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RNSG 1443 Musculoskeletal Test 3 Questions With Complete Solutions
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RNSG 1443 Musculoskeletal Test 3 Questions With Complete Solutions
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RNSG 1443 Musculoskeletal Test 3 QuestionsWith Complete Solutions
a disruption or break in the continuity of the bone structure.
Classified as displaced (open) or nondisplaced (closed)
depending on communication or noncommunication with the
external environment. Signs include immediate localized pain,
decreased function, and inability to bear weight or use affected
part. Obvious bone deformity may be present. Require nursing
assessments of the peripheral vasculature (color, temperature,
capillary refill, peripheral pulses, and edema) and neurologic
systems (sensation, motor function, and pain). Correct Answer
Fracture
After arriving on the scene of a possible traumatic bone injury
what should be the first nursing intervention? (After that you
have assessed that your patient is breathing) Correct Answer
Assess for neurovascular integrity (circulation and pulses!)
below the injury - next splint/immobilize the fracture.
After assessing a patient with a total knee replacement for
vascular integrity, what are the next two important interventions
specifically related to a total knee replacement? What machine
can assist in this? Correct Answer isometric quadriceps setting
begins first day post-op; Straight leg raises and gentle ROM to
obtain 90 degree flexion; CPM (continuous passive motion) may
promote joint mobility and facilitates active/ passive ROM
throughout the day
, arthrofibrosis of the shoulder (stiffness, pain, and limited range
of movement) after a rotator cuff injury due to prolonged
immobility Correct Answer frozen shoulder
assess, notify HCP immediately; assess urine output for renal
obstruction r/t myoglobin released from damaged muscle cells;
do not elevate affected extremity above heart level; do not apply
cold compresses as could result in vasoconstriction; remove
bandage/split cast/reduce traction weight. Surgical
decompression (fasciotomy) may be necessary; amputation may
be required. Correct Answer Treatment for compartment
syndrome
At the time of the musculoskeletal injury and post-operatively
what type of assessment is done on the affected area or limb?
Correct Answer Neurovascular assessment; peripheral vascular
assessment = color, temp, capillary refill, peripheral pulses and
edema; peripheral neurologic assessment = sensation, motor
function, pain; comparison of both extremities ensures an
accurate assessment
both crutches are advanced together, followed by lifting of both
lower limbs to the same place, this gait is used with walkers
Correct Answer swing-to gait
characterized by presence of systemic fat globules from
fractures that are distributed into tissues and organs after
traumatic skeletal injury; contributory factor in deaths associated
with fractures. Symptoms usually manifest w/in 24-48 hours
after injury. Correct Answer Fat embolism syndrome
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