table 31.3 dx test and procedure

Question 1

detect fracture, avulsion, joint damage

and what would you asses for

Answer 1

x-ray of joints or bone

Asses for pregnancy before testing

Question 2

detect musculoskeletal problem, especially of the spine and skull

and what is the nursing implication

what should you hear

how long should it take

how

Answer 2

computed tomography (CT)

Pt must lie very still and asses for allergies to contrast media

a clicking sound

10-15

Question 3

to Dx musculoskeletal disorder

and what is the nursing implication

what do it tell the difference from

how long does it take

Answer 3

Magnetic resonance imaging

there must be no metal on the body

abnormal tissue from normal

15-60

Question 4

to measure bone density of spine, hip, femur of forearm

to monitor changes in bone density and to DX metabolic bone disease

and what is the nursing implication
how long does it take

Answer 4

Dual-energy x-ray absorptiometry

Ht is measure
all metallic object must be removed
takes 30 mins

Question 5

detect tumor metastatic growths, bone injury, or degenerative bone disease

and what is the nursing implication

how long does it take

what needs to be eliminated out of the body

and what type of injection do they give you

Answer 5

bone scan

check for allergies and pregnancy
all metal must be removed
tell the pt that there will be NO RADIOACTIVE

30-60min
isotope
iv injection or oral dose of radioisotope

Question 6

detect bone problem, especially tumor invasion

and what is the nursing implication

Answer 6

Gallium/thallium scan

takes 30-60mins
sedation may be given

Question 7

to provide radiographic picture of a joint showing the outline of the cavity and soft tissue structure not visible on routine x-ray films

and what is the nursing implication

Answer 7

Arthrography

informed consent is requires
there will be feeling of pressure and some discomfort

administer analgesic after the procedure
tell pt to report any increasing pain or swelling

Question 8

to extract synovial fluid for analysis or to reduce swelling

and what is the nursing implication

Answer 8

Arthrocentesis

Pt should avoid overuse pf the joint until pain and swelling have subsided

Question 9

to determine organism responsible for infection

and what is the nursing implication

Answer 9

culture of synovial fluid

have specimen of fluid transported to lab immediately in the appropriate container

Question 10

bone: detect tumor cells

Muscle: to obtain tissue for cellular analysis

and what is the nursing implication

Answer 10

biopsy

offer emotional support during the procedure

afterward medicate for discomfort

Question 11

detect abnormal nerve transmission to the muscle function helps determine rehabilitations progress

and what is the nursing implication

Answer 11

electromyography

get consent form
caffeine-containing drinks and smoking are restricted for 3 hours