NUR 211 Mobility
What classes of medications can put an individual at increased risk for developing mobility
issues? (3) - ANS - Corticosteroids (long-term use)
- NSAIDs
- Anticoagulants
Differentiate between atrophy, hypertrophy, and flaccidity - ANS Atrophy - decrease in muscle
size
Hypertrophy - increase in muscle size
Flaccidity - absence of muscle tone
Define fasciculation - ANS Involuntary twitching
What are the 5 P's of neurovascular checks? - ANS - Pain
- Pallor
- Pulse
- Paresthesia
- Paralysis
What should the nurse educate the patient about after a bone densitometry test? (2) - ANS -
Drink plenty of fluids to flush the contrast agent out of the bladder
- There may be clicking or crackling in the joint for 24 to 48 hours after the procedure
Define aseptic necrosis - ANS - Death of bone tissue due to inadequate blood flow to the area
- Usually due to trauma or drug use
For the patient with compartment syndrome, what should the nurse NOT do? - ANS Do NOT
elevate the affected extremity. The limb should remain at heart level.
What nursing considerations would apply to an arthroscopy patient? (7) - ANS - Compression
dressing
- Ice
- Extension and elevation
- Neurovascular assessment
- Pain assessment and analgesics
- Educate on possible complications
- Avoid strenuous activity
What complications may occur in a patient post-arthroscopy? (5) - ANS - Fever
- Excessive bleeding
, - Swelling
- Numbness
- Cool skin
Define crepitus in relation to the musculoskeletal system - ANS Grating sound or sensation
produced by friction between bones and cartilage or the fractured parts of a bone
What are the two main types of fractures? - ANS - Closed/Simple - bone does not break
through the skin
- Open/Compound/Complex - bone breaks through skin
What is a comminuted fracture? - ANS A fracture that has splintered/fragmented
What is an oblique fracture? - ANS A fracture that occurs at an angle
What is a greenstick fracture? - ANS A fracture that does not break all the way through the
bone
What is a spiral fracture? - ANS A fracture that twists around the bone shaft
What is an avulsion fracture? - ANS A fracture where a fragment of the bone has been pulled
away by a tendon and its attachment
What is a stress fracture? - ANS A fracture resulting from repeated loading of bone and muscle
- Commonly occurs w/ factory workers performing repetitive tasks
Hairline and stress factors of the skull can lead to _____, which can further lead to _____. -
ANS - Subdural hematoma
- Brain herniation
What should and should not be performed during the emergency management of a fracture? (5)
- ANS - Immobilize w/ splinting
- Neurovascular checks before and after splinting
- Cover open fracture w/ sterile dressing
- Do NOT attempt reduction
- Remove clothing only in the ED
What should the nurse do to educate the patient that has a cast? (4) - ANS - Do NOT scratch
inside cast
- Do NOT put any powders inside cast
- Do NOT put anything on top of the cast
- Keep cast CLEAN and DRY
What are the early complications that may occur in a patient with a fracture? (4) - ANS - Shock
What classes of medications can put an individual at increased risk for developing mobility
issues? (3) - ANS - Corticosteroids (long-term use)
- NSAIDs
- Anticoagulants
Differentiate between atrophy, hypertrophy, and flaccidity - ANS Atrophy - decrease in muscle
size
Hypertrophy - increase in muscle size
Flaccidity - absence of muscle tone
Define fasciculation - ANS Involuntary twitching
What are the 5 P's of neurovascular checks? - ANS - Pain
- Pallor
- Pulse
- Paresthesia
- Paralysis
What should the nurse educate the patient about after a bone densitometry test? (2) - ANS -
Drink plenty of fluids to flush the contrast agent out of the bladder
- There may be clicking or crackling in the joint for 24 to 48 hours after the procedure
Define aseptic necrosis - ANS - Death of bone tissue due to inadequate blood flow to the area
- Usually due to trauma or drug use
For the patient with compartment syndrome, what should the nurse NOT do? - ANS Do NOT
elevate the affected extremity. The limb should remain at heart level.
What nursing considerations would apply to an arthroscopy patient? (7) - ANS - Compression
dressing
- Ice
- Extension and elevation
- Neurovascular assessment
- Pain assessment and analgesics
- Educate on possible complications
- Avoid strenuous activity
What complications may occur in a patient post-arthroscopy? (5) - ANS - Fever
- Excessive bleeding
, - Swelling
- Numbness
- Cool skin
Define crepitus in relation to the musculoskeletal system - ANS Grating sound or sensation
produced by friction between bones and cartilage or the fractured parts of a bone
What are the two main types of fractures? - ANS - Closed/Simple - bone does not break
through the skin
- Open/Compound/Complex - bone breaks through skin
What is a comminuted fracture? - ANS A fracture that has splintered/fragmented
What is an oblique fracture? - ANS A fracture that occurs at an angle
What is a greenstick fracture? - ANS A fracture that does not break all the way through the
bone
What is a spiral fracture? - ANS A fracture that twists around the bone shaft
What is an avulsion fracture? - ANS A fracture where a fragment of the bone has been pulled
away by a tendon and its attachment
What is a stress fracture? - ANS A fracture resulting from repeated loading of bone and muscle
- Commonly occurs w/ factory workers performing repetitive tasks
Hairline and stress factors of the skull can lead to _____, which can further lead to _____. -
ANS - Subdural hematoma
- Brain herniation
What should and should not be performed during the emergency management of a fracture? (5)
- ANS - Immobilize w/ splinting
- Neurovascular checks before and after splinting
- Cover open fracture w/ sterile dressing
- Do NOT attempt reduction
- Remove clothing only in the ED
What should the nurse do to educate the patient that has a cast? (4) - ANS - Do NOT scratch
inside cast
- Do NOT put any powders inside cast
- Do NOT put anything on top of the cast
- Keep cast CLEAN and DRY
What are the early complications that may occur in a patient with a fracture? (4) - ANS - Shock
