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Nur 4410 Peds Exam #2 > Musculoskeletal Condition > Flashcards

Musculoskeletal Condition Flashcards

1
Q

connect 2 or more bones

A

ligament

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2
Q

connect muscle to bones

A

tendons

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3
Q

types of muscles

A

striated, smooth

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4
Q

Who’s bones heal faster, adults or children’s?

A

Children’s

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5
Q

Involvement of what can cause limb length discrepancy?

A

Growth Plate

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6
Q

Treatment for bone fractures

A

casting

displacement needs reduction

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7
Q

Complications of having a Cast

A

cast syndrome

compartment syndrome

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8
Q

Type of Skin Traction used for hip dysplasia, younger than 3yrs old

A

Bryant’s traction

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9
Q

Type of Skin Traction used for femur fractures of LCP, weight >12kg

A

Russell’s Traction

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10
Q

Nursing Care for Skin Traction Devices

A

Neurovascular checks and skin care q 4hours

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11
Q

Type of Skeletal traction for cervical and thoracic fractures

A

Crutchfield tongs

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12
Q

Type of Skeletal traction for femur fractures

A

90/90 femoral

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13
Q

Type of Skeletal traction for Supracondylar fracture of humerus

A

Dunlap traction

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14
Q

Nursing Care for Skeletal Traction devices

A 
Maintain traction
Prevent skin breakdown
Assess pin sites Q 8 hours of s/s of infection
Promote good nutrition 
Manage pain 
Distraction
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15
Q

Complications of Skeletal Traction Devices

A

pneumonia, ischemia, osteomyelitis

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16
Q

Foot deformity diagnosed as a newborn
Signs and symptoms
Foot is plantar-flexed with an inverted heel with adducted forefoot
Rigid – cannot be manipulated

A

Club Foot

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17
Q

Nursing Care for CLub Foot

A

Serial casting
Manage pain
Passive ROM
Surgery

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18
Q

Aseptic necrosis of the femoral head

Males > females

A

Legg-Calve-Perthes Disease

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19
Q

4 Stages of Legg-Calve-Perthes Disease

A

Aseptic necrosis
Revascularization
New bone formation
Regenerative phase

20
Q

Signs and symptoms
Hip/knee pain/stiffness
Pain increases with activity

A

Legg-Calve Perthes Disease

21
Q

Goal of Legg-Calve Perthes Disease

A

keep the femoral head in acetabulum

22
Q

Top of femur slips through the epiphysis posteriorly
Males > females
More common in obese children
Cause unknown – may have a genetic component

A

Slipped Capital femoral Epiphysis

23
Q

S&S of Slipped Capital Femoral Epiphysis

A

Hip, thigh, or knee pain

Limp

24
Q

Nursing Care/Goal of Slipped Capital Femoral Epiphysis

A

No weight bearing
Goal is to prevent further slippage
Surgery – pinning or osteotomy

25
Q

Painful prominence of the tibial tubercle

Common in active school-age kids and adolescents

A

Osgood-Schlatter Disease

26
Q

What is Osgood-Schlatter Disease

A

repetitive injury and repair to the tibial tubercle when patellar tendon attaches

27
Q

S&S of Osgood-Schlatter Disease

A

Pain below kneecap

Aggravated by activity, relieved by rest

28
Q

Nursing care of Osgood-Schlatter Disease

A

RICE, NSAIDs, Elastic wrap over knee

29
Q

Infection of the bone and soft tissues

A

Osteomyelitis

30
Q

S&S
Localized tenderness, redness, warmth
Pain on palpation

A

Osteomyelitis

31
Q

Nursing Care of Osteomyelitis

A

Administer intravenous antibiotics

Promote rest and manage pain

32
Q

Complications of Osteomyelitis

A

Necrosis, growth plate involvement

33
Q

Case gradual wasting of SYMMETRICAL groups of skeletal muscle

A

Muscular Dystrophies

34
Q

most common and most serious type of muscular dystrophies

A

Duschenne’s

35
Q

S&S of muscular dystrophies

A

Waddling, wide-based gait

36
Q

Nursing Care of Muscular Dystrophies

A

Rarely live beyond 20 years
Maintain independence
Multi-disciplinary collaboration

37
Q

Nonpainful lateral curvature of the spine

Most common spinal deformity in children

A

Scoliosis

38
Q

S&S of Scoliosis

A

Lateral curvature

39
Q

Nursing Care of Scoliosis

A

Bracing and Exercise, Spinal Fusion

40
Q

Nonpainful spinal curvature in the sagittal plane “hunchback”

A

Kyphosis

41
Q

S&S of Kyphosis

A

Uneven shoulder height

Thoracic pain

42
Q

Nursing Care of Kyphosis

A

Exercises
Bracing
Surgery

43
Q

What do you monitor for in Spinal Fusion?

A

monitor fluid balance

Monitor for SIADH

44
Q

AKA Brittle bone disease

Genetic disease of excessive fragility of the bones – high rate of fracture

A

Osteogenesis Imperfecta (OI)

45
Q

S&S of Osteogenesis Imperfecta (OI):

A

Laxjoints

Small and Weak Muscles

46
Q

What medication do you give to a patient with Osteogenesis Imperfecta?

A

Reclast

47
Q

Nursing Care for OSteogenesis Imperfecta (OI)

A

Give medication (Reclast)
Rule out child abuse
Surgical rod placement

Nur 4410 Peds Exam #2 (9 decks)

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