Disorders of MK Disorders

Question 1

how to assess perineal nerve- fx tibia and fibula

Answer 1

dorsiflexion of great toe

Question 2

hip fx

Answer 2

spasms

Question 3

most serious complications especially in pelvic fx

Answer 3

hemorrhage and shock

Question 4

severe pain without resolve of med- 1st sx

Answer 4

compartment syndrome

Question 5

pain, edema, paresthesia- sx of what

Answer 5

compartment syndrome

Question 6

prevent disuse syndrome

Answer 6

isometric exercise- nurse encourage tense/contract muscle w/o moving bone

w/ cast- isometric contraction

should be performed at least 1x/hr when awake

Question 7

sites of amputation

Answer 7

aka- above knee
bka- below knee
syme- through ankles
midfoot
toe

Question 8

crushed tibia/fibula- amputation

Answer 8

bka

Question 9

crushed femur- amputation

Answer 9

aka

Question 10

post amputation meds

Answer 10

NSAIDs
opioids
IV morphine- monitor for respiratory depression- occurs quickly- 10-20 sec

Question 11

PCA pump- pt should be what

Answer 11

should be cognitive and physically competent

Question 12

nurse roles- fx

Answer 12

immobilize
assess neurovascular status, circulation
clean- aseptic technique
reduce edema
cover wound w/ sterile dressing

Don’t reduce fx

Question 13

falling
pain in right arm and inability to move it

findings support fx

Answer 13

crepitus
brusing
pain
edema

Question 14

serous drainage and redness at site of external fixator

Answer 14

sign of infection

tell Dr