Musculoskeletal System

Question 1

what do we need to rule out a fracture

Answer 1

Xray

Question 2

where is the neurovascualr assment done

Answer 2

distal to the injury

Question 3

contusions

Answer 3

soft tissue injury

Question 4

strain

Answer 4

muscle

Question 5

sprain

Answer 5

ligament

Question 6

why should we not pop a joint back in

Answer 6

blood and nerves and could lead to avascular necrosis

Question 7

nursing management for mild sprain and strain
- RICE

Answer 7

rest
ice
compression
elecation

Question 8

what is consisted in a neruovascular assessment

Answer 8

capillary refill
temp
color
sensation
pulses

Question 9

why is a femur fracture dangerous

Answer 9

largest bone
severe blood loss
shock can occur

Question 10

why might rib fractures be dangerous

Answer 10

punctured lungs

Question 11

type of fracture impacts

Answer 11

healing

Question 12

what fracture might take longest to heal
- simple of comminuted

Answer 12

comminuted

Question 13

mainifesations of a fracture

Answer 13

pain
loss of function
deformity
shortening of the extremity
crepitus
local swelling and discoloration

Question 14

is loss of color and swelling normal in a fracture

Answer 14

yes

Question 15

what is abnormal in a fracture

Answer 15

neurovascular assessment
unrelenting pain

Question 16

emergency management of a closed fracture

Answer 16

immobilize the body part
assess neuron vas before and after splitting

Question 17

emergency management of a open fracture

Answer 17

cover with a sterile dressing to prevent contamination

Question 18

should we attempt to reduce a fracture in the field

Answer 18

no

Question 19

open fractures require treatment to prevent

Answer 19

infection

Question 20

what profilaxis will we do for open fractures

Answer 20

tetnus and antibiotics

Question 21

why might closure of a open fracture be delayed

Answer 21

permit edema
drainage
debridement

Question 22

risk for external fixator

Answer 22

infection
osteomyeltisis

Question 23

traction care

Answer 23

maintain correct balance between traction pull and counter traction force
care of weights
skin extremity inspection
- color, temp, sensation
pin care
assessment of neuro vas satus

Question 24

care of traction
TRACTION

Answer 24

tempreature
rose hang freely
alignment
circulation check
type and location of fracture
increase fluid intake
overhead trapeze
no weights on bed or floor

Question 25

cast complications

Answer 25

infection circulation impairment peripheral nerve damage immobility

Question 26

should we put things down cast

Answer 26

no

Question 27

5 P's of circulatory checks

Answer 27

pain paresthesia paralysis pulse pallor

Question 28

pain management for fracture

Answer 28

NSAIDS muscle relaxants analgesics non pharm

Question 29

complications of fractures

Answer 29

shock fat emobolism compartment syndrome avascular necrosis DVT delayed union nonunion

Question 30

fat embolism caused by what fracture

Answer 30

long bone

Question 31

fat embolism what labs should we get

Answer 31

ABG - profound hypoxemia

Question 32

delayed union

Answer 32

slowed bone coming together

Question 33

nonunion

Answer 33

bone isn't coming together at all

Question 34

complex regional pain syndrome

Answer 34

unexplained ongoing pain

Question 35

DVT how to prevent

Answer 35

heparin mobilize SCD

Question 36

compartment syndrome definition

Answer 36

serious condition in which increased pressure within one or more compartments causes massive compromsise of circulation to the area

Question 37

s/s of compartment syndrome

Answer 37

numbness tingling pale no pulse (late) UNRELENTING PAIN slow cap refill

Question 38

what might we do to treat compartment syndrome

Answer 38

removal of cast fasciotomy

Question 39

within how many hours until the onset of compartment syndrome will neuromuscular damage be irreversible

Answer 39

4

Question 40

where should we maintain the extremity at during compartment syndrome

Answer 40

heart level

Question 41

hall mark of rhabdo

Answer 41

cola colored urine

Question 42

complications of total knee replacement

Answer 42

dislocations DVT infection

Question 43

proper body alignment with hip replacement

Answer 43

turn to unaffected side pillow between legs to keep affected leg in abducted position to prevent removal of joint

Question 44

complications of amputations

Answer 44

hemorrhage infection phantom limb pain

Question 45

what is phantom limb pain

Answer 45

can still feel it even tho the limb is gone not well managed with pain meds - use opioids