Orthopedic Nursing Exam with Accurate
Solutions
Amputation - correct Answer-the surgical or traumatic removal of a body part.
used to relieve symptoms, improve function, or save the persons life.
usually as a result of advanced PVD r/t DM, fulminating gas gangrene, crushing injuries,
electrical burns, frostbite, congenital deformities, chronic osteomylitis, or malignant
tumor.
level is determine by ciruclation of the limb and functional usefulness.
Amputations: Complications - correct Answer--hemorrhage: r/t surgical severing of
major blood vessels
-infections
-skin breakdown
-phantom limb pain: r/t disruption of peripheral nerve endings in the limb.
-flexion contracture of the hip: r/t positioning and protective flexion withdrawal pattern
associated with pain (encourage turning and position prone.)
Amputations: Promoting wound healing/Pre-prosthetic care - correct Answer--handle
limb gently
-residual limb shaping
-proper bandaging: wrap w/ ace from distal to proximal toward the heart to improve
venous return and decrease edema.
-massage
-toughening of the residual limb.
Amputations: Rehabilitation - correct Answer-psychological support
prostheses fitting and use
physical therapy
vocational/occupational training and counseling
use a multidisciplinary team approach
patient teaching.
Anterior Approach Surgery - correct Answer-no special precautions post-op, smaller
incision toward front of thigh.
don't have to cut tendons so there is less complications.
, Assess the 5 P's of Neurovascular Assessment - correct Answer-pain: should be
decreasing
-on palpation, and on movement
pallor: pale skin or poor cap refill
paresthesia: pins and needles sensation
pulses: diminished or absent
paralysis: should be able to wiggle toes/fingers
Assessment of Amputation - correct Answer-neurovascular status and function of
affected extremity or residual limb and the unaffected extremity.
-signs and symptoms of infection
-nutritional status
-concurrent health problems > diabetes, smoker?
-psychological status of coping
Assist with Ambulation - correct Answer-canes: held on strong side of body. cane
moves, then weak leg, then strong leg.
crutches: weight bearing is no an axillae, it is on the hands > should not lean forward.
walker: provides greatest support and stability.
Associated Problems with Fractures - correct Answer--pain
-loss of function
-deformity
-shortening of the extremity
-crepitus
-local swelling and discoloration
-diagnosis by x-ray
Auto Transfuser - correct Answer-a drain that is used with excessive blood loss.
as is drains it pulls fluid out and filters out the RBCs and delivers a tranfusion to the
patient.
patient is able to get their own blood transfused back into them.
mostly in hip replacements, or knee replacement.
Avascular Necrosis - correct Answer-death of bone tissue d/t lack of blood supply
Buck's Traction - correct Answer-external; applied to skin
used in temporary management of fractures of:
-femoral neck, femoral shaft in older children
-undisplaced fractures of the the acetabulum
-after reduction of a hip dislocation
Solutions
Amputation - correct Answer-the surgical or traumatic removal of a body part.
used to relieve symptoms, improve function, or save the persons life.
usually as a result of advanced PVD r/t DM, fulminating gas gangrene, crushing injuries,
electrical burns, frostbite, congenital deformities, chronic osteomylitis, or malignant
tumor.
level is determine by ciruclation of the limb and functional usefulness.
Amputations: Complications - correct Answer--hemorrhage: r/t surgical severing of
major blood vessels
-infections
-skin breakdown
-phantom limb pain: r/t disruption of peripheral nerve endings in the limb.
-flexion contracture of the hip: r/t positioning and protective flexion withdrawal pattern
associated with pain (encourage turning and position prone.)
Amputations: Promoting wound healing/Pre-prosthetic care - correct Answer--handle
limb gently
-residual limb shaping
-proper bandaging: wrap w/ ace from distal to proximal toward the heart to improve
venous return and decrease edema.
-massage
-toughening of the residual limb.
Amputations: Rehabilitation - correct Answer-psychological support
prostheses fitting and use
physical therapy
vocational/occupational training and counseling
use a multidisciplinary team approach
patient teaching.
Anterior Approach Surgery - correct Answer-no special precautions post-op, smaller
incision toward front of thigh.
don't have to cut tendons so there is less complications.
, Assess the 5 P's of Neurovascular Assessment - correct Answer-pain: should be
decreasing
-on palpation, and on movement
pallor: pale skin or poor cap refill
paresthesia: pins and needles sensation
pulses: diminished or absent
paralysis: should be able to wiggle toes/fingers
Assessment of Amputation - correct Answer-neurovascular status and function of
affected extremity or residual limb and the unaffected extremity.
-signs and symptoms of infection
-nutritional status
-concurrent health problems > diabetes, smoker?
-psychological status of coping
Assist with Ambulation - correct Answer-canes: held on strong side of body. cane
moves, then weak leg, then strong leg.
crutches: weight bearing is no an axillae, it is on the hands > should not lean forward.
walker: provides greatest support and stability.
Associated Problems with Fractures - correct Answer--pain
-loss of function
-deformity
-shortening of the extremity
-crepitus
-local swelling and discoloration
-diagnosis by x-ray
Auto Transfuser - correct Answer-a drain that is used with excessive blood loss.
as is drains it pulls fluid out and filters out the RBCs and delivers a tranfusion to the
patient.
patient is able to get their own blood transfused back into them.
mostly in hip replacements, or knee replacement.
Avascular Necrosis - correct Answer-death of bone tissue d/t lack of blood supply
Buck's Traction - correct Answer-external; applied to skin
used in temporary management of fractures of:
-femoral neck, femoral shaft in older children
-undisplaced fractures of the the acetabulum
-after reduction of a hip dislocation
