Orthopedic care

Question 1

For soft tissue injuries, use ___

Answer 1

R.I.C.E

Question 2

S/S of a fracture

Answer 2

-Edema
-Muscle spasm
-Deformity
-Contusion (bruises)
-loss of function (injury to distal area)
-Crepitation (grading or crackling sounds)

Question 3

Reducing a fracture (closed)

Answer 3

Manual manipulation such as casting

Question 4

Reducing a fracture (open)

Answer 4

Surgical realignment
(ORIF, pins, plates)

Question 5

Traction

Answer 5

A pulling force to an
injury while a
countertraction pulls in
the opposite direction

Question 6

Skin (bucks) traction

Answer 6

-short term
-Used until skeletal traction is initiated

Question 7

Skeletal traction

Answer 7

-long term
-pin or wire inserted in the bone
- risk of infection at pin site

Question 8

Skeletal traction procedure

Answer 8

-weights hang freely
-no pillow under suspected limb
-protect from foot drop
- issues of immobility
-pin care according to protocols

Question 9

Internal fixation nursing interventions

Answer 9

-Know what movements are contraindicated
-Utilize PT for teaching and include family
-Monitor incision

Question 10

External fixation nursing interventions

Answer 10

-Assess circulation, sensation every 4 hrs
-Pin care
-Move using device, not extremity-move the extremity as a
unit
-Watch injury from pins

Question 11

Purpose of casting

Answer 11

Immobilizes extremity until bone can form callus and
heal