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NUR 120 Exam 1
Musculoskeletal Chapter 62 and 63
101
Nursing
Not Applicable
02/08/2011

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Cards

Term
Where is Hyaline Cartilage
Definition
Trachea and nose
Term
Is cartilage vascular or avascular
Definition
Avascular
Term
Where is Elastic Cartilage
Definition
Ear and eppiglottis
Term
Where is Elastic Cartilage
Definition
Most dense, shock absorber, inbetween the vertebrae
Term
How do isometric contractions of the muscle work
Definition
Tension, no movement
Term
How do isotonic contraction of the muscle work
Definition
Shortening, produces movement
Term
What do ligaments connect
Definition
Bone to Bone
Term
What do tendons connect
Definition
Muscle to Bone
Term
What are Bursae
Definition
Sac of sinoval fluid, Stop friction
Term
What questions should a nurse ask about muscle injuries
Definition
Past Medical History, Medications, Corticosteriods, diuretics, Ca Supplements, Joint Replacement Surgery, Screws, Pins
Term
What should you look for on a physical exam
Definition
Alignment, color, deformity, old scarring
Term
Physical Exam Palpation
Definition
Temperature, swelling
Term
Physical Exam Motion
Definition
Active and Passive ROM
Term
What Dx test are used for a Fracture
Definition
X Ray
Term
What Dx test are used to see metasis of cancer
Definition
Bone Scan
Term
What Dx test is used for Osteoporosis
Definition
Bone Mineral Density, DEXA
Term
What Dx study is used to look into a joint
Definition
Arthoscopy
Term
What Labs for RA
Definition
RF, Anti DNA, HLA B27, ANA, ESR
Term
What Labs for Lupus
Definition
ANA, Anti DNA, Anti Smith, ESR
Term
What labs for Gout
Definition
Serum uric acid, 24 hour urine
Term
Labs for a muscle injury
Definition
CK
Term
Labs for a fracture
Definition
Alk Phos
Term
What is a sprain
Definition
Injury to a ligament or tendon, check for CMS
Term
What is a strain
Definition
Excessive stretching of a muscle
Term
What is an avulsion fraction
Definition
Ligament pulls loose from a piece of bone
Term
What are the signs and symptoms of a soft tissue injury
Definition
Bruising, pain, decrease in ROM, swelling, slow healing (3 to 6 weeks)
Term
What are the acute interventions of a soft tissue injury
Definition
RICE the first 24 to 48 hours, NSAIDS and Ibuprofen + Naproxen
Term
How do you Dx a Dislocation and Subluxation
Definition
Deformity, shortened or lengthened extremity, pain, and decrease in movement
Term
How would a RN treat dislocation or subluxation
Definition
Reduction and immobilize, splint and sling
Term
What is the risk of dislocation or subluxation
Definition
Avascular Necrosis
Term
Signs and symptoms of Carpel Tunnel Syndrome
Definition
Pins and needles, weakened thumb
Term
What is the test for Carpel Tunnel Syndrome
Definition
Phalen's Test, Compress the median nerve
Term
Who is at risk for Carpel Tunnel Syndrome
Definition
Females, diabetics, RA, Typist
Term
How can Carpel Tunnel Syndrome be treated
Definition
Prevention education, splinting, cortisol injections, surgery to decompress the median nerve
Term
What are the signs and symptoms in a rotator cuff injury
Definition
Decreases ROM, cannot reach up, raising at 90 degrees there is pain
Term
What DX testing is used for a rotator cuff injury
Definition
MRI
Term
What is the treatment course for a rotator cuff injury
Definition
RICE, NSAIDS, surgery
Term
What is the appropiate treatment for Bursitis
Definition
NSAIDS, cortisol
Term
What two meds are used for muscle spasms
Definition
Flexeril and Robaxin
Term
What kind of Fx is comminuted
Definition
Unstable
Term
What kind of Fx is transverse
Definition
Stable
Term
What kind of Fx is Greenstick
Definition
Stable
Term
What kind of Fx is Oblique
Definition
Unstable
Term
What kind of Fx is splintered
Definition
Stable
Term
What kind of Fx is Compound
Definition
Unstable
Term
What kind of Fx is Spiral
Definition
Stable
Term
What kind of Fx is simple
Definition
Stable
Term
Signs and Symptoms of Fx
Definition
Swelling, pain, spasms of the muscle, deformity, bruising, decreased ROM, crepitation
Term
What is the first stage of FX Healing
Definition
FX Hematoma
Term
When does the clot form after a fx
Definition
72 Hours during the Fx Hematoma
Term
How long does it take for Hematoma to advance to Granulation Tissue
Definition
3 to 14 days
Term
What is the second stage of Fracture Healing
Definition
Granulation Tissue, this is where new tissue starts to form
Term
What is the third stage of Fx Healing
Definition
Callus Formation
Term
What happens in Callus Formation
Definition
After 2 weeks, deposits of Ca and Phos start to make new bone
Term
What is the fourth stage of Fx Healing
Definition
Ossification
Term
How long before there is clincal union of the bone
Definition
3 weeks
Term
During what stage can the cast be removed during Fx Healing
Definition
Ossification
Term
The fifth stage of Fx Healing
Definition
Consolidation
Term
An X Ray is taken to see the distance closed of a fracture during what step
Definition
Consolidation
Term
The final step of Fx Healing is
Definition
Remodeling
Term
When will bone tissue be absorbed and bone will get to prebreak strength
Definition
Remodeling
Term
How long will it take for a fracture to prebreak strength
Definition
Months
Term
Does closed reduction require sugery
Definition
No
Term
Surgery, screws, plates, rods and pins are used in what type of reduction
Definition
Open Reduction
Term
What are the risk with open reduction
Definition
Injury and anesthesia
Term
What traction involves pins into bone and pulled into alignment
Definition
Skeletal traction
Term
What traction involves the extremity getting put into a sling or boot. Weights are added to maintain traction.
