Orthopedic Nursing Correct Questions
& Answers!!
5 Steps in Bone Healing - ANSWER1. Hematoma
2. Fibrocartilaginous Callus Formation
3. Bony Callus Formation
4. Remodeling
Hematoma - ANSWER-inflammatory process
-cell migration to area
Fibrocartilaginous Callus Formation - ANSWER-starts within 48 hours
-granulation replaces hematoma
-osteoblasts build a web of collagen fibers (3 weeks)
Bony Callus Formation - ANSWER-starts in 3-4 weeks
-new bone
-osteoclasts invade: reabsorbs excess callus as it is replaced by mature bone
Remodeling - ANSWER-2-4 months
-plates/bars are laid down
-repaired along lines of stress
Factors in Bone Healing - ANSWER- calcium
- vitamin D
- Alkaline Phosphate
- Decreased circulation
- No osteoporosis
- no infection
Diagnostic Radiology - ANSWER- Xray
- MRI
- Bone Scan
- Myelogram
Myelogram - ANSWER- check for allergies (Shell fish)
- dye used
CSF - ANSWER- clear
- appears on a dressing as a green halo
Dislocation - ANSWER- loss of articulation of the bone ends in the joint caps
Subluxation - ANSWER- partial dislocation where bone ends still partially touch
Nursing Care - Joint Trauma - ANSWER- Risk for Injury
- Acute Pain
, - Impaired Physical Mobility
Ice / Heat - ANSWER- 20 minutes on, 20 minutes off
Bursitis - ANSWER- inflammation of bursa
Epicondylitis - ANSWER- Tennis Elbow
- inflammation of tendon at point of origin to bone
Carpal Tunnel Syndrome - ANSWER- compression of median nerve and
inflammation of the lining of the synovial sheath
- less room compresses nerves and causes pain
Treatment for Repetitive Injuries - ANSWER- Conservative
- Surgery
Conservative Treatment for Repetitive Injuries - ANSWER- immobilize and rest
- ice for 20-48 hours and then heat
- medicate ( NSAIDS/Corticosteroids)
Surgical Treatment for Repetitive Injuries - ANSWER- bursitis & epicondylitis :
remove calcified deposits
- Carpal Tunnel : resect carpal ligament to enlarge tunnel (make opening bigger)
Fracture - ANSWER- a break in the continuity of the bone
symptoms - pain, deformity, edema, crepitus
Complete vs. Incomplete Fractures - ANSWERtotal segment transaction vs partial
With vs Without Displacement Fracture - ANSWERunstable vs stable
-same position or shifted
Simple vs Compound Fracture - ANSWERclosed vs open
Fracture Impact - ANSWER- muscles
- blood vessels
- nerves
- tendons
- results : soft tissue damage, blood loss, edema
Goal of Reduction - ANSWER- fix fracture
- approximate segments
- restore normal position
Closed Reduction - ANSWER- manual manipulation of skin
Open Reduction - ANSWER- surgical manipulation of bone
Immobilization - ANSWER- goal : fixation/alignment of segments
& Answers!!
5 Steps in Bone Healing - ANSWER1. Hematoma
2. Fibrocartilaginous Callus Formation
3. Bony Callus Formation
4. Remodeling
Hematoma - ANSWER-inflammatory process
-cell migration to area
Fibrocartilaginous Callus Formation - ANSWER-starts within 48 hours
-granulation replaces hematoma
-osteoblasts build a web of collagen fibers (3 weeks)
Bony Callus Formation - ANSWER-starts in 3-4 weeks
-new bone
-osteoclasts invade: reabsorbs excess callus as it is replaced by mature bone
Remodeling - ANSWER-2-4 months
-plates/bars are laid down
-repaired along lines of stress
Factors in Bone Healing - ANSWER- calcium
- vitamin D
- Alkaline Phosphate
- Decreased circulation
- No osteoporosis
- no infection
Diagnostic Radiology - ANSWER- Xray
- MRI
- Bone Scan
- Myelogram
Myelogram - ANSWER- check for allergies (Shell fish)
- dye used
CSF - ANSWER- clear
- appears on a dressing as a green halo
Dislocation - ANSWER- loss of articulation of the bone ends in the joint caps
Subluxation - ANSWER- partial dislocation where bone ends still partially touch
Nursing Care - Joint Trauma - ANSWER- Risk for Injury
- Acute Pain
, - Impaired Physical Mobility
Ice / Heat - ANSWER- 20 minutes on, 20 minutes off
Bursitis - ANSWER- inflammation of bursa
Epicondylitis - ANSWER- Tennis Elbow
- inflammation of tendon at point of origin to bone
Carpal Tunnel Syndrome - ANSWER- compression of median nerve and
inflammation of the lining of the synovial sheath
- less room compresses nerves and causes pain
Treatment for Repetitive Injuries - ANSWER- Conservative
- Surgery
Conservative Treatment for Repetitive Injuries - ANSWER- immobilize and rest
- ice for 20-48 hours and then heat
- medicate ( NSAIDS/Corticosteroids)
Surgical Treatment for Repetitive Injuries - ANSWER- bursitis & epicondylitis :
remove calcified deposits
- Carpal Tunnel : resect carpal ligament to enlarge tunnel (make opening bigger)
Fracture - ANSWER- a break in the continuity of the bone
symptoms - pain, deformity, edema, crepitus
Complete vs. Incomplete Fractures - ANSWERtotal segment transaction vs partial
With vs Without Displacement Fracture - ANSWERunstable vs stable
-same position or shifted
Simple vs Compound Fracture - ANSWERclosed vs open
Fracture Impact - ANSWER- muscles
- blood vessels
- nerves
- tendons
- results : soft tissue damage, blood loss, edema
Goal of Reduction - ANSWER- fix fracture
- approximate segments
- restore normal position
Closed Reduction - ANSWER- manual manipulation of skin
Open Reduction - ANSWER- surgical manipulation of bone
Immobilization - ANSWER- goal : fixation/alignment of segments
