Mobility 45&46

Question 0

Swollen reddened synovial tissue within a joint

Answer 0

Synovitis

Question 1

Grating sound as joint or bone moves

Answer 1

Crepitation

Question 2

When serum calcium increases serum phosphorous

Answer 2

Decreases

Question 3

Serum calcium normal values

Answer 3

9-11

Question 4

Serum phosphorous normal values

Answer 4

2.6-4.5

Question 5

What enzyme increases during bone or liver damage

Answer 5

ALP

Question 6

Pre CT

Radiographic slices of bone or soft tissue

Answer 6

NPO

Check for allergies

Question 7

Air or contrast medium is injected into synovial joint which is then x rayed

Answer 7

Invasive arthrography

Question 8

Nursing management during invasive arthrography post op

Answer 8

Joint swelling common
Apply Ice elevate limb
No activity 24 hrs

Question 9

Visualizes the spine an spinal cord after injection of a contrast medium

Answer 9

Myelogram

Question 10

Post op myelogram

Answer 10

Assess for nausea

HOB 45 degrees

Question 11

Nuclear medicine scan test can take up to

Answer 11

90 minutes

Question 12

Post op artherocentesis : removal of synovial fluid

Answer 12

Assess for infection inflammation or hemarthrosis

Question 13

A decrease in bone density leads to

Answer 13

Osteoporosis

Question 14

Diagnostic to detect osteoporosis

Answer 14

DEXA

Question 15

Blood in joint cavity

Answer 15

Hemarthrosis

Question 16

Rice for sprains and strains

Answer 16

Rest
Ice
Compression
Elevate

Question 17

Normal sed rate ESR

Answer 17

15-30

Question 18

sed rate is elevated during

Answer 18

Fracture

Question 19

Bone splintered or shattered into numerous fragments often occurs in crushing injuries

Answer 19

Comminuted

Question 20

Bone is force ably pushed together resulting in bone being pushed into bone

Answer 20

Impacted

Question 21

Caused when bone is weakened by pressure from tumor outside or within bone

Answer 21

Pathological

Neoplastic

Question 22

Fracture curves around the shaft of bone usually common in abuse

Answer 22

Spiral

Question 23

First thing to do when fractured limb

Answer 23

Immobilize

Question 24

Long bone fractures can be splinted with

Answer 24

Other long bones along side

Question 25

Open fractures | What's the first thing you do

Answer 25

Apply sterile dressing

Question 26

A wet plaster is handled with palms only to avoid indentations that can become

Answer 26

Pressure points

Question 27

If cast is bleeding or has an odor?

Answer 27

A window opening is created to treat underlying problem

Question 28

Assess 6 ps in patients with cast every

Answer 28

1-2 hrs

Question 29

care of cast

Answer 29

- Pt repositioned q2h to prevent flattening - Cast gives off heat when drying/normal - No blow dryers - only synthetic casts can be exposed to H2O - outline area of blood on cast with a pen to observe increase in size - never put anything inside cast

Question 30

Signs of infection

Answer 30

Odor Heat Redness Pain

Question 31

Asses CWCM with casts

Answer 31

Color Warmth Circulation Movement

Question 32

Type of traction used to relieve painful muscle spasms in the knee

Answer 32

Russell's traction

Question 33

Type of traction mainly for hip fractures for pts needing relief of muscle spasms

Answer 33

Bucks traction

Question 34

Balanced suspension aka

Answer 34

Skeletal traction

Question 35

All knots ropes weights and pulleys in traction should be assessed every

Answer 35

8-12hrs

Question 36

Risks when using external fixation

Answer 36

Osteomyelitis infection

Question 37

I'm severe acute compartment syndrome pt has the 6p's

Answer 37

``` Pain Paresthesia:tingling or burning Paralysis Pallor: reddened Pulse none Poikilothermia : warmth ```

Question 38

Relief of pressure of a tight cast

Answer 38

Bivalving

Question 39

Relief of pressure from compartment syndrome : procedure?

Answer 39

Fasciotomy

Question 40

S/S of fat emboli

Answer 40

``` Altered mental status due to low O2 Tacychardia Tachypnea Fever High BP SOB severe ```

Question 41

What actions should be taken if pt has fat emboli

Answer 41

``` O2 2 L/min via nasal cannula Raise HOB high fowlers Bed rest Minimize movements ABGs and chest x ray IV fluids Corticosteroids ```