Nursing Care of Musculoskeletal and Connective Tissue Disorders Flashcards

1
Q

Strain

A

Soft tissue injury due to muscle or tendon being excessively stretched

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2
Q

Cause of strains

A

Falls
Excessive exercise
Lifting heavy items

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3
Q

Severe strain is due to

A

the muscle or tendon being ruptured, with separation of muscle from muscle, tendon from muscle, or tendon from bone

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4
Q

RICE

A

Rest
Ice
Compression
Elevation

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5
Q

Sprain

A

Excessive stretching of one or more ligaments usually resulting from twisting movements during a sports activity, exercise, or fall

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6
Q

Severe sprain causes

A

instability of the joint and usually requires surgical intervention for repair or grafting of the tissue

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7
Q

Dislocations

A

Ends of the bones are forced from normal position

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8
Q

Bursitis

A

Inflammation of the bursa due to arthritis, gout, repetitive movement, or sleeping on one’s side

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9
Q

Bursitis symptoms

A

Achy pain
Stiffness
Burning pain over joint area worsens with activity

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10
Q

Rotator Cuff Injury symptoms

A
Shoulder aching 
⬆️ pain with lifting the arm 
Greater pain at night 
Weakness 
Sometimes limited ROM
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11
Q

Carpal Tunnel Syndrome

A

Compression of the median nerve within the carpal tunnel when swelling in the tunnel occurs

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12
Q

S&S of Carpal Tunnel Syndrome

A

Slow-onset finger, hand, and arm pain and numbness

Painful tingling and parasthesia possibly

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13
Q

Treatment for Carpal Tunnel Syndrome

A
Focus is on relieving inflammation and resting wrist 
Splint 
Medications such as aspirin
Cortisone maybe 
Surgery for some
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14
Q

Fracture

A

Break in bone

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15
Q

Hematoma forms how long after a fracture?

A

48-72 hours

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16
Q

Osteoclasts

A

Bone destroying cells

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17
Q

What is the use of Buck’s traction for?

A

Hip fractures

To prevent further trauma

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18
Q

Open Reduction with Internal Fixation (ORIF) of the hip allows:

A

Early mobilization while the bone is healing

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19
Q

Avulsion fracture

A

Piece of bone torn away from the main bone while still attached to a ligament or tendon

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20
Q

Comminuted fracture

A

Bone splintered or shattered into numerous fragments

Most often in crushing injuries

21
Q

Impacted fracture

A

Bone is forcibly pushed together causing the bone to be pushed into bone

22
Q

Greenstick fracture

A

Bone is bent and fractures on the outer arc of the bend

Often in children

23
Q

Interarticular fracture

A

Fracture within a joint

24
Q

Displaced fracture

A

Bone pieces out of normal alignment

25
Q

Pathological (neoplastic) fracture

A

Bone is weakened by either pressure from a tumor or an actual tumor within the bone

26
Q

Spiral fracture

A

Fracture curves around shaft of bone

27
Q

Longitudinal fracture

A

Fracture occurs along length of bone

28
Q

Oblique fracture

A

Fracture occurs diagonally or at an oblique angle across the bone

29
Q

Stress fracture

A

Bone is fractured across one cortex

Incomplete fracture

30
Q

Transverse fracture

A

Bone fractured horizontally

31
Q

Depressed fracture

A

Bone pushed inward

Often seen with skull and facial fractures

32
Q

Urgent Management of Fractures

A
  1. Immobilize affected limb stat
  2. If no bleeding, apply splint and padding above and below fx over clothing
    If bleeding is present, apply pressure
  3. If leg is fractured, use other leg as a splint by bandaging them together
    Arm can be bandaged to the chest
  4. Assess CWCM (color, warmth, circulation & movement) of the limb distal to fx
  5. If open fx, protruding bone should be covered with a clean dressing (sterile preferred)
  6. Do not attempt to straighten or realign
33
Q

Assessing patient with a cast

A
  • CWCM - color, warmth, circulation, movement every 1-2 hours for 24 hours, then qid and prn
  • Tightness (ask patient)
  • Rough or frayed edges
  • Make sure patient can move all digits distal to cast
34
Q

NI for patient with new (wet) cast

A

-Never grasp wet cast to move or hold it or place on any surface that can cause indentation - use only palms of hands
-Turn patient every 1-2 hours
-With hip spicas or any cast with an abductor bar, do not use bar to move limb or help with turns
-

35
Q

What do you clean a prosthesis socket with?

A

Water

Let it dry completely

36
Q

Replace prosthetic liners and worn inserts when:

A

They become too soiled to clean adequately

37
Q

Gout patients should avoid:

A
High purine foods such as organ meats, shellfish, and sardines 
Alcohol
Diuretics 
Aspirin 
Excessive physical or emotional stress
38
Q

As a nurse, what is recommended protocol for caring for a severed body part that may be replanted?

A

Wrap in a cool moist cloth

39
Q

What lab values should be monitored for a gout patient?

A

Uric acid

40
Q

What type of skin traction involves using a foam boot with Velcro fasteners for a fractured hip?

A

Buck’s traction

41
Q

When treating a patient with gold therapy for RA, what 2 following interventions are essential?

A

Giving a test dose of gold

Monitoring patient after injection

42
Q

What is the purpose of an erythrocyte sedimentation rate (ESR) test?

A

To identify presence of systemic inflammation

43
Q

A common nursing diagnosis for a patient with lupus is:

A

Fatigue

44
Q

Fasciotomy

A

Surgical procedure performed by cutting back the fascia to relieve stiffness and pressure
(fascia is thin connective tissue covering the muscles and may be injured due to continuous strain or trauma)

45
Q

Hemarthrosis

A

Bleeding into a joint

46
Q

Crepitation

A

Dry, cracking sound or sensation produced by grating ends of fractured bone

47
Q

Gout

A

Common group of arthritic disorders marked by decomposition of monosodium urate crystals in joints and other tissues

48
Q

Avascular necrosis

A

Limited blood supply to an area such as the hip after a fracture or dislocation causing death to the bone tissue

49
Q

Colles fracture

A

Broken end of the radius tilts upward (most common distal radius fracture)