A&P
Assessment
Diagnostics
Other
Random
100
This substance is found between joints with the purpose to lubricate and minimize friction
What is SYNOVIAL FLUID
100
2 purposes/goals of range of motion
What are MAINTAIN JOINT MOBILITY, PREVENT CONTRACTURES
100
This diagnostic procedure involves the placement of needle electrodes into the skeletal muscles to determine the presence and cause of muscle weakness
What is ...electromyogram
100
What is a bone biopsy and what is a major nursing consideration post-op
What is ... a small of bone removed and examined under microscope. Nursing consideration: monitor for hematoma, bleeding, swelling, infection
100
Hematopoiesis is __________ and where does this take place?
What is ...FORMATION OF RBCs, RED BONE MARROW at the end on long bones or center of flat bones
200
The closure of epiphyseal plates means this
What is BONE GROWTH STOPS/ NO MORE BONE LENGTHENING
200
The abnormal grating sound heard when joints move
What is CREPITUS
200
What is arthrocentesis? List 4 post procedure nursing considerations
What is... puncture of clients joint with a needle and withdrawal of synovial fluid to obtain a specimen or to admin meds. Post nsg: apply elastic compression bandage, use ice to decrease pain and swelling, rest joint for 8-24hrs post, pt education regarding s/s of infection and what to report to MD
200
Stand up and show me where the scapula, tibia, fibula, radius, ulna, femur, patella, clavical, and acromium process are...
Demonstration
200
List 4 functions of the skeletal system
What is ... supporting body framework, protects internal structures, produces RBCs, stores Ca+ and PO4-.
300
Upon inspection you find a patient with an asymmetrical flank area and lopsided shoulder blades indicating a lateral curvature of the spine. You suspect this disorder
What is SCOLIOSIS
300
Stand up and show the following movements: Abduction, adduction, flexion, extension, plantarflexion, dorsiflexion, supination, pronation
Demonstration
300
A bone density scan (DEXA scan) is performed on this population to determine if the patient has which disorder. What do they compare the result to? (3 part answer).
What is POST MENOPAUSAL WOMEN and OSTEOPOROSIS...BASELINE at 40yo
300
What pt education will be provided for the pt undergoing a gallium scan?
What is ... scan for 30-60 min, requires sedation, then rescanned at 24, 48, 72 hours. pt needs to lie still during procedure. Empty the bladder before the procedure, push fluids post procedure.
300
List 3 functions of the muscular system
What is ... moves the skeleton, supports and maintains posture, generates heat
400
Differentiate between tendons, ligaments, and aponeurosis.
What is tendons attach muscle to bone, ligaments attach bone to bone, and aponeurosis flat tendon which attached muscle to muscle or to bones
400
Daily Double: Explain CMST. Show how you would assess for it on me (Instructor). What would you do if you found your patient's CMST was not intact?
What is Circulation, Movement, Sensation, Temperature. DEMONSTRATE: Check pulse, cap refill, color. Wiggle fingers. Touch back of hand with eyes closed. Feel skin temp. If CMST not intact (delayed cap refill, absent pulses, etc) contact PCP
400
4 post op nursing considerations for the patient who just received an arthroscopy
What is TEACH S/S OF INFECTION, MONITOR CMST, ELEVATE EXTREMITY, CHANGE DRESSING PER FACILITY PROTOCOL, ADMINISTER ANALGESICS
400
abduction or adduction is the proper placement for THR? Why is the other contraindicated?
What is ... abduction. Abduction is contraindicated because it could cause hip dislocation
400
Describe post op interventions for arthroscopy
What is... wear elastic bandage 2-4 days post, limit activity 1-4 days post, elevate extremity for 2 days, report s/s of infection, pt edu on crutch walking
500
List the type of muscle: This type of muscle is involuntary and striated _________ This type of muscle is voluntary and striated __________ This type of muscle is involuntary and non-striate _________
What is ... heart, skeletal , smooth
500
List 6 characteristics of musculoskeletal assessment
What is ... assess gait, alignment, symmetry, muscle mass and tone, ROM, any involuntary movements, s/s of inflammation, gross deformities.
500
Describe 4 post-op nursing considerations for a knee arthroplasty
What is ... check CMST, assess pain and VS and set up pt on CPM mahcine, teach pt to avoid knee flexion
500
A patient is undergoing a myelogram. The nurse knows that d/t the use of an oil based dye the patient must remain in what position post-procedure. For how long and why? (3 part answer)
What is FLAT/SUPINE, 12 HOURS, TO PREVENT HEADACHE
500
Why would just getting over bronchial pneumonia or bronchitis cause a surgery to be cancelled?
What is ... this can cause the microorganisms to migrate to surgical area and cause local infection or with prosthetic to fail