Musculoskeletal Flashcards
______ is used for measuring bone mineral density (BMD). It is widely used in clinical settings to diagnose osteoporosis or assess the risk of fractures by determining the strength and density of bones
Dual X-ray absorptiometry (DXA)
Pagets disease admitted to acute care unit. Which finding should nurse notify HCP first
- Bowing of both legs & knees asymmetrical
- Platybasia (base of the skull is invaginated)
- Patient 5’ 120lbs
- Skull soft,thick, and larger than normal
- Platybasia (base of the skull is invaginated)
Platybasia =brain stem manifestations that can be life distrubing.
Pagets disease . Disrupts the replacement of old bone tissue with new bone tissue.
Pelvis, skull, spine and legs.
Which action requires intervention
- Admin 600 mg ibuprofen
- Encourage patient to preform exercises recommended by PT
- Apply ice & gentle massage to lower extremities
- Remind client to drink milk & eat cottage cheese
Apply ice & gentle massage to lower extremities
APPLY HEAT for Chronic pain & ice for acute
4 C’s for giving instructions
- Clear
- Comprehensive
- Concise
- Credible
- Correct
- Complete
- Clear
- Concise
- Correct
- Complete
Fractured fibula recieving skeletal traction. What would the nurse instruct the UAP to report immediately
- Patient wants to change position in bed
- Small amount of clear fluid at pin site.
- Traction weights on floor
- Patient reports pain and muscle spasm
- Traction weights on floor
Weights need to hang freely in the air.
Check traction system after patient changes posistion, may alter traction
Right ankle fracture at risk for Immobility. Which is incorrect
- Encouraging patient to go from laying to standing posistion
- Admin pain meds before beginning exercise
- Explaining to patient and family purpose of exercise program
- Reminding patient about correct use of crutches
- Encouraging patient to go from laying to standing posistion
Correct: laying - sitting- standing ( helps balance)
Main priority 1 day post-op left Below Knee Amputation
- Phantom Pain
- Tissue perfusion
- Assist to ambulation ASAP
- Elevate residual limb when patient is supine
- Tissue perfusion
Phantom pain more common with above the knee amputation
Ambulation is important but 1 day post-op Engage in Muscle strengthen exercises
Elevating stump is controversial it may promote Knee contractures
Patient with Right Above the knee amputation. Patient asks my phantom pain exsist. What is the best response
- It’s not explained by anyone theory
- It occurs because your body still thinks the leg is present
- It will not interfere with your ADLs
- It is not real pain but remembered pain
- It’s not explained by anyone theory
Theories
Peripheral NS result of severing Peripheral nerves during surgery
Central NS loss of inhibitory signals that were generated from afferent impulses in severed leg
Psychological: Stress, anxiety, depression
4 day post-op above knee amputation. Diagnosed with depression. Which order would the nurse clarify with HCP
- Fluoxtine 40mg once a day
- Acetaminophen with codine 1 or 2 tablets every 4 hrs PRN
- Assist the patient to bedside chair every shift
- Reinforce dressing to the right residual limb as needed.
Fluoxtine should be divided into 2- 20 mg doses.
Elderly woman fractured right ulna. Which is Contradicted.
- X-rays of forearm
- Meperidine IM pain
- Monitor VS every hour
- Elevate arm on pillow
- Meperidine IM pain
Elderly use of meperidine No,No can cause seizures & adverse drug events
Syme amputation is…
Most of foot removed but ankle remains
