ORTHO 1
This structure connects muscle to bones
What are tendons
An assessment of the extremity to monitor tissue perfusion.
What is CMS-circulation, motion and sensation
First intervention to do when the nurse suspects a fracture.
What is immobilize the extremity
Bone Mineral Density test, a T-score of -2.5 is indicative of
What is osteoporosis
Post operative care for a patient with a total hip replacement
What are: do not cross legs (adduction), use a raised toilet seat, use an abductor pillow
This technique assesses a newborn for developmental dysplasia of the hip.
What is the ortolani maneuver? A positive test means the child does have DDH
The acronym to decrease the pain and swelling for a sprain/strain.
What is RICE?-rest, ice (intermittent without ice directly to the skin), compression (air cast, ace bandage) and elevate (above the level of the heart)
What is PT/INR. An INR range of 2.0 to 3.0 is generally an effective therapeutic range for people taking warfarin for certain disorders
Risk factors for osteoarthritis
What are women, menopause, and using repetitive motion and lifting
A term for pain in an extremity that has been amputated.
What is phantom pain (medicate this patient)
Patients with these devises are not able to have an MRI performed
What are implanted pacemakers, Intracranial aneurysm clips, Cochlear implants, Certain prosthetic devices, Implanted drug infusion pumps, Neurostimulators, Bone-growth stimulators, Certain intrauterine contraceptive devices; surgical clips, pins, plates, screws, metal sutures, or wire mesh?
Interventions for a patient with carpal tunnel syndrome.
What are use ergonomic equipment while typing/using a keyboard, use proper posture, take periodic breaks, stretch several times a day and splint hands at night
Complication for a patient diagnosed with a dislocation
What is avascular necrosis-patient should be seen in the emergency department for reduction of the extremity?
Nursing interventions for acute back pain.
What are medicate with ibuprofen (take with food/milk), encourage ambulation (don’t stay in bed), teach that back pain will get better over the next few week
Modifiable risk factors of osteoporosis
What are smoking, sedentary lifestyle. daily corticosteroid use, excessive alcohol use.
Nursing diagnoses for a teenager who needs to wear a brace for scoliosis.
What are noncompliance and impaired social interaction?
Management of compartment syndrome
What is no elevation above heart, no ice, fasciotomy
A device that is applied pre operatively for a hip fracture to decrease pain, reduce a fracture and alleviate spasms.
What is Buck’s traction. -skin traction with 5-10 pounds of weight. The weights need to hang freely. Do no remove the weights.
Nursing diagnosis for Osteoarthritis
What are acute and chronic pain, impaired physical mobility, overweight or obesity, and depression
Treatments for osteomyelitis
What are wound culture, assess the drainage, long term antibiotics (PICC line or portacath), frequent dressing changes, splinting the extremity, administer acetaminophen for fevers, assess vitals, assess CMS distal to the extremity
An intervention to prevent skin breakdown/irritation from the edges of a cast.
What is petaling of the cast
Nursing interventions for cast care
What are assess distal cms, elevate the extremity, petal the edges, ice, medicate for pain, assess for pain not relieved by pain medication (compartment syndrome), teach not to put objects in the case-rulers, pencils, do not get wet
Interventions to prevent deep vein thrombosis.
What are ambulate the patient, sequential devices, low molecular platelet aggregates ( like Lovenox)
Nursing teaching for a patient taking Fosamax.
What are take first thing in the morning, sit upright for 30 minutes following the dose, participate in regular exercise, use sunscreen and protective clothing to prevent photosensitivity reactions?
Nursing interventions to prevent flexion contractures after an AKA (above the knee amputation)
What are do not elevate stump on pillow, do not sit in chair at 90 degrees flexion for more then one hour, lie prone 30 mins 3-4 x/day