CCC NURS275 Orthopedics Exam Questions With Correct And Revised Answers
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Course
CCC NURS275
Institution
CCC NURS275
CCC NURS275 Orthopedics Exam
Questions With Correct And Revised
Answers
What is the single most important predictor for falls? - answerA recent history of falling.
What are three possible signs of hip dislocation post-surgery? - answerIncreased hip pain
Shortening of the affected leg
Leg rota...
CCC NURS275 Orthopedics Exam
Questions With Correct And Revised
Answers
What is the single most important predictor for falls? - answer✔✔A recent history of falling.
What are three possible signs of hip dislocation post-surgery? - answer✔✔Increased hip pain
Shortening of the affected leg
Leg rotation
What are the four major muscle enzymes affected in skeletal muscle disease or injury?
What other enzyme is affected by bone or liver damage? - answer✔✔Creatine-kinase (CK-MM)
AST
Alsolase (ALD)
Lactic dehydrogenase (LDH)
Also Alkaline phosphatase (ALP)
How is ALP related to bone damage/disease? - answer✔✔Alkaline Phosphatase (ALP) exists in
the blood normally. It increases during bone damage or disease, as it leaks into the blood stream.
How is Creatine-kinase (CK-MM) related to muscle damage/disease? - answer✔✔Serum CK-
MM levels rise within 2-4 hours after muscle injury.
Inaccuracies may be due to exercise, and certain drugs, and muscle diseases.
How is AST related to muscle damage/disease? - answer✔✔It is moderately elevated in certain
muscule diseases, such as muscular dystrophy.
How is LDH related to muscle damage/disease? - answer✔✔Elevations may indicate muscle
trauma, progressive muscular dystrophy.
How is Aldolase (ALD) related to muscle damage/disease? - answer✔✔Elevations may indicate
muscular dystrophy, or polymyositis or dermatomyositis.
What might be indicated by hyercalcemia? - answer✔✔Bone fractures in healing stage
metastaic cancers of the bone
Paget's disease - enlarged and/or misshapen bones - usually disorganized bone remodelling
Why might be indicated by hypocalcemia? - answer✔✔Osteoporosis - weakened and brittle
bones
Osteomalacia - softening of bones
What might be indicated by elevated phosphorus/hyperphosphatemia? - answer✔✔Bone
fractures in healing stage
Bone tumors
Acromegaly - growth of bones after puberty
What might be indicated by lowered levels of phosphorus/hypophosphatemia? -
answer✔✔Osteomalacia - softening of bones, often from Vit D deficiency
What is the highest priority for nursing care post-arthroscopy? - answer✔✔Assessing
neurovascular status of the affected limb hourly, or more often as indicated by agency or
surgeon.
What is the single more effective exercise for osteoporosis prevention? - answer✔✔Walking 30
minutes three to five times a week.
What classifications of medications are there for treatment of osteoporosis? -
answer✔✔Bisphosphonates - slow bone reabsorption
Calcitonin
Estrogen agonist/antagonists
What are important considerations and patient teachings for oral biphosphonates? (Fosomax) -
answer✔✔They are associated with esophagitis and esophogeal ulcers
They must be taken early in the morning with 8 oz of water, and pt should wait 30-60 minutes
upright, before eating.
What are some biphosphonate medications, and what route are they usually taken? -
answer✔✔Fosamax/alendronate - oral
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