Musculoskeletal Flashcards
a) med probenecid, medications interact with which med?
b) Pt who has femur fracture and skeletal traction. what findings need to be reported?
a) Asprin
b) chest petechia
indication of fat embolism syndrome
pt who has femur fracture inc risk of fat emboli
a) risk of osteoporosis
b) what s/s is common ostoprosis?
c) post-ope following a conventional lumber disk excision. what statement correct?
a) small body frame
low vitamin D intake
smoking
hx of anorexia
b) lower back pain
c) use a heating pack to reduce muscle spasm
No driving for 6weeks
healing for 6 weeks
a) pt who post-ope following inner maxillary fixation with wiring. What to teach?
b) pt who had a below-the-knee amputation. what info should teach?
a) cut the wiring if emesis occurs
b) lie prone while in bed 20-30 min every 3 to 4 hr
sleep firm mattress
push down the residual 残りの limb while in bed
What is arthroplasty?
a) pt who is scheduled for total knee arthroplasty. What statement understanding to teaching?
b) what med for rheumatoid arthritis?
surgical procedure to restore the function of a Joint.
a) I should wear elastic stockings on both of legs
should start leg exercises while in bed during immediate post-ope
b) Celecoxib
A chronic inflammatory disorder affecting many joints, including those in the hands and feet . autoimmune
a) what is Heberden’s nodes?
b) pt has PCA and stated” I am in so much pain” What nurse’s response?
a) Hard lump over the joints of the fingers
b) Ask pt to describe the characteristics of the pain
a) post-ope following a right total hip arthroplasty. What dislocation of hip prosthesis?
b) hip fracture who has Buck’s extension traction in place. What information should the nruse give?
a) shortening of the right leg
b) less pain with the traction in place
traction help to dec muscle spasms
weight act as a pulling force to keep the leg and hip still
traction is for short-term
weight should suspended(lift) and should not touch on the floor
a) skull fracture of the bone that makes up the larger part of the upper and side wall of the cranium is?
b) difference between RA and OA?
c) risk for gout?
a) parietal
b) RA is autoimmune, systemic involves other organ
OA is limited to the join, inc erythrocyte sedimentation rate
c) Diuretic use
a) pt who has osteomyelitis of open wound his heel. what to teach?
a) prescribe a central catheter line for long-term antibiotic(weeks to month)
DO NOT use cold therapy(dec blood flow)
Limit weight bearing(not walk frequently)
Shouls consume high protein diet
a) wearing cast, what findings are abnormal?
b) OA pain-pharmacological approch
a) temp change(shouldn’t be cold)
if swallen, ice pack for first 24-48hr
tingling indicates compartment syndrome
b) warm compresses
donot extended joint(do not use pillow to support knee)
a) pt who balanced skeletal traction to stabilize a femur fracture.what action?
b) osteoporosis recommendation?
a) offering high fluid and fiber diet
pt immobile is at risk of constipation
a) brisk walking早歩き
Ca intake 1200mg
a) fractured of hip, what traction should use?
b) MRI?
c) amputation care
a) Buck’s traction
b) can have mild sedative
lie supine for 45-60min
no radiation
c) firm mattress
pron position for 20-30 min every 4hr daily
turn every 2 hr while in bed
rewrap the residual limb with a bandage 3 times per day
a) comminuted fracture
b) greenstick fracture
c) spiral fracture
a) the bone to fragment into several pieces.
b)the bone to fracture on one side and bend on the other side. see pic
c) fracture twists around the shaft of the bone.
postop following hip arthroplasty, how to sit?
with the hips at a 90° angle with the knees slightly lower than the hips to avoid hip dislocation.
-avoid sitting with the knees higher than the hips to avoid hip dislocation.
- avoid leaning forward over the knees to avoid hip dislocation.
- avoid crossing the affected leg over the center of the body to avoid hip dislocation.
Pt who has RA, what joint involve
A client who has rheumatoid arthritis can experience inflammation in the hand joints that can make them susceptible to deformity from daily use. Ulnar deviation, or lateral deviation of the fingers, can occur from opening jars and other similar motions.
