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Orthopedic Nursing Care Test | Questions and Answers| A+ Rated

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Orthopedic Nursing Care Test | Questions and
Answers| A+ Rated

carpal tunnel syndrome - ✔✔Compression of the median nerve as a result of inflammation
and swelling of the synovial lining of the tendon sheaths


numbness and tingling of the thumb, index finger, and lateral ventral surface of the middle
finger.
pain that interfere with sleep
affected hand may become weak and unable to hold utensils or perform actives that require
precission - ✔✔What are some manifestations of carpal tunnel syndrome



bursitis - ✔✔Inflammation of the bursa



shoulder, knee, hip, and elbow - ✔✔What are common sites of bursar inflammation



hot, red, edematous, pain with flexion and extension - ✔✔what are some manifestations of
bursitis



epicondylitis - ✔✔inflammation of tendon at point of origin into humerus


point tenderness, pain radiating down the dorsal surface of the forearm, and a history of
receptive use - ✔✔what are some manifestations of epicondylitis



fracture - ✔✔break in continuity of the bone


deformity, swelling, pain/tenderness, numbs, guarding, crepitus, hypovolemic shock, muscle
spasms, and ecchymosis - ✔✔what are some manifestations of fractures

, local: immobilization, timely correction, ice/electrical stimulus
systemic: adequate growth hormone, blood supply, no infection/disease, younger in age,
activity prior to fracture - ✔✔What are positive factors influencing bone healing


local: delayed correction, open fracture, foreign body at fracture site
systemic: immunocompromised, decreased circulation, malnutrition, osteoporosis, older in age
- ✔✔what are negative factors influencing bone healing



compartment syndrome - ✔✔occurs when increased pressure within this confined space
constricts the structures within it, compromising circulation and tissue function


early: pain, normal or decreased peripheral pulse
later: cyanosis, tingling, loss of sensation (paresthesias), weakness (paresis), diminished
reflexes, severe pain, renal failure - ✔✔What are manifestations of compartment syndrome



within the first 48 hours of injury, when edema is at its peak - ✔✔when does compartment
syndrome usually develop


interventions to alleviate pressure, removal of the cast/restrictive dressing, Fasciotomy
(surgery) - ✔✔treatment of compartment syndrome



fat embolism syndrome - ✔✔Rare complication characterized by neurologic dysfunction,
pulmonary insufficiency and a petechial rash on the chest, axilla, and upper arms



dyspnea, tacypnea, hypoxia, confusion, restlessness - ✔✔what are manifestations of fat
embolism syndrome


early stabilization/surgical, prompt identification of S&S, intubation/mechanical ventilation,
corticosteroids - ✔✔treatment of fat embolism

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