Bone Disorders and Perioperative Care Quiz
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Questions and Answers

What should the nurse monitor in a patient during the oliguric phase of AKI?

  • ECG changes (correct)
  • Hemoglobin levels
  • Fluid intake
  • Weight loss
  • Which fluid replacement is typically given to patients with a fluid volume deficit?

  • Colloids
  • Normal saline
  • Lactated ringer solution (LR) (correct)
  • D5W
  • What dietary change can be expected for a patient on hemodialysis after years of chronic CKD?

  • Increased fat intake
  • More protein (correct)
  • Lower sodium
  • Reduced carbohydrates
  • Which assessment should be reported when a client on IV diuretics shows a potassium level below 3.5?

    <p>Decrease in potassium level (A)</p> Signup and view all the answers

    Which lab value should be monitored to determine the effectiveness of calcium carbonate in a patient with CKD?

    <p>Phosphate level (B)</p> Signup and view all the answers

    What is a key priority action for a patient with a potassium level of 7.0?

    <p>Place on cardiac monitor (C)</p> Signup and view all the answers

    Which habit should a nurse advise to avoid in clients who struggle with sleep?

    <p>Exercising before bedtime (C)</p> Signup and view all the answers

    What symptom should the nurse expect to assess in a client deprived of sleep?

    <p>Confusion and irritability (A)</p> Signup and view all the answers

    Which assessment finding is most indicative of a patient developing compartment syndrome?

    <p>Reduced peripheral pulses (C)</p> Signup and view all the answers

    Before administering sodium polysystene (Kayexalate) to a patient with hyperkalemia, what should the nurse assess?

    <p>Bowel sounds (B)</p> Signup and view all the answers

    What should the nurse inquire about when a patient in the first trimester of pregnancy expresses concerns about frequent urination?

    <p>Are you having any pain when you urinate? (A)</p> Signup and view all the answers

    To prevent the recurrence of uric acid kidney stones, what dietary item should the patient avoid?

    <p>Sardines and liver (B)</p> Signup and view all the answers

    For a patient diagnosed with excess fluid volume, what sign or symptom should the nurse monitor?

    <p>Hypertension (B)</p> Signup and view all the answers

    What inference can the nurse make regarding a patient with CKD who has a hemoglobin level of 8.0?

    <p>Decreased levels of erythropoietin (D)</p> Signup and view all the answers

    What is an important nursing intervention to reduce the risk of deep vein thrombosis (DVT) postoperatively?

    <p>Apply sequential compression devices (SCDs) (C)</p> Signup and view all the answers

    Which symptom should the nurse prioritize reporting to the surgeon during the preoperative assessment?

    <p>Sore throat and fever (A)</p> Signup and view all the answers

    What manifestations should the nurse be alert for in a patient receiving loop diuretics?

    <p>Weak, irregular pulse and poor muscle tone (C)</p> Signup and view all the answers

    When a patient with AKI and hypokalemia asks why IV insulin is being prescribed, what should the nurse explain?

    <p>It facilitates the movement of potassium into cells (B)</p> Signup and view all the answers

    What dietary recommendation is important for a patient experiencing a flare of Crohn's disease?

    <p>A low-fiber diet with gradual fiber increase (C)</p> Signup and view all the answers

    When is it appropriate to send a preoperative patient to surgery without consulting the surgeon about their questions?

    <p>If their surgery is urgent, and time is short (A)</p> Signup and view all the answers

    Which priority assessment should a nurse perform first for a patient who has just vomited bright red blood?

    <p>Assess the patient's blood pressure and pulse (A)</p> Signup and view all the answers

    Which type of fracture is most commonly associated with child abuse?

    <p>Spiral fracture (C)</p> Signup and view all the answers

    What is a common complication following orthopedic surgeries that should be monitored closely?

    <p>DVT (Deep Vein Thrombosis) (B)</p> Signup and view all the answers

    Which factor can significantly impact wound healing in patients?

    <p>Smoking status (B)</p> Signup and view all the answers

    What dietary concern should be considered for a patient receiving parenteral nutrition?

    <p>Electrolyte imbalances (B)</p> Signup and view all the answers

    Which medication class is commonly used in the treatment of GERD?

    <p>PPIs (Proton Pump Inhibitors) (B)</p> Signup and view all the answers

    What is a key sign of sleep deprivation?

    <p>Mood swings (C)</p> Signup and view all the answers

    What condition is characterized by the abnormal accumulation of uric acid in the blood?

