Fractures
Name three signs of a joint dislocation.
Shortened extremity, abnormal rotation, pain, edema, inability to bear weight.
What is the nurse's primary responsibility in caring the neonate diagnosed with myelomeningocele?
Prevent rupture of the sac
Identify three risk factors of osteoarthritis.
Clients who take long-term NSAIDs are at highest risk of which complication?
Bleeding
Name three activities the client should avoid after a Total Hip Arthroplasty.
What is the purpose of Bucks traction? (Two answers)
Treat pain and prevent muscle spasms.
Identify common complications of fractures.
Shock, FES, compartment syndrome, VTE
What is the defining difference between rheumatoid arthritis and osteoarthritis?
There are NO systemic clinical manifestations in osteoarthritis - signs and symptoms are ONLY in the joints.
Identify symptoms of toxicity related to muscle relaxants.
Drowsiness, tachycardia, tremors, chest pain, seizures, death.
Identify education necessary for clients following amputation.
Residual limb wrapping - tight, no wrinkles, TID, Keep skin clean and dry, Wear a cloth between the limb and the prosthesis.
How does the nurse confirm the presence of a CSF leak.
Halo sign, fluid is positive for glucose
Identify 3 risk factors for osteoporosis.
Age, female, poor diet, sedentary lifestyle, alcohol, long-term use of steroids.
What education should the nurse provide to the client after an arthrocentesis?
Rest, ice/elevate, monitor for signs of infection.
What education is required for clients prescribed alendronate (Fosamax)?
Take with a full glass of water, remain upright for 30 min, take 30 min before food or other meds.
What education should the nurse provide to the client following a sprain or strain?
Rest, Ice, Compression, Elevate
Identify the client the nurse should observe first after receiving report:
1. s/p TKA due for IV Ofirmev.
2. New osteoporosis pending DC education.
3. s/p laminectomy with complaints of incontinence.
4. RA complaining of pain 4/10.
3. s/p laminectomy with complaints of incontinence.
In what order should the nurse complete these tasks when caring for a client with osteomyelitis?
1 Administer antibiotics as ordered
2 Educate regarding PICC care
3 Complete the necessary cultures
4 Immobilize the affected area
1 Immobilize
2 Culture
3 Antibiotics
4 Educate
Identify 4 diagnostic tests used to diagnose RA
RF titers, ESR, CRP, Synovial fluid analysis, tissue biopsy
What are 3 common side effects of methotrexate?
Bone marrow suppression, hepatotoxicity, infection
What are three nursing measures that must be completed prior to sending a client for an MRI.
Assess for claustrophobia and obtain order for sedation medication if needed, screen for metal objects, patient education.
Name 3 instructions for the parent caring for the child in a Pavlik harness.
Do not adjust the straps, observe for skin breakdown, place the baby on their back to sleep.
Identify 4 common post-operative complications and one nursing measure to prevent each.
VTE - SCDs or TED hose
Infection - antibiotics, monitor for s/s
Pain - around the clock pain meds plus PRNs
Pressure injuries - ROM, isometric exercises, turn and reposition, ambulate
Identify the two main goals in the treatment of arthritis and one nursing interventions for each goal.
Pain management - administer pain medication PRN
Improve mobility - prevent contracture, heat/ice, massage, yoga, treat pain prior to ambulation or PT
Describe the difference between tolerance, physical dependence and psychological difference in the use of opioids.
Tolerance - body requires larger doses to get the same effect. Physical - body exhibits physical symptoms when opioids and withdrawn. Psychological - "addiction."
Identify the 6 P's of the neurovascular assessment.
Pain, pressure, pallor, paresthesia, pulse, paralysis.