Podcast
Questions and Answers
What is a crucial nursing intervention for a patient with a cast to prevent complications?
What is a crucial nursing intervention for a patient with a cast to prevent complications?
- Encouraging frequent movement of the injured limb
- Avoiding elevation of the extremity
- Monitoring for signs of nerve and vascular compromise (correct)
- Reducing water intake to avoid swelling
Which of the following is an early sign of compartment syndrome?
Which of the following is an early sign of compartment syndrome?
- Increased range of motion
- Severe muscle weakness
- Bradycardia
- Paresthesia in the affected limb (correct)
What is a primary concern with the management of traction in orthopedic care?
What is a primary concern with the management of traction in orthopedic care?
- Decreasing pain tolerance
- Limiting joint movement entirely
- Preventing muscle spasms only
- Maintaining correct body alignment (correct)
Fat embolism syndrome is characterized by which of the following symptoms?
Fat embolism syndrome is characterized by which of the following symptoms?
What indication suggests a risk for infection at a pin insertion site in skeletal traction?
What indication suggests a risk for infection at a pin insertion site in skeletal traction?
Which clinical finding would most likely suggest complications in the presence of a cast?
Which clinical finding would most likely suggest complications in the presence of a cast?
During the assessment of a patient with a cast, which parameter is critical to monitor?
During the assessment of a patient with a cast, which parameter is critical to monitor?
Which nursing assessment is essential when monitoring for complications related to a cast?
Which nursing assessment is essential when monitoring for complications related to a cast?
What is the primary reason for using chlorhexidine in pin care?
What is the primary reason for using chlorhexidine in pin care?
Which of the following statements is true regarding the use of traction?
Which of the following statements is true regarding the use of traction?
What is a key sign indicating the possibility of compartment syndrome?
What is a key sign indicating the possibility of compartment syndrome?
What might trigger fat embolism in a patient with a femur fracture?
What might trigger fat embolism in a patient with a femur fracture?
Which of the following strategies is important in nursing management of cast complications?
Which of the following strategies is important in nursing management of cast complications?
Why is it essential to monitor skin integrity in patients with traction?
Why is it essential to monitor skin integrity in patients with traction?
In the context of acute complications, what characterizes cast syndrome?
In the context of acute complications, what characterizes cast syndrome?
What action should a nurse take when compartment syndrome is suspected?
What action should a nurse take when compartment syndrome is suspected?
What is a key sign that may indicate compartment syndrome?
What is a key sign that may indicate compartment syndrome?
Which of the following is a nursing intervention to prevent infection at the pin sites of an external fixator?
Which of the following is a nursing intervention to prevent infection at the pin sites of an external fixator?
What is a possible complication to monitor for in a patient with an open fracture being managed with external fixation?
What is a possible complication to monitor for in a patient with an open fracture being managed with external fixation?
Which of the following best describes the pathophysiology of fat embolism?
Which of the following best describes the pathophysiology of fat embolism?
In managing a cast, what symptom should be reported to the doctor immediately to prevent serious complications?
In managing a cast, what symptom should be reported to the doctor immediately to prevent serious complications?
What is the recommended position for elevating an injured limb in a cast?
What is the recommended position for elevating an injured limb in a cast?
What is an essential nursing action to maintain neurovascular status in a patient with a cast?
What is an essential nursing action to maintain neurovascular status in a patient with a cast?
Which of the following complications is associated with delayed onset after an injury or surgery?
Which of the following complications is associated with delayed onset after an injury or surgery?
What should be done if a pressure area is identified in a plaster cast?
What should be done if a pressure area is identified in a plaster cast?
What characteristic might indicate improper blood supply in a patient with a cast?
What characteristic might indicate improper blood supply in a patient with a cast?
What type of muscle contraction occurs when the muscle length remains constant despite the application of force?
What type of muscle contraction occurs when the muscle length remains constant despite the application of force?
Which type of joint allows for movement in multiple directions and includes the wrist joint?
Which type of joint allows for movement in multiple directions and includes the wrist joint?
What is the main source of energy required for muscle contraction?
What is the main source of energy required for muscle contraction?
What condition describes the decrease in muscle tone and firmness, resulting in a 'floppy' appearance?
What condition describes the decrease in muscle tone and firmness, resulting in a 'floppy' appearance?
