause?
High PTH
Low Calcitonin
Low Estrogen
What age related changes can cause Osteoporosis?
inhibits osteoblast and stimulates osteoclast bone breakdown
How does high PTH cause osteoporosis?
calcitonin deposits Ca into bone
How does low Calcitonin cause osteoporosis?
,excess glucocorticosteroid by the adrenal gland → inhibit osteoblast & stimulate
osteoclast, Hyperthyroidism: rapid bone turnover, diverticulitis(interfere calcium
absorption, DM)
What is Cushing dz.?
femoral neck fracture
What is the most common fracture related to osteoporosis.?
sudden onset severe groin pain, leg appeared to be shortened & externally rotated,
muscle spasm & hematomas
What are the s/s of hip fracture.?
Relieve muscle spasms
Reduce, align, and immobilize fractures
Reduce deformity
Increase space between
Buck's traction serves to immobilize the:
hip fracture
What would you suspect is occurring when your patient presents with these sx:
severe groin pain that had sudden onset, leg appeared to be shortened & externally
rotated, muscle spasm & hematomas?
, adduction
acute flexion
internal or external rotation of joint
excessive weight-bearing
crossing legs
hyperextension
bending at waist
Which of the following should be avoided while recovering from a hip fx?
abduct the leg
Use pillows between the knees
Never flex the affected leg > 90 deg
Do not ↑ HOB > 60 deg
While seated, hips to be higher than knees, high armchair, high toilet seat
How do you prevent dislocation after hip surgery?
most common bone metabolic disorder after osteoporosis. Extremely high bone
turnover
What is Paget's disease?
Paget's disease
What is the most common bone metabolic disorder after osteoporosis. Extremely high
bone turnover?
Patho: overgrowth of new bone tissue more rapidly than normal at single or multiple
sites → Eventually bone can be fragile and misshapen causing bone pain, deformities,
fractures, osteoarthritis
What is the patho of Paget's disease?
Immobility, inactivity
Cushing dz
Reduction in estrogen and androgen (Postmenopausal)
Steroids
Genetics--Caucasian or Asian, Female, Family history, Small frame
Postmenopausal/low testosterone in men
Advanced age
Decreased calcitonin
Increased PTH
Corticosteroids
pts w/ bariatric surgery
What are Osteoporosis risk factors/ potential cause?
High PTH
Low Calcitonin
Low Estrogen
What age related changes can cause Osteoporosis?
inhibits osteoblast and stimulates osteoclast bone breakdown
How does high PTH cause osteoporosis?
calcitonin deposits Ca into bone
How does low Calcitonin cause osteoporosis?
,excess glucocorticosteroid by the adrenal gland → inhibit osteoblast & stimulate
osteoclast, Hyperthyroidism: rapid bone turnover, diverticulitis(interfere calcium
absorption, DM)
What is Cushing dz.?
femoral neck fracture
What is the most common fracture related to osteoporosis.?
sudden onset severe groin pain, leg appeared to be shortened & externally rotated,
muscle spasm & hematomas
What are the s/s of hip fracture.?
Relieve muscle spasms
Reduce, align, and immobilize fractures
Reduce deformity
Increase space between
Buck's traction serves to immobilize the:
hip fracture
What would you suspect is occurring when your patient presents with these sx:
severe groin pain that had sudden onset, leg appeared to be shortened & externally
rotated, muscle spasm & hematomas?
, adduction
acute flexion
internal or external rotation of joint
excessive weight-bearing
crossing legs
hyperextension
bending at waist
Which of the following should be avoided while recovering from a hip fx?
abduct the leg
Use pillows between the knees
Never flex the affected leg > 90 deg
Do not ↑ HOB > 60 deg
While seated, hips to be higher than knees, high armchair, high toilet seat
How do you prevent dislocation after hip surgery?
most common bone metabolic disorder after osteoporosis. Extremely high bone
turnover
What is Paget's disease?
Paget's disease
What is the most common bone metabolic disorder after osteoporosis. Extremely high
bone turnover?
Patho: overgrowth of new bone tissue more rapidly than normal at single or multiple
sites → Eventually bone can be fragile and misshapen causing bone pain, deformities,
fractures, osteoarthritis
What is the patho of Paget's disease?
