Chapter 51 Fx, tractions, etc.

Question 1

Break is across the entire width of the bone, bone is divided into two distinct sections

Answer 1

complete fracture

Question 2

Fracture does not divide the bone into two portions

Answer 2

incomplete fracture

Question 3

Skin surface over the broken bone is disrupted

Answer 3

open (compound) fracture

Question 4

Skin surface over the broken bone is not disrupted

Answer 4

closed (simple) fracture

Question 5

Occurs after minimal trauma to a bone that has been weakened by disease

Answer 5

pathologic fracture.

Question 6

What is compartment syndrome?

Answer 6

limb-threatening condition in which increased pressure within one of more compartments reduces circulation to the area.

Question 7

6 P’s of compartment syndrome?

Answer 7

Pain, pressure, pallor, paresthesia, paralysis, pulselessness, poor cap refill

Question 8

Primary intervention of compartment syndrome

Answer 8

Relieve pressure

Question 9

7 components to assess while preforming neurovascular assessment?

Answer 9

Skin color, skin temperature, movement, sensation, pulses, cap refill, and pain.

Question 10

What is fat embolism syndrome?

Answer 10

Serious complication in which fat globules are released from the yellow bone marrow into the bloodstream within 12-48 hrs after an injury.

Question 11

Whare are common fractures that cause fat embolism syndrome?

Answer 11

Fracture of the long bone, elderly with hip/pelvis fractures

Question 12

What are common complications of a cast?

Answer 12

infection, circulation impairment, and peripheral nerve damage

Question 13

involves using a velcro boot, belt, or halter which is secured around the affected leg

Answer 13

bucks traction

Question 14

Why is bucks traction used

Answer 14

to decrease painful muscle spasms that accompany him and proximal femur fractures

Question 15

A weight is used as a pulling force (limited to 5-10 lbs) to prevent injury to the skin

Answer 15

bucks traction

Question 16

screws are surgically inserted directly into the bone

Answer 16

skeletal traction

Question 17

Aids in bone realignment but impairs the pts mobility

Answer 17

skeletal traction

Question 18

uses weights of 15-30 lbs

Answer 18

skeletal traction

Question 19

Post amputation complications

Answer 19

hemorrhage (hypovolemic shock), infection, phantom limb pain, neuroma, flexion contractures.

Question 20

How to help prevent flexion contractures

Answer 20

proper positioning and active range of motion exercises

Question 21

Common condition in which the median nerve in the wrist becomes compressed, causing pain and numbness.

Answer 21

Carpel Tunnel Syndrome

Question 22

How to assess for Carpel Tunnel Syndrome?

Answer 22

Phalen’s wriest test or Phalen’s maneuver

Question 23

Placing back of hands together and flex both wrists at the same time.

Answer 23

Phalen’s maneuver- tests for carpel tunnel