What structure surrounds the articular bone and is crucial for lubrication and shock absorption in joints?
What structure surrounds the articular bone and is crucial for lubrication and shock absorption in joints?
What is the main purpose of using traction in orthopedic care?
What is the main purpose of using traction in orthopedic care?
Which intervention is essential for preventing skin breakdown in patients under traction?
Which intervention is essential for preventing skin breakdown in patients under traction?
What symptom is characteristic of compartment syndrome that requires immediate medical attention?
What symptom is characteristic of compartment syndrome that requires immediate medical attention?
Which of the following best describes the management of pin care for external fixators?
Which of the following best describes the management of pin care for external fixators?
Which factor most contributes to the risk of developing fat embolism syndrome?
Which factor most contributes to the risk of developing fat embolism syndrome?
What should be assessed regularly to monitor for nerve damage in a patient with a cast?
What should be assessed regularly to monitor for nerve damage in a patient with a cast?
Which psychological and physiological symptoms could indicate cast syndrome?
Which psychological and physiological symptoms could indicate cast syndrome?
What is a significant concern regarding the use of tight casts or dressings?
What is a significant concern regarding the use of tight casts or dressings?
Which statement is true regarding the management of a patient after total hip arthroplasty?
Which statement is true regarding the management of a patient after total hip arthroplasty?
What indicates that a drain post-operation may need to be removed?
What indicates that a drain post-operation may need to be removed?
Which condition would NOT typically lead to a total hip arthroplasty?
Which condition would NOT typically lead to a total hip arthroplasty?
What nursing intervention is essential for a patient post-joint replacement to prevent complications?
What nursing intervention is essential for a patient post-joint replacement to prevent complications?
When assessing a patient with a pelvic fracture, which of the following symptoms would NOT typically be observed?
When assessing a patient with a pelvic fracture, which of the following symptoms would NOT typically be observed?
Which diagnostic test is used to assess bone density and the risk of fractures?
Which diagnostic test is used to assess bone density and the risk of fractures?
What does a physical assessment of posture, joints, and spine help to determine?
What does a physical assessment of posture, joints, and spine help to determine?
What is the purpose of an arthrocentesis procedure?
What is the purpose of an arthrocentesis procedure?
Which factor can significantly impede the healing process in patients with musculoskeletal issues?
Which factor can significantly impede the healing process in patients with musculoskeletal issues?
What is an important aspect of monitoring a patient in a cast to prevent complications?
What is an important aspect of monitoring a patient in a cast to prevent complications?
Which lab value increases with fracture healing and is also seen in certain cancers?
Which lab value increases with fracture healing and is also seen in certain cancers?
What should a nurse educate a patient about regarding activities with a cast?
What should a nurse educate a patient about regarding activities with a cast?
What is indicated by contractures in a patient's joint?
What is indicated by contractures in a patient's joint?
What is a potential long-term complication associated with a pelvic fracture?
What is a potential long-term complication associated with a pelvic fracture?
What assessment is crucial for understanding the extent of injuries in a patient with a pelvic fracture?
What assessment is crucial for understanding the extent of injuries in a patient with a pelvic fracture?
Which symptom may indicate the presence of fat emboli in a patient recovering from a fracture?
Which symptom may indicate the presence of fat emboli in a patient recovering from a fracture?
What is the recommended positioning for a patient with a humeral fracture?
What is the recommended positioning for a patient with a humeral fracture?
What is a common symptom of fat embolism syndrome that may develop days after the initial injury?
What is a common symptom of fat embolism syndrome that may develop days after the initial injury?
Which management approach can help prevent complications after a long bone fracture?
Which management approach can help prevent complications after a long bone fracture?
In managing a clavicle fracture, what should be avoided to promote proper healing?
In managing a clavicle fracture, what should be avoided to promote proper healing?
Which clinical finding is associated with hypoxia after a fat embolism?
Which clinical finding is associated with hypoxia after a fat embolism?
What should be avoided to ensure proper healing after a total hip replacement?
What should be avoided to ensure proper healing after a total hip replacement?
What is the primary purpose of traction?
What is the primary purpose of traction?
What is a recommended care tip for managing skin traction?
What is a recommended care tip for managing skin traction?
