Why would a patient who can't sit up not be a candidate for taking biophosphonates?
What is because the pt must be able to sit up right for 30-60 minutes after taking the medication in order to prevent esophagitis
100
Skeletal traction should NEVER be what?
What is resting on the floor or removed without a dr order
100
How would you address the psychosocial needs of a pt with bone cancer?
What is allow them to express feelings, assess coping skills, and their support system
100
What question might you ask a pt who is experiencing pain after a Below the knee amputation?
What is How would you describe the pain you are feeling? (to determine if it is phantom pain)
200
If leg bowing is seen in your patient, what lab level would you expect to be elevated?
What is Alkaline Phosphatase
200
what disease may impede fracture healing?
What is Paget's
200
what systems does curvature of the spine affect?
What is cardiac and respiratory
200
If a pt presents with pale, cool fingers that are slightly swollen after casting, what intervention would you implement?
What is raise arm above level of heart
300
If a patient has osteomyelitis with a leg wound that is draining, what would you expect a culture of their wound to show?
What is MRSA (put in contact isolation)
300
it a patient sustains a crush injury to their leg what would be important to monitor for in this pt?
What is acute compartment syndrome
300
What might be some appropiate nursing dx for a pt with osteoporosis?
What is Risk for Falling, Impaired physical mobility, Potential for Fractures
300
Pelvic injuries can cause many complications r/t the pelvis being close to many organs. What complication might you monitor for after a pelvic fracture?
What is hematuria, hematochezia, hemorrhage and hypovolemic shock
400
What would be some signs of neurovascular compromise after a musculoskeletal surgery on the leg?
What is a pale, cool leg with decreased pulses (or absent pulses)
400
__________ is a complication of bone fractures especially in the lower extremities.
What is DVT/thrombus formation
400
What are some lifestyle changes you could teach a pt to prevent osteoporosis?
What is Strengthening exercises, Take Calcium with Vitamin D, Walk 30 minutes three times a week
400
If a patient with a femur fx complains of being SOB and being light headed, what would that possibly indicate?
What is PE (apply oxygen to keep stats > than 92% and call dr)
500
Why do extremities with bone tumors need to be handled cautiously?
What is the bone could fx very easily
500
What IV pain medication should not be given to an elderly pt with a fractured femur?
What is Demerol ( because it has toxic metabolites that can cause seizures)
500
If a patient with a bone tumor presents with hypercalcemia symptoms what would be some actions you might take as a nurse?
What is Assess daily calcium level, consult the doctor about a loop diuretic, instruct the pt to call for help when getting out of bed.
500
postoperative care for a client who has had an ORIF would include what?
What is elevating client's heels off the bed, repositioning every 2 hours, ambulate in the hass on first post op day, and teach pt how to use the PCA pump