Adults Orthopedic Nursing Exam
Questions & Answers
4 steps of bone healing - ANS-hematoma, fibrocartilaginous callus formation, bony
callus formation, remodeling
factor in bone healing responsible for bone cell formation - ANS-Ca+2
needed to absorb calcium - ANS-vitamin D
if this lab value is elevated we look for bone disease - ANS-alkaline phosphatase
uptake of dye shows inflammatory process - ANS-bone scan
if a patient is allergic to shellfish then what might be of concern regarding diagnostic
radiology? - ANS-certain types of dye
6 factors in bone healing - ANS-calcium, vitamin D, no osteoporosis, no infection, good
blood circulation, alkaline phosphatase
what type of fluid makes a halo type appearance on a dressing? - ANS-CSF
after a lumbar puncture what position should the patient be in? - ANS-HOB elevated;
bedrest
loss of articulation of the bone ends in the joint caps - ANS-dislocation
partial dislocation where bone ends still partially touch - ANS-subluxation
what type of exercises are performed if a patient has joint trauma (these help strengthen
the muscle) - ANS-isometric
T or F for joint trauma only give NSAIDs when the patient requests - ANS-FALSE
inflammation of bursa - ANS-bursitis
tennis or golfers elbow; inflammation of tendon at point of origin to bone - ANS-
epicondylitis
compression of median nerve and inflammation of the lining of synovial sheath - ANS-
carpal tunnel syndrome
, what test is done for carpal tunnel? - ANS-phalen test
treatments for repetitive injuries ... - ANS-immobilize and rest
ice for 24-48hours and then heat
-medications like NSAIDS
-corticosteroid injections into the joint
symptoms accompanied with a bone fracture - ANS-pain, edema, crepitus, deformity
unstable vs stable - ANS-with or without displacement
complete vs incomplete - ANS-total segment vs partial segment
simple vs compound - ANS-closed vs open
manipulation of the skin to fix the fracture - ANS-closed reduction
surgical manipulation of bone to fix a fracture - ANS-open reduction
advantages and disadvantages of internal fixation - ANS-advantages: fast ambulation;
good stabilization
disadvantages: surgery required
7 principles of cast care: - ANS-elevation; turn/rotate; skin edges/pad prn; pain control;
window/bivalve (relieves pressure); neurovascular checks; hot spots/drainage
5Ps of neurovascular checks - ANS-pallor, pulses, parasthesia, paresis, pain
numbness/tingling - ANS-paresthesia
T or F in traction weights hang freely and do not touch the floor - ANS-true
skin traction requires what weight? (range) - ANS-5-10 pounds
with traction comes immobility, so we must monitor for... - ANS-DVT, pneumonia, ileus,
renal calculi
type of traction that is intermittent and can be removed throughout the day (2) - ANS-
lumbar and cervical
skin traction is ____ term and skeletal traction is ____ term - ANS-short; long
weight range for skeletal traction - ANS-25-35
T or F infection risk is greater with skeletal traction - ANS-true
Questions & Answers
4 steps of bone healing - ANS-hematoma, fibrocartilaginous callus formation, bony
callus formation, remodeling
factor in bone healing responsible for bone cell formation - ANS-Ca+2
needed to absorb calcium - ANS-vitamin D
if this lab value is elevated we look for bone disease - ANS-alkaline phosphatase
uptake of dye shows inflammatory process - ANS-bone scan
if a patient is allergic to shellfish then what might be of concern regarding diagnostic
radiology? - ANS-certain types of dye
6 factors in bone healing - ANS-calcium, vitamin D, no osteoporosis, no infection, good
blood circulation, alkaline phosphatase
what type of fluid makes a halo type appearance on a dressing? - ANS-CSF
after a lumbar puncture what position should the patient be in? - ANS-HOB elevated;
bedrest
loss of articulation of the bone ends in the joint caps - ANS-dislocation
partial dislocation where bone ends still partially touch - ANS-subluxation
what type of exercises are performed if a patient has joint trauma (these help strengthen
the muscle) - ANS-isometric
T or F for joint trauma only give NSAIDs when the patient requests - ANS-FALSE
inflammation of bursa - ANS-bursitis
tennis or golfers elbow; inflammation of tendon at point of origin to bone - ANS-
epicondylitis
compression of median nerve and inflammation of the lining of synovial sheath - ANS-
carpal tunnel syndrome
, what test is done for carpal tunnel? - ANS-phalen test
treatments for repetitive injuries ... - ANS-immobilize and rest
ice for 24-48hours and then heat
-medications like NSAIDS
-corticosteroid injections into the joint
symptoms accompanied with a bone fracture - ANS-pain, edema, crepitus, deformity
unstable vs stable - ANS-with or without displacement
complete vs incomplete - ANS-total segment vs partial segment
simple vs compound - ANS-closed vs open
manipulation of the skin to fix the fracture - ANS-closed reduction
surgical manipulation of bone to fix a fracture - ANS-open reduction
advantages and disadvantages of internal fixation - ANS-advantages: fast ambulation;
good stabilization
disadvantages: surgery required
7 principles of cast care: - ANS-elevation; turn/rotate; skin edges/pad prn; pain control;
window/bivalve (relieves pressure); neurovascular checks; hot spots/drainage
5Ps of neurovascular checks - ANS-pallor, pulses, parasthesia, paresis, pain
numbness/tingling - ANS-paresthesia
T or F in traction weights hang freely and do not touch the floor - ANS-true
skin traction requires what weight? (range) - ANS-5-10 pounds
with traction comes immobility, so we must monitor for... - ANS-DVT, pneumonia, ileus,
renal calculi
type of traction that is intermittent and can be removed throughout the day (2) - ANS-
lumbar and cervical
skin traction is ____ term and skeletal traction is ____ term - ANS-short; long
weight range for skeletal traction - ANS-25-35
T or F infection risk is greater with skeletal traction - ANS-true
