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LPN Level 2 - Surgery > Mobility 45&46 > Flashcards

Mobility 45&46 Flashcards

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0
Q

Swollen reddened synovial tissue within a joint

A

Synovitis

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1
Q

Grating sound as joint or bone moves

A

Crepitation

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2
Q

When serum calcium increases serum phosphorous

A

Decreases

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3
Q

Serum calcium normal values

A

9-11

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4
Q

Serum phosphorous normal values

A

2.6-4.5

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5
Q

What enzyme increases during bone or liver damage

A

ALP

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6
Q

Pre CT

Radiographic slices of bone or soft tissue

A

NPO

Check for allergies

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7
Q

Air or contrast medium is injected into synovial joint which is then x rayed

A

Invasive arthrography

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8
Q

Nursing management during invasive arthrography post op

A

Joint swelling common
Apply Ice elevate limb
No activity 24 hrs

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9
Q

Visualizes the spine an spinal cord after injection of a contrast medium

A

Myelogram

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10
Q

Post op myelogram

A

Assess for nausea

HOB 45 degrees

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11
Q

Nuclear medicine scan test can take up to

A

90 minutes

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12
Q

Post op artherocentesis : removal of synovial fluid

A

Assess for infection inflammation or hemarthrosis

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13
Q

A decrease in bone density leads to

A

Osteoporosis

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14
Q

Diagnostic to detect osteoporosis

A

DEXA

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15
Q

Blood in joint cavity

A

Hemarthrosis

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16
Q

Rice for sprains and strains

A

Rest
Ice
Compression
Elevate

17
Q

Normal sed rate ESR

A

15-30

18
Q

sed rate is elevated during

A

Fracture

19
Q

Bone splintered or shattered into numerous fragments often occurs in crushing injuries

A

Comminuted

20
Q

Bone is force ably pushed together resulting in bone being pushed into bone

A

Impacted

21
Q

Caused when bone is weakened by pressure from tumor outside or within bone

A

Pathological

Neoplastic

22
Q

Fracture curves around the shaft of bone usually common in abuse

A

Spiral

23
Q

First thing to do when fractured limb

A

Immobilize

24
Q

Long bone fractures can be splinted with

A

Other long bones along side

25
Q

Open fractures

What’s the first thing you do

A

Apply sterile dressing

26
Q

A wet plaster is handled with palms only to avoid indentations that can become

A

Pressure points

27
Q

If cast is bleeding or has an odor?

A

A window opening is created to treat underlying problem

28
Q

Assess 6 ps in patients with cast every

A

1-2 hrs

29
Q

care of cast

A
  • Pt repositioned q2h to prevent flattening
  • Cast gives off heat when drying/normal
  • No blow dryers
  • only synthetic casts can be exposed to H2O
  • outline area of blood on cast with a pen to observe increase in size
  • never put anything inside cast
30
Q

Signs of infection

A

Odor
Heat
Redness
Pain

31
Q

Asses CWCM with casts

A

Color
Warmth
Circulation
Movement

32
Q

Type of traction used to relieve painful muscle spasms in the knee

A

Russell’s traction

33
Q

Type of traction mainly for hip fractures for pts needing relief of muscle spasms

A

Bucks traction

34
Q

Balanced suspension aka

A

Skeletal traction

35
Q

All knots ropes weights and pulleys in traction should be assessed every

A

8-12hrs

36
Q

Risks when using external fixation

A

Osteomyelitis infection

37
Q

I’m severe acute compartment syndrome pt has the 6p’s

A 
Pain
Paresthesia:tingling or burning
Paralysis
Pallor: reddened
Pulse none
Poikilothermia : warmth
38
Q

Relief of pressure of a tight cast

A

Bivalving

39
Q

Relief of pressure from compartment syndrome : procedure?

A

Fasciotomy

40
Q

S/S of fat emboli

A 
Altered mental status due to low O2
Tacychardia
Tachypnea
Fever
High BP
SOB severe
41
Q

What actions should be taken if pt has fat emboli

A 
O2 2 L/min via nasal cannula
Raise HOB high fowlers
Bed rest
Minimize movements
ABGs and chest x ray
IV fluids
Corticosteroids

LPN Level 2 - Surgery (9 decks)

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