In the event of a hip fracture, which condition may occur due to poor blood supply?
In the event of a hip fracture, which condition may occur due to poor blood supply?
What should be done when a dislocation occurs?
What should be done when a dislocation occurs?
Which of the following is a sign of potential circulatory impairment in a patient under traction?
Which of the following is a sign of potential circulatory impairment in a patient under traction?
What should be the approach to dressing after a hip replacement?
What should be the approach to dressing after a hip replacement?
What dietary consideration is essential to prevent complications post-surgery?
What dietary consideration is essential to prevent complications post-surgery?
What characteristic is important in maintaining the integrity of traction equipment?
What characteristic is important in maintaining the integrity of traction equipment?
What immediate actions should be taken to manage a contusion?
What immediate actions should be taken to manage a contusion?
What is a primary concern when assessing pin sites in skeletal traction?
What is a primary concern when assessing pin sites in skeletal traction?
Why should a patient under traction be monitored for skin integrity?
Why should a patient under traction be monitored for skin integrity?
Which type of traction is known to involve the use of heavier weights and is for more severe injuries?
Which type of traction is known to involve the use of heavier weights and is for more severe injuries?
Post-surgery, which practice is most effective in preventing DVT?
Post-surgery, which practice is most effective in preventing DVT?
Flashcards
Neurovascular Checks
Neurovascular Checks
Regular assessment of circulation, sensation, and movement to a part of the body (like an arm or leg).
Compartment Syndrome
Compartment Syndrome
A serious condition where pressure builds up in a muscle compartment, reducing blood flow and damaging tissues.
Six Ps
Six Ps
A set of clinical signs used to assess for impaired circulation in an extremity (pain, pallor, paresthesia, paralysis, pulselessness, and poikilothermia).
Pin Care
Pin Care
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Internal Fixation
Internal Fixation
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Cast Syndrome
Cast Syndrome
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Fat Embolism
Fat Embolism
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Pressure Injury
Pressure Injury
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Pressure Injuries in Casts
Pressure Injuries in Casts
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Cast Drying Time
Cast Drying Time
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Cast Elevation
Cast Elevation
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Bivalving a Cast
Bivalving a Cast
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External Fixator
External Fixator
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Open Fracture
Open Fracture
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Skin Integrity
Skin Integrity
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Post-Injury Complications (Early)
Post-Injury Complications (Early)
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Sensory Disturbances (Paresthesia)
Sensory Disturbances (Paresthesia)
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Physical Assessment (Joints)
Physical Assessment (Joints)
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Cast Care
Cast Care
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Arthrocentesis
Arthrocentesis
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Diagnostic Imaging
Diagnostic Imaging
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Serum Calcium Levels
Serum Calcium Levels
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6 Ps (Casts/Injuries)
6 Ps (Casts/Injuries)
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Paresthesia
Paresthesia
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Posture Assessment
Posture Assessment
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Joint Deformities
Joint Deformities
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Joint Function and ROM
Joint Function and ROM
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Cast Care: 6 Ps
Cast Care: 6 Ps
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Bone Density Scan (DEXA)
Bone Density Scan (DEXA)
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What are the types of joints?
What are the types of joints?
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What is the function of synovial fluid?
What is the function of synovial fluid?
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What is fascia?
What is fascia?
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How does muscle tone affect movement?
How does muscle tone affect movement?
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What are the two main types of muscle contraction?
What are the two main types of muscle contraction?
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What are the 6Ps?
What are the 6Ps?
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What is a traction boot?
What is a traction boot?
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What is compartment syndrome?
What is compartment syndrome?
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What is a pressure ulcer?
What is a pressure ulcer?
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Why is pin care important?
Why is pin care important?
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What are fat embolisms?
What are fat embolisms?
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What is a spica cast?
What is a spica cast?
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What is cast syndrome?
What is cast syndrome?
