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29 Cards in this Set

  • Front
  • Back
A patient with a recently applied body cast complains of abdominal pain, pressure, nausea, and vomiting. What condition may this patient have developed?
Cast syndrome
A patient comes to the ER after a motor vehicle accident with multiple contusions and a broken left leg. He also has local pain, tendreness, and loss of function in his left hip. The nurse suspects that his left hip is dislocated. What assessment would support this?
Visualization of the legs bilaterally shows that the left leg is shorter than the right.
Nursing implications when Russell's or Buck's traction is in use
Assessments at least every 4 hrs. Nerovascular checks. check vascular flow and peroneal nerve deficit by checking for ability to dorsiflex toes and foot and for changes in sensation in first webspace between the great and second toes. Watch for pressure necrosis. Make sure traction is set correctly. Check for allergic reaction to adhesive.
Nursing implications when Bryant's traction is in place
Buttocks should just clear the mattress. check undue pressure. Make sure boot or bandages have not slipped. Boot and bandage usually removed for skin care and q 4 hr assessment
What can the nurse do to prevent skin irritation at the edge of a cast?
She may petal the edges by placing adhesive strips at the edge of the cast. This may also be called "petting" the edges.
A patient with osteomyelitis is treated with surgical debridement followed by continuous irrigation of the affected bone with antibiotics. In responding to the patient who asks why oral or IV antibiotics cannot be used alone, the nurse explains that...
The ischemia and bone death associated with osteomyelitis are frequently impenetrable to most blood borne antibiotics
A patient with an osteogenic sarcoma of the left femur has a nursing dx of risk for injury (pathologic fx) related to bone tissue changes. The nursing management of this patient is primarily directed toward
Supporting and positioning the leg
In identifying people at risk for back injuries, the nurse recognizes that the person at greatest risk for low back pain is a(n)

a) Long-distance truck driver
b) 62- year old widow who walks daily
c) aerobics instructor who weighs 100 lbs
d) 25 y/o nurse who works in a newborn nursery
a) long-distance truck driver
The primary nursing responsibility in caring for a patient with acute low back pain associated with severe pain and muscle spasms is
assisting the patient to mai8ntain activity restrictions with a gradual increase in activity
in caring fot the patient after a spinal fusion, the nurse recognizes that interventions for this surgery differ from a simple laminectomy in that
the donor site for the bone graft may be more painful than the spinal incision
Before discharge from the same-day surgery unit, the nurse instructs the patient who has had a surgical correction of bilateral hallux valgus to
rest frequently with the feet elevated
The nurse advises the patient with early osteoporosis to
stop smoking
The nurse suspects an ankle sprain when a patient at the urgent care center
has a twisting injury while running bases during a baseball game
The nurse explains to a patient with a distal tibial fx returning for a 3-week checkup that healing is indicated by
callus formation
A patient with a comminuted fracture of the femur is to have an open reduction with internal fixation (ORIF) of the fracture. The nurse explains that ORIF is indicated when
adequate alignment cannot be obtained by other methods
An indication of a neurovascular problem noted during assessment of the patient with a fx is
decreased sensation distal to the fracture site
A patient with a stable, closed fx of the humerus caused by trauma to the arm has a temporary splint with bulky padding applied with an elastic bandage. The nurse suspects compartment syndrome and notifies the physician when the patient experiences
pain when the nurse passively extends the fingers
A patient with symphysis pubis and pevic rami fractures should be monitored for
changes in urinary output
During the postoperative period, the patient wiht an above-the-knee amputation should be instructed that the residual limb should not be routinely elevated because
The flexed position can promote hip flexion contracture
A patient with rheumatoid arthritis is scheduled for an arthroplasty. The nurse explains that the purpose of this procedure is to
replace the joint and improve function
The nurse teaches a patient recovering from a total hip replacement that it is important to avoid
sitting with the legs crossed
The bone cells that function in the breakdown of bone tissue are called
While performing passive range of motion for a patient, the nurse puts a hinge joint through the movements of
flexion and extension
The nurse teaches a patient with a let immobilized in traction to prevent muscle atrophy in the affected leg by performing
isometric contractions
The decreased agility found during assessment of the older adult is caused by the age-related cahnge of
loss of elasticity in ligaments and cartilage
While obtaining subjective assessment data related to the musculoskeletal system, it is particularly important for the nurse to ask about family hx in the patient with
rheumatoid arthritis
When grading muscle strength, the nurse records a score of 2, indicating
active movement with elimination of gravity
A normal assessment finding of themusculoskeletal system is
silmutaneous of stance and swing phase of gait
A patient is scheduled for an electromyogram. The nurse explains that this diagnostic test involves
placement of thin needles into the muscles