Musculoskeletal Flashcards
Osteomylitis
Possibly a result of latent viral infection
Osteomalacia
Older adults, vitamin D deficiency, insufficient exposure to sunlight
Osteomalacia
Unsteady gait, bone tenderness over rib cage, long bone bowing
Paget’s disease
Hip flexion contractures, long bone Boeing, soft skull
Which factors may be associated with osteomalacia?
Vitamin D deficiency, muscle weakness in the pelvic girdle area, muscle weakness in life
Which factors may be associated with Pagets disease?
Apathy or lethargic, urinary or renal stones
The patient is prescribed calcitonin for treatment of pagets disease. What does the nurse advised patient to do?
Alternate nares to prevent nasal mucosal irritation
Patient reports pain in the lower legs and pelvis which is aggravated by activity and worse at night. The nurse observes muscle weakness which appears to be causing a waddling and unsteady gait. What additional information supports the likelihood of osteomalacia in this patient?
Recent immigration from a country where famine is common
An x-ray shows the presence of radiolucent bands and a patient. What is this diagnostic finding specific for?
Osteomalacia
The nurse is assessing a patient reports moderate bone pain in the hip and has a family history of Pagets disease. And performing a musculoskeletal assessment, the nurse pays particular attention to which element?
Size and shape of the skull
A patient with Paget’s disease comes to the clinic for evaluation. Which symptom reported by the patient alerts the nurse to the possibility of osteogenic sarcoma?
Severe bone pain
A patient with Paget’s disease has complications related to bony enlargement of the skull. Which complication is potentially the most serious and life-threatening?
Platybasia, or basilar invagination with brainstem manifestation
The patient with Paget’s disease has a kidney problem associated with an increase or I’m calcium. What is the nursing priority for this patient?
Encourage the patient to increase fluids, unless contraindicated
The patient is having diagnostic testing to determine the probability of Piaget’s disease. If The disease is present which lab result of the nurse expect to see?
Increased serum alkaline phosphate
A patient with Paget’s disease has been prescribed drug therapy. The nurse prepares patient teaching information for which medication as a first-line therapy?
Risedronate (actonel)
The patient was admitted for acute osteomyelitis of the left lower leg. What does the nurse expect to find documented in the patient’s admitting assessment?
Temperature greater than 101, swelling, tenderness, erythremia, and warmth of area
The nurses caring for patient with osteomyelitis. Which lab results are primary concern for this disorder?
White blood cell count and erythrocyte sedimentation rate
Which patient is most likely to be a candidate for hyperbaric oxygen therapy?
Patient with chronic, on remitting osteomyelitis
The patient comes in the emergency department after accidentally puncturing his hand with an automatic nail gun. Which disorder is this patient primarily at risk for?
Osteomyelitis
The nurses caring for a patient with acute osteomyelitis. What assessment findings typically accompany this medical diagnosis?
Fever usually above 101, erythemia on the affected area, swelling around the affected area
The nurses teaching a patient about anabiotic therapy for osteomyelitis. What information does the nurse give to the patient?
Infected one maybe irrigated with one or more types of antibiotic solution
The patient was a long distance runner reports severe pain in the arch of the foot, especially when getting out of bed and with weight-bearing. What does the nurse suspect in this patient?
Plantar fasciitis
The patient is diagnosed with planter fasciitis. What instruction does the nurse gives to the patient about self-care for this condition?
Strap the foot to maintain the arch
Which clinical findings does the nurse assessed in the affected area of a patient with them osteomyelitis?
Erythema, tenderness, swelling, constant bone pain
The nurses caring for a patient with muscular dystrophy. Although all body systems can be affected, the nurse is alert and carefully assesses for which major problem?
Respiratory failure
The nurses caring for several patients on orthopedic trauma unit. Which conditions have a high-risk for development of acute compartment syndrome?
- Lower legs caught between the bumpers of two cars
- Massive infiltration of IV fluid into forearm
- Multiple insect bites to lower legs
- Severe burns to the upper extremities
The patient has a fracture of the right wrist. What is an early sign that indicates this patient may be having a complication?
Patient reports a subjective numbness and tingling
The nurse is assessing a patient for severe pain in the right wrist after falling off the stepstool. How does the nurse assesses patients motor function?
Asking the patient to move the fingers
The patient and traction reports severe pain from a muscle spasm. What is the nurses priority action?
Assess the patient’s body alignment
The nurse is reviewing the orders for a patient was admitted for 24 hour observation of a like fracture. A cast is in place. Which order does the nurse question?
Perform neuro, circulation checks every eight hours
The patient with a leg cast denies pain, Tozer pink, capillary refill is brisk and toes move freely, the leg is elevated with an ice pack. Six hours later the patient reports worsening pain unrelieved by medication. The patient’s toes are cool and capillary refill sluggish. What does the nurse suspect is occurring with this patient
Acute compartmental syndrome
An older adults sustained injury to the lower legs after being trapped underneath the following bookcase. Because this patient is at high risk for crush syndrome, which lab values will the nurse specifically monitor?
Serum potassium level and myoglobin in urine
