Anatomy
Primary function of the muscular system?
To move or stabilize the skeleton
What blood test is used to detect bone cancer?
ALP
What intervention postop is to be done for THR?
maintain abduction of right hip
when placing a client on CPM machine what do we do before this intervention?
give pain medication
What is the highest priority for assisting a fracture to heal?
Maintain Immobilization and alignment
What is the primary function of the thoracic cage?
The cage is pulled upward and outward by the exteral intercostal muscles to expand the chest cavity and bring about inhalation
When prepping our client for myelogram what is the prep?
NPO for 8 hours before
When planning preop check what condition will stop the surgery?
Abscess tooth
If a client has c8 injury what does he use for mobility?
What is wheelchair with large knobs or joysticks
When discharging a client home after compound fracture surgery what kind of teaching is needed?
changing wound dressing
What is the function of estrogen and testosterone as we age on the skeletal system?
The bone matrix loses more calcium then we gain
What do we instruct clients when getting an arthrography
client will lay prone for a while and has pain when dye is going in
What nurse intervention do we do to prevent hip dislocation?
we prevent hip flexion by encouraging them not to lean forward when getting out of bed
What instructions do you give a client who uses a cane?
client holds cane on strong side moves it forward 12 inches first then moves weak leg then strong leg
What is a complication of diabetes in relation to fracture healing?
Delay or absence of healing
As we age weight bearing joints are subject to damage what are the symptoms?
articular cartlidge becomes rough and leads to pain and stiffness
when client is getting an arthrocentesis what is hcp looking for
aspirate synovial fluid from joint, inspect fluid for hemarthritosis, inject corticosteroids into joint
What intervention is given to client while lying in bed to prevent hip flexion?
Place abductor pillow between legs
when teaching a client about crutches what is an important fact?
never use someone elses crutches they must be fitted to your size
When a client in skeletal traction with a displaced fracture reports calf pain with dorsiflexion what should nurse do?
Notify RN or HCP- this is a positive homan sign
Joint articulation is maintained by ?
moisture from the lymph system
Ater an arthrogram what does the hcp do for the joint?
applies elastic wrap to decrease swelling
What position do we place a clients affected leg post surgery?
Abduction
when teaching how to ambulate with walker what is part of the education?
pick walker up and place down in front of their selves
after a complicated femur fracture we notice drowsiness, tachycardia and low grade fever- what other sign would you notice for fat embolism?
what is petechial rash