#1 Adults: Orthopedic Nursing
CORRECT 100%
4 steps of bone healing - ANSWERhematoma, fibrocartilaginous callus formation,
bony callus formation, remodeling
factor in bone healing responsible for bone cell formation - ANSWERCa+2
needed to absorb calcium - ANSWERvitamin D
if this lab value is elevated we look for bone disease - ANSWERalkaline
phosphatase
uptake of dye shows inflammatory process - ANSWERbone scan
if a patient is allergic to shellfish then what might be of concern regarding diagnostic
radiology? - ANSWERcertain types of dye
6 factors in bone healing - ANSWERcalcium, vitamin D, no osteoporosis, no
infection, good blood circulation, alkaline phosphatase
what type of fluid makes a halo type appearance on a dressing? - ANSWERCSF
after a lumbar puncture what position should the patient be in? - ANSWERHOB
elevated; bedrest
loss of articulation of the bone ends in the joint caps - ANSWERdislocation
partial dislocation where bone ends still partially touch - ANSWERsubluxation
what type of exercises are performed if a patient has joint trauma (these help
strengthen the muscle) - ANSWERisometric
T or F for joint trauma only give NSAIDs when the patient requests -
ANSWERFALSE
inflammation of bursa - ANSWERbursitis
tennis or golfers elbow; inflammation of tendon at point of origin to bone -
ANSWERepicondylitis
compression of median nerve and inflammation of the lining of synovial sheath -
ANSWERcarpal tunnel syndrome
what test is done for carpal tunnel? - ANSWERphalen test
treatments for repetitive injuries ... - ANSWERimmobilize and rest
, ice for 24-48hours and then heat
-medications like NSAIDS
-corticosteroid injections into the joint
symptoms accompanied with a bone fracture - ANSWERpain, edema, crepitus,
deformity
unstable vs stable - ANSWERwith or without displacement
complete vs incomplete - ANSWERtotal segment vs partial segment
simple vs compound - ANSWERclosed vs open
with traction comes immobility, so we must monitor for... - ANSWERDVT,
pneumonia, ileus, renal calculi
type of traction that is intermittent and can be removed throughout the day (2) -
ANSWERlumbar and cervical
skin traction is ____ term and skeletal traction is ____ term - ANSWERshort; long
manipulation of the skin to fix the fracture - ANSWERclosed reduction
surgical manipulation of bone to fix a fracture - ANSWERopen reduction
advantages and disadvantages of internal fixation - ANSWERadvantages: fast
ambulation; good stabilization
disadvantages: surgery required
7 principles of cast care: - ANSWERelevation; turn/rotate; skin edges/pad prn; pain
control; window/bivalve (relieves pressure); neurovascular checks; hot
spots/drainage
5Ps of neurovascular checks - ANSWERpallor, pulses, parasthesia, paresis, pain
numbness/tingling - ANSWERparesthesia
T or F in traction weights hang freely and do not touch the floor - ANSWERtrue
skin traction requires what weight? (range) - ANSWER5-10 pounds
weight range for skeletal traction - ANSWER25-35
T or F infection risk is greater with skeletal traction - ANSWERtrue
3 components of care for skeletal traction - ANSWERnever remove weights; clean
the pins; check pins for infection
components of nursing care for skin traction - ANSWERskin assessments; protect
pressure sites
CORRECT 100%
4 steps of bone healing - ANSWERhematoma, fibrocartilaginous callus formation,
bony callus formation, remodeling
factor in bone healing responsible for bone cell formation - ANSWERCa+2
needed to absorb calcium - ANSWERvitamin D
if this lab value is elevated we look for bone disease - ANSWERalkaline
phosphatase
uptake of dye shows inflammatory process - ANSWERbone scan
if a patient is allergic to shellfish then what might be of concern regarding diagnostic
radiology? - ANSWERcertain types of dye
6 factors in bone healing - ANSWERcalcium, vitamin D, no osteoporosis, no
infection, good blood circulation, alkaline phosphatase
what type of fluid makes a halo type appearance on a dressing? - ANSWERCSF
after a lumbar puncture what position should the patient be in? - ANSWERHOB
elevated; bedrest
loss of articulation of the bone ends in the joint caps - ANSWERdislocation
partial dislocation where bone ends still partially touch - ANSWERsubluxation
what type of exercises are performed if a patient has joint trauma (these help
strengthen the muscle) - ANSWERisometric
T or F for joint trauma only give NSAIDs when the patient requests -
ANSWERFALSE
inflammation of bursa - ANSWERbursitis
tennis or golfers elbow; inflammation of tendon at point of origin to bone -
ANSWERepicondylitis
compression of median nerve and inflammation of the lining of synovial sheath -
ANSWERcarpal tunnel syndrome
what test is done for carpal tunnel? - ANSWERphalen test
treatments for repetitive injuries ... - ANSWERimmobilize and rest
, ice for 24-48hours and then heat
-medications like NSAIDS
-corticosteroid injections into the joint
symptoms accompanied with a bone fracture - ANSWERpain, edema, crepitus,
deformity
unstable vs stable - ANSWERwith or without displacement
complete vs incomplete - ANSWERtotal segment vs partial segment
simple vs compound - ANSWERclosed vs open
with traction comes immobility, so we must monitor for... - ANSWERDVT,
pneumonia, ileus, renal calculi
type of traction that is intermittent and can be removed throughout the day (2) -
ANSWERlumbar and cervical
skin traction is ____ term and skeletal traction is ____ term - ANSWERshort; long
manipulation of the skin to fix the fracture - ANSWERclosed reduction
surgical manipulation of bone to fix a fracture - ANSWERopen reduction
advantages and disadvantages of internal fixation - ANSWERadvantages: fast
ambulation; good stabilization
disadvantages: surgery required
7 principles of cast care: - ANSWERelevation; turn/rotate; skin edges/pad prn; pain
control; window/bivalve (relieves pressure); neurovascular checks; hot
spots/drainage
5Ps of neurovascular checks - ANSWERpallor, pulses, parasthesia, paresis, pain
numbness/tingling - ANSWERparesthesia
T or F in traction weights hang freely and do not touch the floor - ANSWERtrue
skin traction requires what weight? (range) - ANSWER5-10 pounds
weight range for skeletal traction - ANSWER25-35
T or F infection risk is greater with skeletal traction - ANSWERtrue
3 components of care for skeletal traction - ANSWERnever remove weights; clean
the pins; check pins for infection
components of nursing care for skin traction - ANSWERskin assessments; protect
pressure sites
