Fractures
What is the correct position for turning a patient s/p bipolar hip replacement?
Abducted so the prothesis does not become dislocated.
Which patient statement indicates a need for additional teaching for a patient with RA who is taking meloxicam?
"I take aspirin before I go to bed."
What finding would delay a computed tomography (CT) scan?
Allergy to shellfish or iodine.
What will the home health nurse include in monitoring for a female patient with severe kyphosis from ankylosis?
Respiratory effort.
What is the large fan-shaped muscle that covers the anterior chest from the sternum to the proximal end of the humerus and acts on joint of the shoulder to flex, adduct, and rotate?
Pectoralis major.
What is the initial intervention for the patient in a cast with a capillary refill of 5 seconds and cold fingers?
Elevate the right hand to heart level to maintain arterial pressure.
What causes inflammation in the great toe in an individual diagnosed with gouty arthritis?
The inflammation is from small accumulations of uric acid crystals, which are called tophi."
What laboratory values should a nurse review prior to beginning therapy for skeletal muscle disorders?
C-reactive protein (CRP), human leukocyte antigen (HLA), and lever function tests.
What condition is indicative of the presence of increased lumbar curvature in a 20-year-old female patient?
Lordosis.
Which foods help slow the disease of OA?
Leafy green vegetables?
A patient s/p ORIF for a compound fracture of the left tibia has the following findings; left foot warm/pink, pedal pulse weaker than right, capillary refill 3 seconds, and a small 1 cm area of blood on cast. What action should the nurse take?
Document that all findings are within normal limits.
How is RA distinguished from osteoarthritis?
RA is an autoimmune, systemic disease; OA is a degenerative disease of the joints.
Which instructions will a nurse reinforce prior to a magnetic resonance imaging (MRI) procedure?
Remove all metal, such as jewelry, glasses, and hair clips.
What does prolonged bedrest put the older adult at risk for?
Pathologic fractures.
Why is Warfarin prescribed after hip replacement surgery?
prevent the formation of emboli.
What is callus formation?
A part of the bone healing process after a fracture when new bone is being formed over the fracture site.
What benefits does exercise have on RA?
keeping the joints from 'freezing.'
What should the nurse expect to see in the plan of care following a myelogram in which water-soluble dye was used?
Position in semi-Fowler's position for 8 hours.
What immobilizing device is used to provide comfort prior to surgery for a patient with an intertrochanteric fracture?
Buck traction.
What would the home health nurse monitor for a patient with severe kyphosis from ankylosis?
Respiratory effort.
What is the movement of an extremity away from the midline of the body called?
Abduction.
What does an elevated erythrocyte sedimentation rate (ESR) indicate?
Increased inflammatory reaction in the body.
Patient s/p Open reduction internal fixation (ORIF) of a left tibia fibula fracture. He had pain of '8/10', +2 pitting edema to RLE, no palpable pulse & warm to the back of the right calf. What are the assessment findings that would require immediate attention? The left leg is hard cast, pain in both legs, 2+ pitting edema, warmth to the back of the calf, using crutches, positive for marijuana, and or med hx of hypertension.
Pain, pitting edema, warmth to the back of the calf.
How do you explain the condition of an unpleasant sensation of pain in the foot of below-knee amputation (BKA)?
It is related to the severed nerves that are still sending messages to the brain.
What is a strengthening exercise a nurse could teach for a patient with a knee replacement for the unaffected leg?
Push foot down against the footboard for a count of five.