    <p>Gout (B)</p> Signup and view all the answers

    Which type of IV fluid can lead to hypernatremia if administered inappropriately?

    <p>Hypertonic fluids (C)</p> Signup and view all the answers

    Which of the following is a common clinical manifestation of acute kidney injury (AKI)?

    <p>Swelling in the extremities (C)</p> Signup and view all the answers

    What is a primary nursing intervention to manage a patient with compartment syndrome?

    <p>Loosen any restrictive dressings (B)</p> Signup and view all the answers

    Flashcards

    Spiral Fracture

    A fracture in which the bone breaks in a twisting motion.

    Greenstick Fracture

    A fracture in which the bone bends and cracks, but does not completely break. Commonly seen in children.

    Comminuted Fracture

    A fracture in which the bone is broken into many pieces.

    Osteoporosis

    A bone disease that causes bone to become weak and brittle.

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    Osteomyelitis

    A bone infection.

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    Compartment Syndrome

    Increased pressure within a confined muscle compartment.

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    DVT

    Deep Vein Thrombosis, formation of a blood clot in a deep vein.

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    Sleep Apnea

    A sleep disorder characterized by pauses in breathing during sleep.

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    Sleep Deprivation

    A state of insufficient sleep.

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    Refeeding Syndrome

    A potentially life-threatening complication that may occur when patients with severe malnutrition are reintroduced to nutritional support.

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    Compartment Syndrome Assessment

    Assessment for compartment syndrome in patients with casts involves monitoring for signs like accelerating pain, numbness/tingling, and decreased pulses in the affected extremity.

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    Hyperkalemia Medication Assessment

    Before administering Kayexalate (sodium polystyrene sulfonate), nurses must assess bowel sounds to monitor for potential complications like bowel obstruction or ileus.

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    Frequent Urination in Pregnancy

    A pregnant client experiencing increased urinary frequency in the first trimester may be concerned about a urinary tract infection (UTI), but nurses should ask about pain during urination as a key diagnostic indicator.

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    Uric Acid Kidney Stones Prevention

    To prevent recurrence of uric acid kidney stones, patients should avoid consuming foods high in purines, like sardines and liver.

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    Excess Fluid Volume Signs

    Nurses monitoring patients with excess fluid volume should be alert for symptoms like hypertension, as it often indicates fluid overload.

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    CKD Hemoglobin 8.0

    A low hemoglobin (8.0) in a patient with chronic kidney disease (CKD) suggests decreased levels of erythropoietin, leading to lower hemoglobin production.

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    Loop Diuretic Manifestations

    Patients receiving loop diuretics should be monitored for potential side effects such as weak, irregular pulse, and poor muscle tone, as indicators of low potassium (hypokalemia).

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    AKI Hypokalemia Insulin

    When an acute kidney injury (AKI) patient experiencing hypokalemia asks about intravenous insulin, the nurse explains that it is prescribed to promote potassium uptake into cells and correct the imbalance.

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    Hypocalcemia Prevention

    Giving IV glucose concurrently with other medications can help prevent hypocalcemia, which is a low calcium level in the blood.

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    Insulin and Potassium

    Insulin helps move potassium into cells, thereby lowering the potassium level in your blood.

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    Oliguric Phase of AKI

    During the oliguric phase of acute kidney injury (AKI), the body produces very little urine, and the nurse monitors for complications like ECG changes and pulmonary edema.

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    Fluid Replacement for Volume Deficit

    Lactated Ringer's solution (LR) is the typical fluid replacement for patients with a fluid volume deficit.

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    Dietary Changes with Hemodialysis

    Patients starting hemodialysis for chronic kidney disease (CKD) can have a higher protein intake because dialysis removes urea and creatinine, waste products normally filtered by the kidneys.

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    Hypokalemia and Diuretics

    Diuretics can lower potassium levels. A nurse should report a potassium level below 3.5 to the physician.

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    Calcium Carbonate and Phosphate

    The effectiveness of calcium carbonate (Caltrate) for CKD patients is monitored by checking phosphate levels.

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    High Potassium Level in AKD

    For a patient with acute kidney disease (AKD) and a high potassium level (7.0), the nurse should prioritize: checking medications for potassium content, monitoring the patient's heart rhythm, and notifying their primary health care provider.

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    Pre-op Smoking

    Stopping smoking before surgery is crucial for reducing complications. Smoking can impair wound healing, increase infection risk, and negatively affect lung function.

