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Nur 4410 Peds Exam #2 > Musculoskeletal Condition > Flashcards

Musculoskeletal Condition Flashcards

(47 cards)

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1
Q

connect 2 or more bones

A

ligament

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2
Q

connect muscle to bones

A

tendons

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3
Q

types of muscles

A

striated, smooth

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4
Q

Who’s bones heal faster, adults or children’s?

A

Children’s

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5
Q

Involvement of what can cause limb length discrepancy?

A

Growth Plate

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6
Q

Treatment for bone fractures

A

casting

displacement needs reduction

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7
Q

Complications of having a Cast

A

cast syndrome

compartment syndrome

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8
Q

Type of Skin Traction used for hip dysplasia, younger than 3yrs old

A

Bryant’s traction

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9
Q

Type of Skin Traction used for femur fractures of LCP, weight >12kg

A

Russell’s Traction

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10
Q

Nursing Care for Skin Traction Devices

A

Neurovascular checks and skin care q 4hours

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11
Q

Type of Skeletal traction for cervical and thoracic fractures

A

Crutchfield tongs

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12
Q

Type of Skeletal traction for femur fractures

A

90/90 femoral

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13
Q

Type of Skeletal traction for Supracondylar fracture of humerus

A

Dunlap traction

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14
Q

Nursing Care for Skeletal Traction devices

A 
Maintain traction
Prevent skin breakdown
Assess pin sites Q 8 hours of s/s of infection
Promote good nutrition 
Manage pain 
Distraction
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15
Q

Complications of Skeletal Traction Devices

A

pneumonia, ischemia, osteomyelitis

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16
Q

Foot deformity diagnosed as a newborn
Signs and symptoms
Foot is plantar-flexed with an inverted heel with adducted forefoot
Rigid – cannot be manipulated

A

Club Foot

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17
Q

Nursing Care for CLub Foot

A

Serial casting
Manage pain
Passive ROM
Surgery

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18
Q

Aseptic necrosis of the femoral head

Males > females

A

Legg-Calve-Perthes Disease

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19
Q

4 Stages of Legg-Calve-Perthes Disease

Study These Flashcards
A

Aseptic necrosis
Revascularization
New bone formation
Regenerative phase

20
Q

Signs and symptoms
Hip/knee pain/stiffness
Pain increases with activity

Study These Flashcards
A

Legg-Calve Perthes Disease

21
Q

Goal of Legg-Calve Perthes Disease

Study These Flashcards
A

keep the femoral head in acetabulum

22
Q

Top of femur slips through the epiphysis posteriorly
Males > females
More common in obese children
Cause unknown – may have a genetic component

Study These Flashcards
A

Slipped Capital femoral Epiphysis

23
Q

S&S of Slipped Capital Femoral Epiphysis

Study These Flashcards
A

Hip, thigh, or knee pain

Limp

24
Q

Nursing Care/Goal of Slipped Capital Femoral Epiphysis

Study These Flashcards
A

No weight bearing
Goal is to prevent further slippage
Surgery – pinning or osteotomy

25
Painful prominence of the tibial tubercle | Common in active school-age kids and adolescents
Osgood-Schlatter Disease
26
What is Osgood-Schlatter Disease
repetitive injury and repair to the tibial tubercle when patellar tendon attaches
27
S&S of Osgood-Schlatter Disease
Pain below kneecap | Aggravated by activity, relieved by rest
28
Nursing care of Osgood-Schlatter Disease
RICE, NSAIDs, Elastic wrap over knee
29
Infection of the bone and soft tissues
Osteomyelitis
30
S&S Localized tenderness, redness, warmth Pain on palpation
Osteomyelitis
31
Nursing Care of Osteomyelitis
Administer intravenous antibiotics | Promote rest and manage pain
32
Complications of Osteomyelitis
Necrosis, growth plate involvement
33
Case gradual wasting of SYMMETRICAL groups of skeletal muscle
Muscular Dystrophies
34
most common and most serious type of muscular dystrophies
Duschenne's
35
S&S of muscular dystrophies
Waddling, wide-based gait
36
Nursing Care of Muscular Dystrophies
Rarely live beyond 20 years Maintain independence Multi-disciplinary collaboration
37
Nonpainful lateral curvature of the spine | Most common spinal deformity in children
Scoliosis
38
S&S of Scoliosis
Lateral curvature
39
Nursing Care of Scoliosis
Bracing and Exercise, Spinal Fusion
40
Nonpainful spinal curvature in the sagittal plane “hunchback”
Kyphosis
41
S&S of Kyphosis
Uneven shoulder height | Thoracic pain
42
Nursing Care of Kyphosis
Exercises Bracing Surgery
43
What do you monitor for in Spinal Fusion?
monitor fluid balance | Monitor for SIADH
44
AKA Brittle bone disease | Genetic disease of excessive fragility of the bones – high rate of fracture
Osteogenesis Imperfecta (OI)
45
S&S of Osteogenesis Imperfecta (OI):
Laxjoints | Small and Weak Muscles
46
What medication do you give to a patient with Osteogenesis Imperfecta?
Reclast
47
Nursing Care for OSteogenesis Imperfecta (OI)
Give medication (Reclast) Rule out child abuse Surgical rod placement

Nur 4410 Peds Exam #2 (9 decks)

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