NUR 152 Mobility and Musculoskeletal Disorders Questions
With Complete Solutions
Age related musculoskeletal changes Correct Answers affect
posture, stance, gait
Amputations Correct Answers - Intentional surgical removal of
a limb or body part used to remove diseased tissue or relieve
pain
- Removes tissue that no longer has adequate blood supply due
to PVD due to diabetes mellitus
- To remove a malignant tumor or disease bone
- Severe trauma to a body part
Assessment of mobility Correct Answers Hx of
musculoskeletal problems
Normal activities during the day?
Any recent changes in ability to walk, perform ADLs?
Use of assistive devices?
Assessment signs and symptoms of fracture Correct Answers -
Pain (pathological fx may not hav pain)
- Swelling
- Impaired function
- Deformity: unnatural position of bone or limb
- Ecchymosis
- Crepitus: grating sound w/ movement
- Impaired sensation: numbness, tingling signals possible nerve
or circulatory damage
- Loss of distal pulse indicates vascular compromise
,- Fingers & toes may look dusky, blue, feel cool & numb or
painful
Body mechanics Correct Answers efficient, coordinated, and
safe use of the body to move objects and carry out ADLs
Bone cells die as result of? Correct Answers fracture
Buck's traction Correct Answers for hip, femur, knee, back
- Attached to leg with adhesive and secured with elastic
bandage, attached to pulley and weight. Boot is available
- Assess alignment, skin breakdown
- Maintain pulley system, weights hang free
Cast Correct Answers fiberglass or plaster or paris
- provides stability of fracture
Causes of osteoarthritis Correct Answers - Idiopathic or
primary-exact cause unknown
- Secondary OA due to event that damages cartilage or causes
joint instability (ballerina, long distance running, obesity)
Client teaching after treatment Correct Answers - After
reduction, need long term immobilization 4-6 weeks to allow
formation of callus and true bone
- Teach care of cast or splint
- Teach neurovascular checks: color, temp, cap refill, pulses,
edema, motion, sensation, and pain
- Teach cane or crutch walking
, Closed Reduction Correct Answers Physician or traction pulls
to realign
CMS Correct Answers Circulation, Movement Sensation
Compartment syndrome Correct Answers - Nerve and blood
vessel damage or destruction from swelling or edema in a
confined space
- Increased interstitial pressure exerted on blood vessels causing
them to collapse. Leads to hypoxia, lactic acidosis, tissue death
esp. nerves
- Pain is intense-much greater than expected
(May be unable to move fingers or toes)
Numbness & tingling may occur
Complications of fractures Correct Answers - Delayed union,
non-union, or mal-union
- Fat embolus
Compound (open) fracture Correct Answers broken through
the skin
Contusion Correct Answers bruising or rupture of small blood
vessels
Assessment (s/sx): ecchymosis (bruising), swelling, tenderness
Dislocation/Sublaxation Correct Answers
Complete/incomplete displacement of joint
Thumb, fingers, shoulder, elbow, knee, hip
Pain, swelling, decrease function of joint
Limb is often shorter than opposite side
With Complete Solutions
Age related musculoskeletal changes Correct Answers affect
posture, stance, gait
Amputations Correct Answers - Intentional surgical removal of
a limb or body part used to remove diseased tissue or relieve
pain
- Removes tissue that no longer has adequate blood supply due
to PVD due to diabetes mellitus
- To remove a malignant tumor or disease bone
- Severe trauma to a body part
Assessment of mobility Correct Answers Hx of
musculoskeletal problems
Normal activities during the day?
Any recent changes in ability to walk, perform ADLs?
Use of assistive devices?
Assessment signs and symptoms of fracture Correct Answers -
Pain (pathological fx may not hav pain)
- Swelling
- Impaired function
- Deformity: unnatural position of bone or limb
- Ecchymosis
- Crepitus: grating sound w/ movement
- Impaired sensation: numbness, tingling signals possible nerve
or circulatory damage
- Loss of distal pulse indicates vascular compromise
,- Fingers & toes may look dusky, blue, feel cool & numb or
painful
Body mechanics Correct Answers efficient, coordinated, and
safe use of the body to move objects and carry out ADLs
Bone cells die as result of? Correct Answers fracture
Buck's traction Correct Answers for hip, femur, knee, back
- Attached to leg with adhesive and secured with elastic
bandage, attached to pulley and weight. Boot is available
- Assess alignment, skin breakdown
- Maintain pulley system, weights hang free
Cast Correct Answers fiberglass or plaster or paris
- provides stability of fracture
Causes of osteoarthritis Correct Answers - Idiopathic or
primary-exact cause unknown
- Secondary OA due to event that damages cartilage or causes
joint instability (ballerina, long distance running, obesity)
Client teaching after treatment Correct Answers - After
reduction, need long term immobilization 4-6 weeks to allow
formation of callus and true bone
- Teach care of cast or splint
- Teach neurovascular checks: color, temp, cap refill, pulses,
edema, motion, sensation, and pain
- Teach cane or crutch walking
, Closed Reduction Correct Answers Physician or traction pulls
to realign
CMS Correct Answers Circulation, Movement Sensation
Compartment syndrome Correct Answers - Nerve and blood
vessel damage or destruction from swelling or edema in a
confined space
- Increased interstitial pressure exerted on blood vessels causing
them to collapse. Leads to hypoxia, lactic acidosis, tissue death
esp. nerves
- Pain is intense-much greater than expected
(May be unable to move fingers or toes)
Numbness & tingling may occur
Complications of fractures Correct Answers - Delayed union,
non-union, or mal-union
- Fat embolus
Compound (open) fracture Correct Answers broken through
the skin
Contusion Correct Answers bruising or rupture of small blood
vessels
Assessment (s/sx): ecchymosis (bruising), swelling, tenderness
Dislocation/Sublaxation Correct Answers
Complete/incomplete displacement of joint
Thumb, fingers, shoulder, elbow, knee, hip
Pain, swelling, decrease function of joint
Limb is often shorter than opposite side
