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Flashcards in Bones and related Deck (4):
1

Milwaukee brace teaching:

Used to correct scoliosis; inspect skin under brace q/day; worn long-term (1-2 yrs) during periods of growth all day & night; can take it off to shower/bathe

2

A 3 year-old has just returned from surgery for application of a hip spica cast. What nursing action will be the priority?

A: Apply waterproof plastic tape to the cast around the genital area

B: Position the child flat in bed, repositioning from back to stomach every two to four hours

C: Drying the cast using a hair dryer set to "warm"

D: Use the crossbar to help turn the child from side to side

A: Apply waterproof plastic tape to the cast around the genital area


The most important aspects of caring for the cast is to keep it clean and dry. Shortly after returning from surgery, waterproof plastic tape will be applied around the genital area to prevent soiling. The child should be turned every two hours to help facilitate drying, from side to side and front to back, with the head elevated at all times. If a crossbar is used to stabilize the legs, it should not be used to turn the child (it may break off). After the cast has completely dried and it becomes damp, it can be either exposed to air or a hair dryer (set to warm or cool) may be used to help dry the cast.

3

The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. What is the most important instruction about exercise?

A: Exercise to reduce weight over a few months

B: Avoid exercise activities that increase risk of Fx

C: Do weight-bearing or resistance activities

D: Use exercise to strengthen muscles & protect bones

C: Do weight-bearing or resistance activities

Weight-bearing or resistance exercises are beneficial in the treatment of osteoporosis. Although loss of bone cannot be substantially reversed, further loss can be greatly reduced if the client includes these exercises. In addition, other approaches are estrogen replacement and calcium supplements in a treatment protocol.

4

The nurse is caring for a 4 year-old child with a greenstick fracture. In explaining this type of fracture to the parents, the best comment by the nurse should include which point?

A: Bone fragments often remain attached by a periosteal hinge

B: A child's bone is more flexible & can be bent 45 degrees before breaking

C: Compression of porous bones produces a buckle or torus type break

D: Bones of children are more porous than adults and often have incomplete breaks

D: Bones of children are more porous than adults and often have incomplete breaks

This allows the pliable bones of growing children to bend, buckle, and break in a "greenstick" manner. A greenstick fracture occurs when a bone is angulated beyond the limits of bending. The compressed side bends and the tension side develops an incomplete fracture.