Diagnosis
A patient has complained of pain after a fall. The ED physician completes radiology exam and has identified the bone is splintered into three or more fragmants at the site of the injury. The diagnosis will be ________________.
Comminuted fracture
The nurse, Sondrea, is providing education to a patient who has had a knee replacement. The medication education includes the Coumadin being administered to:
Prevent the formation of emboli
A patient returns to the unit following a bone biopsy in her right leg. You will be providing the CMS assessment to the affected leg. What does the C in CMS assessment include?
Are pulses palpable, diminished or absent
The nurse is providing education to a patient who has suffered a cervical fracture, and is receiving stabilization for the fracture. The type of external stabilization of a cervical fracture that allows the patient to be mobile is _________.
Halo brace
The nurse, Nakeisha, is concerned for a patient with a new diagnosis for impending fat embolism. What is the first priority nursing intervention for an impending fat embolism?
Administer oxygen in a respiratory emergency
A patient has arrived to the Emergency Department with a fracture. The fracture where the fracture line extends entirely through the bone, with the periosteum disrupted on both sides of the bone is called a ______________.
Complete fracture
The nurse is inspecting the knee of a patient who reports stiffness and hears a grating sound with knee movement. Which of these actions is appropriate for the nurse to take?
Immobilize the knee
The emergency department nurse assesses the two cardinal signs of a hip fracture in a newly admitted patient. The two signs are identified as:
The affected leg is shortened and externally rotated
A patient developing a fat embolus from a fracture of the right femur would likely have which of the following symptoms or manifestations?
Mental confusion
A patient has been casted to stabilize a fracture of the right radius and ulna. The nurse assesses a capillary refill of 5 seconds and cold fingers of the right hand. Which initial intervention should the nurse initiate?
Elevate the right hand to heart level to maintain arterial pressure
Repairing or fashioning of one or both sides, parts or specific tissue within a joint is called ____________.
Arthroplasty
The patient that has a bipolar hip replacement, following an intracapsular fracture, has an order to be turned every 2 hours. The nurse understands that the correct nursing intervention is to keep the legs positioned how?
Abducted so the prosthesis does not become dislocated
A 45 year-old male patient sustained skeletal muscle injuries 5 days ago. Today, the patient was admitted to the Emergency Room, exhibiting signs and symptoms of infection, severe pain, vessel thrombosis, liver and kidney impairment. Upon further assessment, the physician suspects gas gangrene when she identifies the characteristic finding of:
Toxic delirium
The nurse, Chelsie, is educating the patient regarding the healing of a fracture. Chelsie takes into consideration that a healing fracture progresses through several healing stages. Which is the third stage of healing?
Development of fibrin meshwork
A motor vehicle accident victim was delivered by ambulance to the ED. She was unable to walk, in severe pain, and the radiology exam identified a fractured pelvis injury. With this type of injury, this patient is at risk for which serious complication?
Hemorrhage
A physician is contacted 30 hours after admission for a crushing-type injury to a leg on an adult. Which objective sign will the nurse, Raven, find during the assessment of a patient with compartment syndrome in the lower leg?
Absence of pulsation in the affected extremity
The physician is admitting a trauma patient from the ED. In discussing the plan for fracture repair, the physician discusses the options for treatment of the fracture to achieve optimal reduction, which can be accomplished through:
Open reduction
Closed reduction
Traction
The nurse is preparing an emergency department patient for a surgical procedure in the OR. The nurse, Connor, knows that in compartment syndrome, irreversible muscle damage can occur within ____ hours.
Six
When a patient recovering from a fractured tibia asks what callus formation is, the nurse, Kyra, tells her it is:
A part of the bone healing process after a fracture when new bone is being formed over the fracture site
A construction worker suffered a fracture of the femur 48 hours ago. The nurse notices that he has petechiae on the conjunctiva, chest, neck and axillae. Petechiae in these locations are consistent with which condition?
Fat embolism
A patient is admitted from the Emergency Department. What should the nurse do when a patient with osteomyelitis is admitted with an open wound that is draining?
Initiate drainage and secretion precautions
A patient is being prepared for surgery by nurse, Renee. The fractured hip does not require replacement of the parts of the joint, requiring an Open Reduction Internal Fixation (ORIF) of the hip fracture requires use of which hardware?
Utilizing wire, nails, rods (hardware) to repair the fractured bone
The nurse, Majayle, is orienting a student to circulatory checks on a trauma patient. Majayle taught the student the circulation check is also known as a neurovascular assessment. The mneumonic CMS stands for which of the following?
Circulation, motion and sensation
The elderly/aging population are at a greater risk for musculoskeletal injury related to:
Physiologic changes of aging result in decreased joint flexibility and muscular strength
Changes in bone mass with aging increases the risk of fractures
Changes in the feet may occur causing pain and possible decreased mobility
An elderly female has fractured her hip in the location of the femoral neck. The nurse, Allyson, explains a possible complication with fractures in the femoral neck is ____________.
Avascular necrosis