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Pelvic Bone
Pelvic Bone
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Stable vs. Unstable Pelvic Fracture
Stable vs. Unstable Pelvic Fracture
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Possible Complications post Joint Replacement
Possible Complications post Joint Replacement
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Total Hip Arthroplasty (THA)
Total Hip Arthroplasty (THA)
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Post-op Hip Replacement: Patient Positioning
Post-op Hip Replacement: Patient Positioning
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Hypoxia
Hypoxia
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Thrombocytopenia
Thrombocytopenia
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Clavicle Fracture
Clavicle Fracture
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Humeral Fracture
Humeral Fracture
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Pelvic Fracture
Pelvic Fracture
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Pendulum Exercises
Pendulum Exercises
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Neurovascular Assessment
Neurovascular Assessment
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What are key precautions after an Anterior approach hip surgery?
What are key precautions after an Anterior approach hip surgery?
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What is Traction?
What is Traction?
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What is Skin Traction?
What is Skin Traction?
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What is Skeletal Traction?
What is Skeletal Traction?
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What are the principles of Traction?
What are the principles of Traction?
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What is Counter Traction?
What is Counter Traction?
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What is Reduction?
What is Reduction?
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What is PRICE?
What is PRICE?
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What is a dislocation?
What is a dislocation?
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What are some complications of Traction?
What are some complications of Traction?
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What are the Six Ps?
What are the Six Ps?
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What is a Total Hip Replacement?
What is a Total Hip Replacement?
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What are common symptoms of a Hip Fracture?
What are common symptoms of a Hip Fracture?
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What are Intracapsular and Extracapsular Hip Fractures?
What are Intracapsular and Extracapsular Hip Fractures?
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What are some prevention strategies for Hip Fractures?
What are some prevention strategies for Hip Fractures?
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Study Notes
Musculoskeletal System
- 206 bones in the human body
- Bones are composed of cortical (compact) and cancellous (spongy) tissue
- Bone function includes protection of vital organs, movement, blood cell production, and mineral storage
- Bone is in a constant state of remodeling and regeneration
- Exercise, diet (calcium, vitamin D), and thyroid function impact bone formation and maintenance
- Bone mass typically peaks by age 20
- Bone healing involves three phases: reactive, reparative, and remodeling
Bone Fracture Healing
- Reactive phase: initial bleeding, clot formation, cytokine release, and angiogenesis.
- Reparative phase: granulation tissue, callus formation, and woven bone formation
- Remodeling phase: new bone formation to replace previous bone and necrotic bone removal
Joints
- Types of joints: ball-and-socket, hinge, saddle, pivot, and gliding
- Joints are often involved in movement
- Joint capsule: surrounds the articular surfaces and is lined with synovial fluid, aiding in shock absorption
- Ligaments and tendons connect bones and muscles to the bone
Muscles
- Muscles are composed of cells and connective tissue called fascia
- Muscles are attached to bones by tendons
- Muscles contract using Adenosine Triphosphate (ATP)
- Muscle fatigue can occur due to lactic acid buildup
- Muscle tone is the maintenance of muscle fibers in a contracted state
- Muscle disorders include fasciculation, atrophy, and hypertrophy
Assessment
- Medical history, past medical history, medications, pain, sensory disturbance are assessed
- Physical examination of posture, joints, inflammation, ROM, spine (kyphosis, lordosis, scoliosis), neurovascular signs, and movement are assessed to assess bone and muscle function.
Diagnostic Tests
- X-rays, CT scans, MRIs, DEXA scans, blood tests, and EMG are used to diagnose musculoskeletal conditions and injuries.
Casts and Traction
- Maintaining vascular status, sensory status, and preventing pressure areas is crucial for cast care
- Compartment syndrome is a potential complication of casts
- Traction is used to manage pain, reduce muscle spasms, align, and immobilize fractures.
Hip Fractures
- Common in older females due to osteoporosis
- External rotation, shortening of the leg, groin/groin pain are potential symptoms
- Hip precautions should be followed to prevent dislocation and complications
- Priorities: respiratory support, circulatory checks, pain control, prevention of immobility
Musculoskeletal Injuries
- Common injuries: fractures, sprains, strains, dislocations, and contusions
- Treatment for injuries: PRICE (protection, rest, ice, compression, elevation)
Nursing Care
- Monitoring for complications, including infections and compartment syndrome, is a key role for nurses.
- Assessments like neurovascular checks (6 Ps) and pain management must be regular parts of care.
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Description
Test your knowledge on the musculoskeletal system, including the structure and function of bones and joints. Learn about bone healing processes and the impact of lifestyle on bone health. Perfect for students studying human anatomy.
