Test 7

Question 1

a. Arthroscopy nursing consideration

Answer 1

 Inspections using arthroscope after local anesthetic/ injury-AEB swelling and redness, deterioration, also able to be therapeutic.

Nursing Action:
 Wrap in compression.
 Elevated and ice
 Acetaminophen for mild pain

 Verify the client has been NPO for at least 6 hours.
 Instruct client to report unusual pain, bleeding, drainage, or swelling at the site.
 Resume usual diet as tolerated.
 Inspect dressing before discharge.

Question 2

b. Electromyography nursing consideration

Answer 2

 Thin needles placed in muscles to record stimuli response/ muscle weakness.

 After the study if client experiences discomfort warm compresses to the area help relive discomfort
- no caffeine

Question 3

c. Bone Scan nursing consideration

Answer 3

To detect bone tumors
 Radioisotope/2-3 hours after scan will occur following the injection.
 Check allergies.
 Increase fluids after

 Ask the client to void immediately before the scan.

Question 4

d. Arthrogram

Answer 4

View joint and movement
 Anesthetic with contrast/ Check allergies to iodine
 Compression bandage
 Avoid strenuous activity.
 Mild analgesic, ice
 Might take sample of fluid.
 Clicking noise expected findings for 2 days.

Question 5

2. Scoliosis testing procedures

Answer 5

S-shaped curvature/ Adams position-bend forward with head/arm downwards.
Nurse priority is respiratory effect.

Question 6

2. Kyphosis testing procedures

Answer 6

Thoracic curvature
turn to side in relaxed position

Question 7

3. Bone Density Scan tests for what?

Answer 7

 To detect osteopenia/ osteoporosis

Question 8

4. Nursing considerations for invasive joint examination

Answer 8

 Inspect: swelling, bleeding or drainage
 Change or reinforce dressing.

Question 9

4. Nursing considerations for traumatic Injury

Answer 9

 Information regarding injury
 Spinal alignment-neck neutral
 Monitor: Vital signs, neurovascular status, numbness or tingling, look for sx of fat embolism (Anxiety, FOID, shortness of breath, and Chest pain)
 Pain Management: support limb with hands during movement

Question 10

5. Alkaline phosphatase levels

Answer 10

 Expected Range: 30-120 units/L.
 Elevated in bone cancers.

Question 11

6. Uric acid levels

Answer 11

 Elevated in gout (above 6.8mg/dL)

Question 12

7. Bursitis manifestations

Answer 12

 Small Sac filled with synovial.
 Reduces friction between areas.
 Inflammation causes bursitis.

Question 13

8. Orthopedic status with the elderly (assessment and considerations)

Answer 13

 Age related often associates with joint issues.
 Assess decrease in height.
 Look for asymmetry in spine by bending back and forth.
 Assess their ADL.