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    Pre-op Patient Questions

    When a pre-op patient has questions, it's important to address them before surgery. Time constraints do not justify neglecting patient communication.

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    Managing Post-op DVT

    To prevent Deep Vein Thrombosis (DVT) after surgery, nurses use Sequential Compression Devices (SCDs) and encourage leg and foot exercises.

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    Post-op Pain Management

    Nurses assess pain levels regularly and administer medications like fentanyl cautiously, considering patient history and vital signs.

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    Gastroesophageal Reflux Disease (GERD)

    GERD is a condition causing heartburn. Nexium is a medication that reduces stomach acid production, thereby treating GERD symptoms.

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    Study Notes

    Bone Disorders (14 Questions)

    • Types of fractures (matching): Transverse, Linear, Oblique, Spiral, Greenstick, Comminuted, Nondisplaced, Displaced
    • Spiral fractures: Often associated with child abuse
    • Greenstick fractures: Common in children, caused by bending force (e.g., football player getting hit)
    • Comminuted fractures: Bone is fragmented into multiple pieces
    • Osteoporosis
    • Osteomyelitis
    • Gout

    Application Level Questions (Bone Disorders)

    • Compartment Syndrome
    • Osteomyelitis
    • Rhabdomyolysis
    • Deep Vein Thrombosis (DVT)
    • Case Study: Post-op ORIF patient with one-sided lower extremity pain and redness (10 points)
      • Identify the complication (1 point)
      • List 3 nursing interventions prior to contacting provider (3 points)
      • Write a SBAR report (6 points)

    Perioperative Care (5 Questions)

    • Patient education (pre-op, post-op, discharge instructions)
    • Smoking cessation strategies
    • Prevention and management of post-op complications (pneumonia, DVTs)
    • IV and oral pain management meds (choosing appropriate ones based on patient symptoms)
    • Informed consent: When to send a patient to surgery vs. having a surgeon visit pre-operatively.

    Sleep (6 Questions)

    • Sleep apnea: Signs and symptoms, CPAP and non-CPAP treatments.
    • Sleep deprivation: Signs and symptoms
    • Sleep hygiene: Best practices for improving sleep.
    • Factors impairing sleep.
    • BONUS question: HR changes in age/fitness levels.

    Nutrition (4 Questions)

    • Nursing considerations for parenteral and enteral feedings
    • Patient safety related to Parenteral and enteral feedings
    • PPN vs. TPN vs. tube feeds
    • Lab values, diagnostic studies (fasting glucose, vital signs)
    • Metabolic Syndrome
    • Labs associated with nutritional status (e.g., low albumin)
    • Refeeding syndrome

    Skin (4 Questions)

    • Sunscreen guidance and recommendations

    Fluid & Electrolytes (6 Questions)

    • Difference between hypo/hyper/isotonic fluids
    • Types of IV Fluids
    • Clinical manifestations and causes of hypo/hyperkalemia (use Electrolyte Quick Reference Guide)
    • Treatment for hyperkalemia
    • Causes of Fluid Deficit and/or Excess (use Fluid Imbalance Study Guide)

    Renal (5 Questions)

    • Labs linked to kidney function
    • Causes of Acute Kidney Injury (AKI)
    • Clinical manifestations of each phase of AKI
    • Stages of Chronic Kidney Disease (CKD)
    • Causes of uric acid kidney stones
    • Medication for Chronic Kidney Disease (outlined in PowerPoint)
    • Contraindications for medications
    • Assessment data prior to medication administration

    GU (2 Questions)

    • Incontinence (types, treatment options)
    • Nursing considerations for incontinence (select-all-that-apply)

    GI (10 Questions)

    • Lower vs Upper GI bleeds (assessment, fluid volume deficit, priority intervention)
    • Crohn's disease, Ulcerative Colitis
    • Fistulas
    • GI bleed
    • GERD medications (H2 blockers and PPIs)
    • Peritonitis: Treatment (priority)
    • Peptic ulcer disease: Medications to avoid; Risk factors/causes.
    • Case Study: Abdominal pain (10 points)
      • Identify suspected GI problem
      • Identify elevated lab value (if any)
      • List diagnostic studies for possible cause of pain
      • Describe predicted intervention/treatments
      • Describe anticipated consequences if untreated

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    Description

    Test your knowledge on bone disorders and perioperative care with this comprehensive quiz. Questions cover types of fractures, complications, and nursing interventions. Assess your understanding of conditions like osteoporosis and osteomyelitis, and prepare for perioperative scenarios.

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