Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

NUR1114 nursing > week 1: assessment & management of musculoskeletal injuries > Flashcards

week 1: assessment & management of musculoskeletal injuries Flashcards

(59 cards)

Start Studying
1
Q

what 2 developmental considerations do you need to take into account for infants & children?

A

spinal curve changes

developmental dysplasia of hip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what 2 developmental considerations do you need to take into account for pregnant woman?

A

increased joint mobility

progressive lordosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what 2 developmental considerations do you need to take into account for late adulthood?

A

osteoporosis

postural changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

apart from the general principles of subjective data what 2 things are specific to the MSK system?

A

GALS screening assessment

ADLs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what does the GALS screening assessment stand for?

A

gait, arms, legs & spine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what does ADLs (functional assessment) stand for?

A

activities of daily living

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what 2 additional history data do you need for infants & children?

A 
labour trauma (resuscitation)
motor milestones
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what 2 additional history data do you need for adolescents?

A

sport participation

special equipment/training

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what 3 additional history data do you need for older adults?

A

changes/increasing in weakness
increase in falls/stumbling
walking aids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the order for the 3 components of a physical examination?

A

inspect
palpate
move

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the order of the 4 aspects of a systemic approach to a physical examination?

A

head to toe
proximal to distal
compare corresponding paired joints
neurovascular assessment of upper & lower limbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what 2 things do you take into account for a GALS screening assessment?

A

appearance

movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

during an MSK physical examination what is not normally palpable?

A

boggy synovial membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is crepitation?

A

crunching or grating sound on movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

do you look for both active movement & passive motion during a physical examination of the MSK system?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what do you look for during muscle testing during a physical examination?

A

equal bilateral strength & should resist opposing force

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what 2 things do you test in movement & ROM?

A

without resistance

with resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

when do you palpate the temporomandibular joint & what do you palpate?

A

as person opens mouth

muscles of mastication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what 3 things do you ask the patient to do to test motion & ROM with the temporomandibular joint?

A

open mouth maximally
protrude lower jaw
& move side to side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what do you inspect during a physical examination of the cervical spine?

A

alignment of head & neck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what 2 things do you palpate during a physical examination of the cervical spine?

A

spinous processes

muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what 4 things do you ask a patient to do to test motion & ROM of the cervical spine?

A

chin to chest
lift chin
each ear to shoulder
turn chin to each shoulder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what criteria do you use to rule out cervical spine fracture clinically, without need for x-ray?

A

NEXUS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what 5 things are do you check for in the NEXUS criteria?

Study These Flashcards
A 
no:
focal neurologic deficit
midline spinal tenderness
altered level of consciousness
intoxication
distracting injury present
25
what 2 things do you do in the case of a positive NEXUS criteria?
immobilise | apply c-spine collar
26
how many health care workers are required for cervical spine immobilisation?
2
27
what do you palpate during a physical examination of the shoulders?
shoulders | axilla
28
what 4 things do you ask a patient to do to check motion & ROM during a physical examination of the shoulders?
arms forwards & up arms behind back & hands up arms to sides & up over head touch hands behind head
29
in what 2 positions do you inspect the elbow?
flexed | extended
30
what 2 things do you ask a patient to do to check motion & ROM in the elbow?
bend & straighten elbow | pronate & supinate hand
31
do you inspect joints in the wrist & hand on only the dorsal side?
no, dorsal & palmar sides
32
what 5 actions do you ask the patient to do to check motion & ROM for the wrist & hand?
``` bend hand up, down bend fingers up, down turn hands out, in spread fingers, make fist touch thumb to each finger ```
33
what is this test called?
phalen's test
34
what is the phalen's test used to detect?
numbness & burning in carpel tunnel syndrom
35
what is the tinel's sign for carpal tunnel syndrome?
percussion of the median nerve produces burning & tingling
36
where do you use percussion to test the tinel's sign?
median nerve (wrist)
37
what does this test for?
tinel's sign (burning & tingling)
38
when do you inspect the hip?
as person stands
39
what position should the patient be in when you palpate the hip?
supine
40
what 5 actions do you ask the patient to do to check motion & ROM of the hip?
``` raise leg knee to chest flex knee & hip; swing foot out, in swing leg laterally, medially stand & swing leg back ```
41
what is 1 specific thing you should inspect during a physical examination of the knee?
atrophy of quadriceps muscle
42
can you inspect the knee when it is extended or dangling?
yes
43
what does the bulge sign test for in the knee?
swelling in suprapatellar notch
44
what does the bulge sign in the knee confirm?
presence of fluid as you move fluid from one side of joint to the other .
45
what does this test for?
the bulge sign
46
when is ballottement of patella reliable?
large amounts of fluid present in knee
47
what does ballottement of patella check for?
crepitus
48
how do you do ballottement of patella?
holding hand on the patella while flexing & extending knee
49
what is this?
ballottement of patella
50
what 3 things do you ask the patient to do to check motion & ROM in the knee?
bend knee extend knee check knee during ambulation (walk around)
51
which 3 ways do you inspect the ankle & foot?
sitting standing walking
52
what 3 things do you ask a patient to do to check the motion & ROM of the ankle & foot?
point toes down, up turn soles out, in flex & straighten toes
53
where do you inspect the spine from?
behind | side
54
what 3 ways to you check the ROM for the spine?
flexion extension rotation
55
what is another name for the lasegue's test?
straight leg raising
56
when is the lasegue's test positive?
produces sciatic pain
57
what does a positive lasegue's test confirm?
presence of a herniated nucleus pulposis
58
what does RICE(R) stand for?
``` rest ice compression elevation referral ```
59
when do you recommend RICE(R)?
fractures, dislocations & soft tissue injuries

NUR1114 nursing (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions