NCLEX RN ATI N120 Week 3 MS 1
Chapter 67-ATI
Musculoskeletal diagnostic procedures - *muscle weakness = indication for evaluating
conduction of electrical impulses
Arthroscopy- visual of internal structures of joint, Nuclear Scans-
most common for knee and shoulder joints, performed ● Bone scan- entire skeletal system
in OR with local/general anesthesia ○ Inject radioactive isotope 2-3 hrs before scan
● Contraindications: infection, lack of joint ■ Abnormal bone formation will
mobility appear brighter
● Indications: tell the extent of damage so the dr ■ Scan for: hairline bone fractures,
can repair a torn ligament or meniscus or tumors, fractures and disease
synovial biopsy ● osteomyelitis, osteoporosis
○ Pt presentation: joint swelling, pain, (bones to become weak and
crepitus (Creaky joints) , joint brittle), vertebral compression
instability fractures
● Considerations:
○ Pre op
■ Pt ed: pt might need to do post
op joining exercises (straight
leg, raises, quadriceps setting
isometrics)
○ Post op
■ N/A
● Depends on sedation
● Assess neurovascular
status and dressing on
limb every hour
○ Pain, Sensation,
Motor function,
Perfusion (color,
temperature,
capillary refill,
swelling, pulses)
● Mild analgesic but
opioids if op was
corrective
■ Pt ed: ice for first 24 hrs, elevate
12-24 hours
○ Complications: tell dr if swelling,
redness, or fever
● Gallium & thallium scan- more sensitive for
detecting bone problems than a bone scan
○ Radioisotope migrates to tissues of
■ brain , liver, breast to help find
disease
, 1
Chapter 67-ATI
Musculoskeletal diagnostic procedures - *muscle weakness = indication for evaluating
conduction of electrical impulses
Arthroscopy- visual of internal structures of joint, Nuclear Scans-
most common for knee and shoulder joints, performed ● Bone scan- entire skeletal system
in OR with local/general anesthesia ○ Inject radioactive isotope 2-3 hrs before scan
● Contraindications: infection, lack of joint ■ Abnormal bone formation will
mobility appear brighter
● Indications: tell the extent of damage so the dr ■ Scan for: hairline bone fractures,
can repair a torn ligament or meniscus or tumors, fractures and disease
synovial biopsy ● osteomyelitis, osteoporosis
○ Pt presentation: joint swelling, pain, (bones to become weak and
crepitus (Creaky joints) , joint brittle), vertebral compression
instability fractures
● Considerations:
○ Pre op
■ Pt ed: pt might need to do post
op joining exercises (straight
leg, raises, quadriceps setting
isometrics)
○ Post op
■ N/A
● Depends on sedation
● Assess neurovascular
status and dressing on
limb every hour
○ Pain, Sensation,
Motor function,
Perfusion (color,
temperature,
capillary refill,
swelling, pulses)
● Mild analgesic but
opioids if op was
corrective
■ Pt ed: ice for first 24 hrs, elevate
12-24 hours
○ Complications: tell dr if swelling,
redness, or fever
● Gallium & thallium scan- more sensitive for
detecting bone problems than a bone scan
○ Radioisotope migrates to tissues of
■ brain , liver, breast to help find
disease
, 1
