Concepts Exam #3 Ch 51 Flashcards
Pg. 1024 Labs
Know Bone Labs
Chart 50-1
Assess Risk Factors for primary Osteoporosis
osteoperosis
Know it
NCLEX Exam Challenge On Pg. 1033
Answer is B
Benign Bone Tumors and Bone Cancer
Talk more about that on Cancer Chapters
Patient Centered Collaborative Care Pg. 1032
TJC National Patient Safety Goals
NCLEX Exam Challenge On Pg. 1033
Answer is B
Osteomalacia
Related to a Vitamin D deficiency. Causes softening of the bone resulting from inadequate deposits of calcium and phosphorus in bone matrix.
Benign Bone Tumors and Bone Cancer
Talk more about that on Cancer Chapters
Pathological (spontaneous) fracture
Occurs after minimal trauma to a bone that has been weakened by disease.
Compression fracture
caused by a loading force applied to the long axis of cancellous bone
Complications of patients with fracture?
Hypovolemic shock Fat embolism syndrome Venous Thromboembolism Infection Acute Compartment Syndrome Pain Impaired physical mobility Inadequate nutrition
Nursing care of casts
Check for pulses, circulation of finger and toes, assess dressing, assess change in the integrity of cast.
Peripheral nerve damage can occur from the tightness of the cast.
What should the nurse be most concerned about regarding a patient with a fracture?
ABCs. Don’t remove shoes as they could be stabilizing the bones.
Complications of patients with fracture?
Hypovolemic shock Fat embolism syndrome Venous Thromboembolism Infection Acute Compartment Syndrome
Nursing care of casts
Check for pulses, circulation of finger and toes, assess dressing, assess change in the integrity of cast.
Peripheral nerve damage can occur from the tightness of the cast.
Phantom limb pain
Any stimulus can cause phantom limb pain. Usually goes away after some time. Pain in amputated limb
De-gloving
limb is severed in traumatic event. Usually results in amputation
Levels of amputation
Effort by surgeon to preserve knee joints with below the knee amputation. Goal is preservation of as much of the joints as possible.
Phantom limb pain
Any stimulus can cause phantom limb pain. Usually goes away after some time. Pain in amputated limb
Loss of large toe
significantly affects gait and balance
Loss of little toes
has little significance
Nursing Safety Priority - Six Ps
Pain, Pressure, Paralysis, Parasthesia, Pallor, Pulselessness (Rare).
