Sprain & Strains

Question 1

Common injuries from abnormal stretching or twisting forces that may occur during vigorous activities

Answer 1

Sprains & Strains

Question 2

Tend to occur around joints and in the spinal musculature

Answer 2

Sprains & Strains

Question 3

self-limiting (heals within 3-6 weeks)

Answer 3

Sprains & Strains

Question 4

What is sprains & strains?

Answer 4

-common injuries from abnormal stretching or twisting forces that may occur during vigorous activities
- Tend to occur around joints and in the spinal musculature
-self limiting (heals within 3-6 weeks)

Question 5

Heal duration of sprain & strain

Answer 5

self limiting (heals within 3 to 6 weeks)

Question 6

An injury related to the ligaments structures sorrounding a joint

Answer 6

Sprains

Question 7

usually caused by a wrenching or twisting motion

Answer 7

Sprain

Question 8

Bands of tissue that connect two bones together in a joint

Answer 8

Ligament

Question 9

What is ligament?

Answer 9

Bands of tissue that connect two bones together in a joint

Question 10

occur in the ankles, knees, or wrists

Answer 10

Sprain

Question 11

Sprain occurs in

Answer 11

-occurs in the ankles, knees, or wrists

Question 12

What is sprain?

Answer 12

-an injury related to the ligamentous structures sorrounding a joint
- usually caused by wrenching or twisting motion
-ligaments
- occur in the ankles, knees, or wrists

Question 13

What are the classification of sprain?

Answer 13

-First-degree (mild) sprain
- Second-degree (moderate) sprain
- Third-degree (severe) sprain

Question 14

involves tears in only a few fibers

Answer 14

First-degree (mild) sprain

Question 15

mild tenderness and minimal swelling

Answer 15

First-degree (mild) sprain

Question 16

What is first-degree (mild) sprain

Answer 16

-Involves tears in only a few fibers
- mild tenderness and minimal swelling

Question 17

partial tearing of the ligament

Answer 17

Second-degree (moderate) sprain

Question 18

more swelling and tenderness

Answer 18

Second-degree (moderate) sprain

Question 19

What is second-degree (moderate) sprain

Answer 19

-partial tearing of the ligament
-more swelling and tenderness

Question 20

a complete tearing of the ligament

Answer 20

third-degree (severe) sprain

Question 21

moderate to severe swelling; presence of gap

Answer 21

third-degree (severe) sprain

Question 22

What is third-degree (severe) sprain

Answer 22

-a complete tearing of the ligament
-moderate to severe swelling; presence of gap

Question 23

excessive stretching of a muscle, a muscles fascial sheath, or a tendon

Answer 23

Strains

Question 24

occur in the foot, leg (hamstrings), knee, wrist, or back

Answer 24

Strains

Question 25

Strains occurs in the

Answer 25

foot, leg (hamstrings), knee, wrist, or back

Question 26

dense fibrous cords of tissue that connect bones to muscles

Answer 26

tendons

Question 27

What is tendons?

Answer 27

dense fibrous cords of tissue that connect bones to muscles

Question 28

What is strains?

Answer 28

-excessive stretching of a muscle, a muscles fascial sheath, or a tendon -occur in the foot, leg (hamstrings), knee, wrist, or back -tendons

Question 29

Classification of Strain

Answer 29

-First-degree strain -Second-degree strain -Third-degree strain

Question 30

mild or slightly pulled muscle

Answer 30

First-degree strain

Question 31

moderate or moderately torn muscle

Answer 31

Second-degree strain

Question 32

Severely torn or ruptured muscle

Answer 32

Third-degree strain

Question 33

What is first-degree strain?

Answer 33

mild or slightly pulled muscle

Question 34

What is second-degree strain?

Answer 34

moderate or moderately torn muscle

Question 35

What is third-degree strain?

Answer 35

Severely torn or ruptured muscle

Question 36

Clinical Manifestations of Sprain & Strain

Answer 36

-Pain -Edema -Decrease in function -Bruising

Question 37

Nursing Management of Sprain & Strain

Answer 37

1. Stopping the activity and limiting movement 2. Application of ice compresses to the injured area 3. Compression of the involved extremity 4. Elevation of the extremity 5. Providing analgesics as necessary

Question 38

What analgesics is given?

Answer 38

Ibuprofen

Question 39

Describe the RICE

Answer 39

R- Rest the injured area for 48 hours I- Ice for 20-30 minutes at a time, 4 to 8 times per day C- Compress to help reduce swelling E- Elevate the injured limb 6 to 10 inches above the heart.

Question 40

produces hypothermia

Answer 40

cryotherapy

Question 41

induces vasoconstriction and reduction of pain sensation

Answer 41

cryotherapy

Question 42

reduces muscle spasms , inflammation and edema

Answer 42

cryotherapy

Question 43

Nursing management of cryotherapy

Answer 43

-produces hypothermia - induces vasoconstriction and reduction of pain sensation - reduces muscle spasms, inflammation and edema - should not exceed 20 to 30 minutes per application - ice should not be applied directly to the skin

Question 44

elastic compression bandage

Answer 44

compression

Question 45

Nursing management of compression

Answer 45

-elastic compression bandage - should be wrapped starting distally and progress proximally - can be left in place for 30 minutes and then removed for 15 mins

Question 46

Why the compression should be wrapped starting distally and progress proximally?

Answer 46

to prevent edema and encourage fluid return

Question 47

helps mobilize excess fluid from the area and impede further edema

Answer 47

elevation

Question 48

Elevation Nursing Management

Answer 48

-elevated above the heart level - helps mobilize excess fluid from the area and impede further edema -during sleep

Question 49

for pain relief & comfort

Answer 49

NSAIDS

Question 50

Purpose of NSAIDS

Answer 50

for pain relief & comfort