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Nur114 > 212 Test 3 > Flashcards

212 Test 3 Flashcards

0
Q

Vit d

A

In Fatty fish like tuna

Lack of causes malacia (softening)

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1
Q

Bone growth minerals

A 
Ca 
Ph
Calcitonin
Vit d
Pth 
Hgh 
Glucocorticoids
Thy
Insulin
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2
Q

Low cal process

A

Ca low
Pth elevates
Class release ca

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3
Q

Cancellous bone

A

Filled with marrow

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4
Q

Bursae

A

Prevent friction at joints and articulating structures

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5
Q

Synovial joints

A

lubrication and shock absorption

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6
Q

Synovitis

A

Arthritis caused by synovial fluid breaking down surrounding tissue

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7
Q

Ligaments

A

Boners

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8
Q

Tendons

A

Muscle to bone

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9
Q

Osteoarthritis cause

A

Synovial joints less elastic and damaged leads to

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10
Q

Changes in musculoskeletal cause

A

Decreased coordination
Loss strength
Gait change
Risk injury fall increase

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11
Q

Cart degeneration intervention

A

Moist heat

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12
Q

Decreased bone density intervention

A

Safety and weight bearing exercise if possible

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13
Q

Resorption

A

Forms resorps at equal rates until 35

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14
Q

Calcitonin

A

Produced thyroid
Decreases Ca levels
Slows resorption
Excretes in kidneys

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15
Q

Prominence intervention

A

Prevent pressure

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16
Q

Kyphotic, widened gait, center change intervention

A

Educate posture

Chairs with arms

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17
Q

Muscle atrophy interventions

A

Isometric exercises

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18
Q

Hx assessment questions

A

Activity level
ADL independence
Cognitive perceptual

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19
Q

Osteomyelitis

A

Bone infection

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20
Q

Bilateral Physical assessment process

A 
Posture 
Gate 
Integrity
Functionality
Muscle
Skin
Neuro
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21
Q

Goniometer

A

Measures flexion and extension

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22
Q

Antalgic

A

Any abnormalities in stance

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23
Q

Lurch

A

Abnormal gait swing from gluteal weakness

Shoulders side to side or back forth

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24
Q

Crepitus

A

Grating sound

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25
Q

Finger assessment

A

Easy way is to make a fist
Proximal to distal
Then bilateral

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26
Q

Before starting physical assessment questions

A 
How long
Exacerbating 
Course
Symptoms
Anything improve?
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27
Q

Back deformities way to member

A

Lower lordosis
Swerve scoliosis
Kigh up kyphosis

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28
Q

Hip assessment

A

Degree of mobility

Usually groin to knee pain manifestation

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29
Q

Knee assessment

A

Effusion
Rom
Pain

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30
Q

Genus

A

Valgum knock knee

Varum bow legged

31
Q

Ca levels

A

< 9 porosis

> 10.5 healing fx

32
Q

Phosph lab

A

< 3 malacia

> 4.5 Fx cancer

33
Q

Ck mm

A

Rises 2-4 hours after muscle injury

34
Q

Computer Tomography

A

3d images

Iodine allergies?

35
Q

Xeroradiography

A

Margins and edges clearer

Higher radiation

36
Q

Allium scans

A

Injection 4-6 hrs before
No other tests
30-60 min
Mild sedation indicated

37
Q

Mri

A 
Joints
Soft tissue (muscle, tendons)
Bone tumors
38
Q

Mri ? For pt

A 
Metal
Pregnant
Pacemaker
Stent
Ckd
Tattoos
39
Q

Arthroscopy

A

Direct visual
0.9% NS distended
Closed sterile
Back flat foot up

40
Q

Arthroscopy nursing

A

Control edema
Monitor neuro
Analgesics
Monitor

41
Q

Arthrocentesis

A

Aspiration to examine or relieve
Maybe injected with med
Aseptic

42
Q

Bone biopsy

A

Confirms infection/cancer

Monitor for heat pain

43
Q

7 fx Ps

A 
Pain 
Pallor
Pressure
Pulseless
Paresthesia 
Paralysis
Past hx
44
Q

Casts

A

Nv check
Reposition/elevate
Heat
Drainage

45
Q

Skin traction

A

Boot to lever

Relieves hip spasm

46
Q

Skeletal traction

A

Into bone
Pin care
Weights never off and check 8-12
Nv q1 first 24 then q4

47
Q

Orif

A

Open reduction internal fixation
Hardware may may not be left
Not for wound care needed

48
Q

External fixation

A

Pins to frame
Wound care
Cast/splint

49
Q

Fall risks

A

Meds
Rugs
Poor lighting
Steps pets

50
Q

Hip fx tx

A

Prosthesis
Orif
Bed rest to heal naturally

51
Q

Post op joint care preventions

A

Dislocation
Vte infection
Bleeding
Pain

52
Q

Compartment syndrome interventions

A 
Nv q1
Listen to pt
Pain never relieved
Keep extremity at heart
Prepare device removal/fasciotomy
53
Q

Fat embolism

A

12-48 hrs
End up In major organs
Most common in hip fx highest risk
Petichiae

54
Q

Dvt pe R/F

A

Anything vasoconstriction
Older
Prolonged immobility
Cancer chemo

55
Q

Dvt pe tx

A 
Bed 
Elevation 
Anti coagulation 
Filter
Removal
56
Q

Hip post op no nos

A

Leg cross center
Bend more than 90*
Leg turn inward

57
Q

Secondary oa

A

Ra
Trauma
Manual labor
Athletes

58
Q

Primary oa

A

Age
Genetics
Obese
Smoking

59
Q

Oa R/F

A

Low estrogen

High Pth

60
Q

Scoliosis onset

A

Adolescence or congenital

61
Q

Scoliosis assessment

A

Fwd flex asymmetry of hips/shoulder

Leg differences

62
Q

Scoliosis mild

A

10-20* exercise and flexibility

63
Q

Moderate scoliosis

A

20-40*
Boston brace 23 hrs under clothes
Stem for muscles

64
Q

Severe scoliosis

A

40-50*
Spinal fusion
Halo

65
Q

Severe scoliosis care

A 
Q1 nv checks
Strict i/o
Breathing
Log rolling
Ng, hemovac, foley
66
Q

Adult scoliosis <50

A

Heat

Meds exercise

67
Q

> 50% scoliosis adult S/S and tx

A 
Sob 
Fatigue
Oa
Back pain 
Fusion stabilizers
68
Q

Herniated disk

A

Pulposus
Lumbar cervical
Pain through sciatic down leg

69
Q

Hd causes

A

Spondolithiasis
Stenosis
Degeneration fluid loss

70
Q

Hd assessments

A

Pain at < 60* lying flat

Imaging

71
Q

Williams position

A

Semi fowlers with one leg on pillows

72
Q

Acute meds vs chronic

A

Acet Motrin relaxants injections

Chronic: anti epileptic like neurontin

73
Q

Epileptic drug monitoring

A 
Low Na
Weakness
Ha
Dizzy
Diarrhea
74
Q

Hd monitor for

A 
Csf leak
Fluid deficit 
Urine retention
Paralytic illeus
Fes 
Infection
Loose screws
75
Q

Cervical monitoring

A

Hoarseness dysphagia
Loose screws
Trache esopho injury
ABCs

Nur114 (13 decks)

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