Musculoskeletal Health
Alterations
Alterations
During a skiing accident little timmy hurt his shoulder. He was told that he an injury to a the part of his body that connects his wrist bone to his bicep. What kind of injury is this?
STRAIN - affects tendons that connect muscles to bones
sprains affects ligaments - bone to bone
List the 6 tell-tale signs for neurovascular compromise. What is the last symptom to occur? What is the treatment?
pain, poikilothermia, pallor, paresthesia, pulselessness, and paralysis
Pulselessness would be the latest
fasiotomy
How many stages of wound healing are there? Name them in order.
4 - hemostasis, inflammatory, proliferative, and maturation
what is the name of the lupus complication that involves the kidneys?
lupus nephritis
how does biphosphate medication help with osteporosis?
it impedes bone reabsorption
A pulmonary embolism
When assessing a client's wound, you note that there is a thick leathery part of tissue. It appears brown and is firmly attached to the wound bed. What type of tissue is it?
A. Necrotic B. Slough C. Eschar D. Macerated
C- Eschar: thick leathery devitalized tissue that may appear black or brown
Necrotic - dead avascular or revitalized tissue, cold and black
Slough - soft, moist, revitalized tissue that is white, yellow, tan, or green
Macerated - soft tissue that appears white and soggy
True or false: A client with lupus can receive the nasal spray for their flu shot to avoid the live I.M. vaccine.
False
the nasal spray is the live vaccine
Which statement made my the client shows that they need more education following a total hip replacement?
a. I will avoid to cross my legs
b. I will use a raised toilet seat
c. I will avoid bending at an degree grater than 45
d. I will not cross my legs
C - avoid anything over 90 degrees
What is the difference between non-union and malunion?
Non-union: the fracture fails to heal at all, can be aseptic or septic
Malunion: the feature fails to heal in anatomical alignment.
After checking on a client, you see the wound has eviscerated. What is your priority action?
Add a saline soaked gauze over the wound and notify the provider
what is an ESR test?
Erythrocyte sedimentation rate test - a common hematology test, and is a non-specific measure of inflammation.
True or false: After a hip replacement an abduction device is placed between the legs to that the legs fo not rotate externally
False is to prevent internal rotation although external rotation is contrainidacted as dislpcation may result
A client has osteomyelitis due to his body fighting a titanium bar that was implanted over 20 years ago. The client has been started on IV antibiotics, given pain medications, hydration, and nutritional support to aid in wound healing. The client is scheduled to have surgery to remove the bar in the morning. What precaution should the client be placed on?
Standard
A client has psoriasis that appears reddened, thickened, and has silvery white scales with bilateral distribution. What type of psoriasis is this?
A. Psoriasis vulgaris B. Exfoliative psoriasis C. Palmoplantar pustulosis
A. Psoriasis vulgaris
Exfoliative psoriasis - erythema and scaling
Palmoplantar pustulosis - reddened hyperkeratonic areas spawues form adn pustules turn brown and peel forming a crust on the palms and soles
List three difference between OA and RA
RA: more than 30 min of moring stiffness, immune mediated, hits smaller joints, symmetrical, can involve systemic organs
OA: moring stifness is less than 30 min, not immune mediated, involves large weight barring joints, asymmetric, no systemic organ involvement
True of False: weight barring activites can be harmful overtime as the weight put too much pressure on the body and can be a risk factor to osetoprosis.
False this is a preventative measure.
How does traumatic rhabdomyolysis affect the renal system?
In traumatic rhabdomyolysis, fatty bone marrow is exposed to the circulatory system and can clog small vessels, causing petechiae. The lack of perfusion and new toxins in the body can damage the kidneys, leading to failure. -- tea colored urine
List 4 vitaminins and or nutrients that are essential for wound healing
Vitamin A, B, C, E, K, iron, zinc, and copper
Clients who are on plaquenil need what type of baseline exam followed by biannual assessments.
eye exam
this medication is for lupus