Definition
Bucks
Term
What is the RN role for traction
Definition
Free hanging weights, no knots in rope, pin care, patient teaching
Term
How do you care for a plaster cast
Definition
Cannot get it wet, sets in 15 minutes, not weight bearing til 24 to 72 hours, cannot be put under a blanket, wrap and saw down the edges, handle only with the palms
Term
How would a RN assess the cast
Definition
Elevate, CMS, pressure points
Term
Internal Fixation
Definition
Plates and rods
Term
External Fixation
Definition
Screws go into the skin to hold the bone in place
Term
What is the patient teaching for fixation
Definition
Risk for infection, pin care, must be done routinetly
Term
How long in between tetanus
Definition
10 years
Term
Should NSAIDS be given first thing for a fracture
Definition
NO, risk of bleeding
Term
How should the patient's diet be changed for a fracture
Definition
Increase protein, Vitamins B, C, D, 2 to 3 L fluid, Ca, Mg, Phos, Inc Fiber
Term
What is a Colles Fracture
Definition
Distal radius, especially in women over 50 years old
Term
Humerus Fracture
Definition
pain, deformity (short), watch for radial nerve injury, brachial artery, splint, sling, pad behind neck, HOB up, watch axillary
Term
Diet with a spika cast
Definition
6 small meals a day
Term
A Patient reports having pain 10/10 while on medication, what should the RN expect
Definition
Compartment Syndrome
Term
What shouldn't be expected with post op drainage
Definition
Should not be cloudy, thick purulent, nor foul smelling
Term
Renal Calculi with Fracture
Definition
Osteoclast breaking down from broken bone
Term
When is it you'd see Fatty Embolism
Definition
12 to 72 after injury
Term
How do you prevent an embolism
Definition
Immobilization
Term
Signs and symptoms of an embolism
Definition
Inc in RR, Dec in PO2, Inc in HR, patient may be confused
Term
When does ischemia set in for compartment syndrome
Definition
4 to 12 hours
Term
Pelvic Fracture
Definition
Risk of bleeding out, bladder injury, watch for bloody urine, H+H, bed rest up to 6 weeks
Term
Femoral Fracture
Definition
Femoral artery, high blood loss, fatty embolism, high on femoral head, surgery will be a must, may need a joint replacement, need traction more often
Term
Vertebral Fracture
Definition
Most are stable, common compression in elderly, pain manage, keep in alignment
Term
Facial fractures
Definition
Be sure the airway is not obstructed
Term
Facial Fracture--Laforte
Definition
4 different levels of fracture, Higher the number the worse the injury, Never put an NG Tube on these patients, Jaw will be wired shut, pureed food, protein shakes, carry wire cutters, oral care, trachostomy for airway protection
Term
Hip Fracture
Definition
Shortened extremity turned out from external rotation of the foot
Term
Caring for a hip fracture
Definition
No bending at the waist, or greater than 90 degrees, no low sitting chairs, watch for avascular necrosis, Bucks 24 to 48 hours then surgery
Term
Why is it necessary for Bucks Traction before surgery
Definition
Lets the swelling go down
Term
Pre Op before Amputation
Definition
Possibility of loss, how the patient will walk, Prothesis in 6 months
Term
Post Op after amputation
Definition
On top of stump is a thick nylon to keep shape of stump, Keep elevated to decrease swelling
Term
DX for amputation
Definition
Culture drainage, WBC, aterial studies, CT w/ contrast
Term
RN care for amputation
Definition
Start to bear weight at 3 months, treat phantom pain, watch for skin care, address body issues, risk for falls
Term
Risk of arthroplasty
Definition
Risk for DVT, supplements, increase in protein
Term
Bone Scan
Definition
Looking for metasis of cancer
Term
Bone Mineral Density
Definition
Osteoporosis, hardness of the bone
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