Integumentary & Musculoskletal

Question 1

What medication is utilized to prevent Gout?

Answer 1

Allopurinol

Question 2

What is a concern with allopurinol?

Answer 2

A rash leading to steven johnson syndrome
toxi epidermal necrolysis
Renal stones

Question 3

What is fat embolism?

Answer 3

Occurs with othopedic injuries”
Pelvic and long bone
Releasing fat globules in bone marrow and occlude the sm. vessels

Question 4

What is Ducehenne muscular dystrophy?

Answer 4

calf muscle hypertrophy in which proximal muscles are weak

Question 5

What are s+s of Duchenne dystrophy?

Answer 5

Placing hands on knees to get up
tippy toeing
frequent falls.

Question 6

How can you prevent a fat embolism?

Answer 6

Early stabilization of injury

Question 7

What can you do to manage carpal tunnel syndrome?

Answer 7

Wrist immobilization

Question 8

How do you treat a sprain

Answer 8

Rest
Ice
Compression
Exercise rehab

Analgesia

Question 9

What are s+s of FES

Answer 9

Respiratory problems
Neurologic changes
Petechial rash
Fever

Question 10

When should Pavlik Harness be placed?

Answer 10

First 6 months of life

Question 11

How long should the P. Harness be worn?

Answer 11

3-5 months

Question 12

Who should alter the P. Harness

Answer 12

Doctor only

Question 13

What can parents do for P. Harness?

Answer 13

Assess skin 2-3 times
Dress with shirt and knee socks
Apply diapers underneath
Avoid lotions!

Question 14

What is the most effective thing for OA

Answer 14

Warm Shower in the morning.

Question 15

What is the diet for someone with gout?

Answer 15

Low purine diet such as avoiding organ meat , seafood
limit alcohol
increase fluids
low fat diet

Question 16

What is a buck traction?

Answer 16

Used to immobilize hips as weight gently pulls leg to maintain alignment

Question 17

Assessments for buck traction?

Answer 17

Straight neutral position
Neuro
Skin integerity

Question 18

What is a contraindication after knee replacement surgery?

Answer 18

Placing a pillow behind the knee increases knee contracture

Question 19

What food helps with vit d and calcium?

Answer 19

fish, green veggies, almonds, eggs

Question 20

What is SJS?

Answer 20

Life threatening sensitivity that is a painful ` can resemble a third degree burn can lead to multiple organ failure

Question 21

What is a complication that can arise from phenytoin?

Answer 21

SJS

Question 22

How to detect skin cancer?

Answer 22

Asymmetry
Border irregular
Color change
Diameter
Evolving

Question 23

How do you disease manage psoriasis?

Answer 23

Avoid triggers
Topical therapy - steroids, UV
Cytotoxic meds

Question 24

How to deal initial contact for burn pt?

Answer 24

Cool water
Remove any clothing
cover with a clean dry cloth

Question 25

Interventions for burn pt longterm

Answer 25

``` Counselling Waterbased lotion Pressure garments ROM exercises Sunscreen ```

Question 26

Type of IV given to burn pt

Answer 26

L/R

Question 27

What is the first thing you should do when someone is in contact with poison ivy?

Answer 27

Wash the area

Question 28

What is juvenile idiopathic arthiritis?

Answer 28

The bones become deconditioned due to decreased muscle strength?

Question 29

What physical activities can a child do with juvenile idiopathic arthritis?

Answer 29

Low impact, weight bearing, and NWB with ROM and stretching.

Question 30

What do you implement first with suspected rhabdomyolysis?

Answer 30

N.S Bolus to prevent kidney damage.

Question 31

Nursing priority to minimize fractures in osteogensis imperfecta children

Answer 31

Check bp manually to avoid over-tightening Lift by slipping a hand under the broadest areas of the body reposition frequently

Question 32

What to prioritize with a burnt patient?

Answer 32

IV fluid resucitation

Question 33

What to teach to prevent further bone loss in osteoperosis?

Answer 33

``` Biphosphate meds Cal/ Vit D Smoking cessation and alcohol avoidance Weight bearing exercise >3 weeks for 30 minutes Laying in bed increases risk for falls. ```

Question 34

What to do when abdominal wound dishisence?

Answer 34

Low fowler - to relieve pressure Assess vitals Cover the viscera w/ sterile dressing NPO

Question 35

Appropriate use of cane

Answer 35

Hold on stronger side elbow flex 20-30 degrees Place cane 6-10 (15-25) infront of and side of the foot Move the weaker leg forward to level of cane move stronger leg forward Always keep 2 point of support