Orthopedic Nursing Care Exam 46 Questions with Verified Answers
Contusion - CORRECT ANSWER blunt force, bleeding into soft tissue but skin remains
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swelling, discoloration of skin (hematoma, bruise) - CORRECT ANSWER What are manifestations of a contusion
strain - CORRECT ANSWER stretching injury to the muscle or muscle tendon
pain, swelling, limited motion, spasms, weakness - CORRECT ANSWER what are manifestations of a strain
sprain - CORRECT ANSWER stretch or tear of joint ligament
loss of ability to move or use the joint
feeling a pop or tear
discoloration, pain, rapid swelling - CORRECT ANSWER what are manifestations of a sprain
Rest
Ice
Compression
Elevation - CORRECT ANSWER what are the initial measure to treat a musculoskeletal injury
Rest, Ice, Compression, Elevation (R.I.C.E)
teach effective use of OTC analgesics and NSAID use - CORRECT ANSWER What are nursing interventions for a patient with a musculoskeletal injury with a nursing DX of acute pain?
teach correct use of crutches, walkers, canes, or slings
encourage follow-up care - CORRECT ANSWER What are nursing interventions for a patient with a musculoskeletal injury with a nursing DX of impaired physical mobility?
wide range of motion, complexity, and exposed position - CORRECT ANSWER Why is the shoulder joint vulnerable to injuries?
tendinitis, bursitis, and partial and complete muscle tears - CORRECT ANSWER What are some rotator cuff disorders?
pain (night/pressure), limited ROM - CORRECT ANSWER What are manifestations of rotator cuff damage
ligament tears, meniscal injury, and patella dislocation (MCL, ACL, Meniscus) - CORRECT ANSWER What are some common knee injuries
immediate pain, popping/tearing sensation, knee giving out, swelling - CORRECT ANSWER what are some manifestations of knee injures
dislocation - CORRECT ANSWER injury in which the ends of bones are displaced out of their normal position and joint articulation is lost
subluxation - CORRECT ANSWER partial dislocation in which the bones of the joint remain in partial contact
pain, deformity, limited motion of affected joint - CORRECT ANSWER what are some manifestations of a joint dislocation?
fall, blow
(Pathologic conditions) infection, RA, paralysis and neuromuscular disease - CORRECT ANSWER what are some causes of joint dislocation
X-ray/MRI, reduce/realign, R.I.C.E., NSAIDS, moist heat, physical therapy, surgery - CORRECT ANSWER What are treatment options for joint trauma
Monitor neurovascular status by assessing the 5 Ps (pain, pulses, pallor, paralysis, and paresthesia.
maintain immobilization as ordered after reduction. - CORRECT ANSWER What are some nursing interventions for a patient with joint trauma with a nursing DX of Risk for Peripheral Neurovascular Dysfunction
carpal tunnel syndrome - CORRECT ANSWER Compression of the median nerve as a result of inflammation and swelling of the synovial lining of the tendon sheaths
numbness and tingling of the thumb, index finger, and lateral ventral surface of the middle finger.
pain that interfere with sleep
affected hand may become weak and unable to hold utensils or perform actives that require precission - CORRECT ANSWER What are some manifestations of carpal tunnel syndrome
bursitis - CORRECT ANSWER Inflammation of the bursa
shoulder, knee, hip, and elbow - CORRECT ANSWER What are common sites of bursar inflammation
hot, red, edematous, pain with flexion and extension - CORRECT ANSWER what are some manifestations of bursitis
epicondylitis - CORRECT ANSWER inflammation of tendon at point of origin into humerus
point tenderness, pain radiating down the dorsal surface of the forearm, and a history of receptive use - CORRECT ANSWER what are some manifestations of epicondylitis
fracture - CORRECT ANSWER break in continuity of the bone
deformity, swelling, pain/tenderness, numbs, guarding, crepitus, hypovolemic shock, muscle spasms, and ecchymosis - CORRECT ANSWER what are some manifestations of fractures
local: immobilization, timely correction, ice/electrical stimulus
systemic: adequate growth hormone, blood supply, no infection/disease, younger in age, activity prior to fracture - CORRECT ANSWER What are positive factors influencing bone healing
local: delayed correction, open fracture, foreign body at fracture site
systemic: immunocompromised, decreased circulation, malnutrition, osteoporosis, older in age - CORRECT ANSWER what are negative factors influencing bone healing
compartment syndrome - CORRECT ANSWER occurs when increased pressure within this confined space constricts the structures within it, compromising circulation and tissue function
early: pain, normal or decreased peripheral pulse
later: cyanosis, tingling, loss of sensation (paresthesias), weakness (paresis), diminished reflexes, severe pain, renal failure - CORRECT ANSWER What are manifestations of compartment syndrome
within the first 48 hours of injury, when edema is at its peak - CORRECT ANSWER when does compartment syndrome usually develop
interventions to alleviate pressure, removal of the cast/restrictive dressing, Fasciotomy (surgery) - CORRECT ANSWER treatment of compartment syndrome
fat embolism syndrome - CORRECT ANSWER Rare complication characterized by neurologic dysfunction, pulmonary insufficiency and a petechial rash on the chest, axilla, and upper arms
dyspnea, tacypnea, hypoxia, confusion, restlessness - CORRECT ANSWER what are manifestations of fat embolism syndrome
early stabilization/surgical, prompt identification of S&S, intubation/mechanical ventilation, corticosteroids - CORRECT ANSWER treatment of fat embolism
deep venous thrombosis (DVT) - CORRECT ANSWER condition in which a blood clot forms along the intimal lining of a large vein, accompanied by inflammation of the vein wall
red, swelling, tenderness, local pain, or no S&S, tacypnea - CORRECT ANSWER what are manifestations of DVT
prevention: early immobilization/ ambulation, stockings, anti-coagulation.
Treatment: anticoagulation/ support respiratory system - CORRECT ANSWER treatment of DVT
traction, casts, surgery, electrical bone stimulation - CORRECT ANSWER what are treatments for fractures
amputation - CORRECT ANSWER partial or total removal of an extremity
peripheral vascular disease (major cause), infection, trauma, - CORRECT ANSWER causes of amputation
infection, delayed healing, chronic stump pain, phantom pain, contracture - CORRECT ANSWER complications of amputation
contracture - CORRECT ANSWER abnormal flexion and fixation of a joint caused by muscle atrophy and shortening.. [Show Less]