Musculoskeletal System

Question 1

what connects bone to muscle

Answer 1

tendons

Question 2

what connects bones at two points

Answer 2

ligaments

Question 3

what 2 drugs decrease serum calcium

Answer 3

calcitonin
biphosphonates

Question 4

how is calcitonin usually administered

Answer 4

nasal spray

Question 5

what is the most common bisphosphonate

Answer 5

alendronate

Question 6

nursing considerations with bisphosphonates

Answer 6

esophagitis
take with full glass of water
remain upright for 30 mins after taking

Question 7

what does baclofen do

Answer 7

acts within spinal cord to suppress hyperactive reflexes
acts centrally so monitor for CNA depression!

Question 8

subluxation

Answer 8

partial loss of contact b/w two bones

Question 9

avulsion

Answer 9

complete separation of a tendon or ligament from its attachment

Question 10

how often do you clean pins

Answer 10

daily

Question 11

who can performing cleaning pins

Answer 11

RN or LPN

Question 12

how often do you assess pin sites

Answer 12

every 8-12 hours

Question 13

how do you clean pins

Answer 13

sterile gauze soaked in saline
upward away from site

Question 14

OSTEO

Answer 14

outgrowths (herberden’s and bouchard’s)
stiffness
tenderness
exacerbated by exercise
only in the joints - not systemic

Question 15

herberden’s nodes

Answer 15

OA
close to fingernail

Question 16

bouchard’s nodes

Answer 16

middle finger joint
OA

Question 17

sprain

Answer 17

ligament tear

Question 18

strain

Answer 18

tendon tear

Question 19

5 signs of rhabdo

Answer 19

vomiting
bruising
fatigue
muscle weakness
very dark urine (myoglobin) coca cola colored

Question 20

tx for rhabdo

Answer 20

fluids

diuretics

dialysis if k is too high or kidneys can’t clear on their own

bedrest

monitor electrolytes and CK

Question 21

early sign of compartment syndrome

Answer 21

paresthesia (tingling)

Question 22

how many cotton swabs per pin for cleaning

Answer 22

1