Assessment
This type of configuration is used to wrap a stump post amputation?
What is a figure-eight dressing?
The nurse must assess for the following when contrast agents are used for CT scans.
What are possible allergies?
Reduction of bone density and change in bone structure.
What is osteoporosis?
Indicators of peripheral neurovascular dysfunction.
What is pallor, pulselessness, paresthesias, pain, paralysis, poikilothermia?
The leg of the patient post hip joint replacement should be maintained how.
What is a position of abduction?
After taking this agent the patient should sit upright for at least 30 minutes to facilitate drug absorption.
What are bisphosphonates?
This indicates an infection at the pin insertion site.
What are fever, purulent drainage, odor, loose pins, and tenting of the skin around the pin site?
This is a serious complication of bone cancer that can cause cardiac dysrhythmias and mental confusion.
What is hypercalcemia?
Malignant bone tumors weaken the structure of the bone until it is unable to withstand the stress of ordinary use.
What is a pathologic fracture?
A sensation that an amputated extremity is still present but is cramped or in an abnormal position.
What is phantom limb pain?
Used to relieve symptoms of carpal tunnel syndrome by preventing flexion and hyperextension.
What is a wrist splint?
These agents are used pre and post orthopedic surgery to reduce risk for osteomyelitis.
What are systemic antibiotics?
Priority nursing intervention postop laminectomy with spinal fusion.
What are monitoring sensory perception of the lower extremity?
A patient's x-ray of a fractured tibia shows the bone is splintered into several pieces around the shaft.
What is a comminuted fracture?
A staph aureus infection in the bone like MRSA (Methicillin Resistant Staphylococcus Aureus).
What is osteomyelitis?
Edema is an early manifestation of this problem which involves increased pressure within the fascia that leads to reduced circulation to the affected area.
What is acute compartment syndrome?
A device used to flex and extend the patient's knee following replacement of the knee joint.
What is a continuous passive motion (CPM) device?
These agents can cause renal stones.
What are calcium supplements?
Problems when a cast is too tight.
What is pressure on the blood vessels, impaired circulation, and inability to flex toes?
Elevated with muscle damage.
What are creatine kinase and aspartate?
At the time of injury fat globules may diffuse into the vascular compartment.
What is a fat embolism?
Patients who have sustained a fracture to the pelvis and symphysis pubis should be monitored for this manifestation.
What is hematuria, internal bleeding, and blood in the stool?
Surgical procedure used to visualize, diagnose, and treat problems inside a joint.
What is an arthroscopy?
This serotonin noradrenalin reuptake inhibitor (SNRI) is used to treat fibromyalgia but has been effective with chronic musculoskeletal pain.
What is Duloxetine (Cymbalta)?
It is an antidepressant but commonly used to assist in the management of chronic pain.
What is Russell's traction?
These labs are elevated with inflammation, infection, autoimmune disorders, neoplasia, and renal insufficiency.
What are ESR and C-reactive protein?
When the bone loses its blood supply and dies.
What is avascular necrosis?
A patient who is post total hip replacement flexes the hip beyone 90 degrees.
What is a dislocated hip?
Priority nursing intervention for a postop patient following scoliosis repair with a Harrington rod instrumentation.
What is a PCA pump?
This medication helps strengthen bone and prevent fractures.
What is alendronate sodium (Fosamax)?