Musculoskeletal System Overview
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Questions and Answers

What is the primary function of osteoclasts in the bone?

  • Formation of new bone
  • Dissolving and remodeling bone (correct)
  • Facilitating blood cell production
  • Maintenance of bone health
  • Which type of bone tissue is primarily involved in hematopoiesis?

  • Long bone
  • Cancellous bone (correct)
  • Flat bone
  • Cortical bone
  • At what age is bone mass typically at its peak?

  • 20 years (correct)
  • 18 years
  • 15 years
  • 25 years
  • What characterizes the reactive phase of bone healing?

    <p>Bleeding and clot formation</p> Signup and view all the answers

    Which of the following is NOT a function of bones?

    <p>Storage of excess fat</p> Signup and view all the answers

    What is a crucial sign that indicates a possible compartment syndrome in a patient with a cast?

    <p>Pain that is not relieved by medication</p> Signup and view all the answers

    Which symptom is most indicative of a fractured hip?

    <p>Externally rotated and shortened leg</p> Signup and view all the answers

    What is the primary concern within 24 hours post hip surgery?

    <p>Getting the patient up and ambulating</p> Signup and view all the answers

    Which of the following is NOT a precaution to take after a total hip replacement?

    <p>Allow full internal rotation of the leg</p> Signup and view all the answers

    Which of the following is a potential postoperative complication following a hip fracture repair?

    <p>Dislocation of the hip</p> Signup and view all the answers

    What is one of the '6 Ps' that should be monitored in a patient with a cast?

    <p>Pain</p> Signup and view all the answers

    Why is coughing and deep breathing emphasized in postoperative care for hip surgery?

    <p>To avoid pulmonary complications</p> Signup and view all the answers

    Which nursing intervention is essential to prevent deep vein thrombosis (DVT) after hip surgery?

    <p>Using compression devices</p> Signup and view all the answers

    What is indicated by bright red drainage from the surgical site following a joint replacement?

    <p>Sign of potential bleeding</p> Signup and view all the answers

    Which condition might necessitate a total hip arthroplasty?

    <p>Hip fracture</p> Signup and view all the answers

    What signifies an unstable pelvic fracture?

    <p>Multiple fractures in different areas of the pelvis</p> Signup and view all the answers

    Which nursing intervention is crucial for preventing complications after hip replacement surgery?

    <p>Monitor for signs of dislocation and infection</p> Signup and view all the answers

    When should a doctor be called regarding postoperative drainage from the joint replacement site?

    <p>When drainage exceeds 250mls in the first 8 hours</p> Signup and view all the answers

    What is the primary reason for performing neurovascular checks?

    <p>To evaluate blood flow to the extremities</p> Signup and view all the answers

    What should be done if signs of compartment syndrome are suspected?

    <p>Contact the healthcare provider without delay</p> Signup and view all the answers

    Which nursing action is appropriate for managing pin care?

    <p>Clean pin sites with antiseptic and apply bacitracin</p> Signup and view all the answers

    Which of the following is a common symptom of cast syndrome?

    <p>Elevated blood pressure</p> Signup and view all the answers

    In the context of fat embolism, which population is most at risk?

    <p>Men under 40 with multiple fractures</p> Signup and view all the answers

    What is the primary focus of nursing management in traction?

    <p>Maintaining proper body alignment and skin integrity</p> Signup and view all the answers

    What indicates a potential pressure ulcer or injury caused by a cast?

    <p>Odor or drainage from the cast</p> Signup and view all the answers

    What should a nurse do when monitoring the skin integrity of a patient in traction?

    <p>Apply skin sealants to prevent breakdown</p> Signup and view all the answers

    How long does plaster typically take to dry completely?

    <p>24-72 hours</p> Signup and view all the answers

    What should be done if a cast causes unrelieved pain?

    <p>Report to the doctor to avoid complications</p> Signup and view all the answers

    What is a sign that indicates possible compartment syndrome?

    <p>Unrelieved pain in the affected limb</p> Signup and view all the answers

    Which of the following is NOT a nursing intervention for maintaining skin integrity around a cast?

    <p>Elevate the extremity above the heart</p> Signup and view all the answers

    What is a potential early complication associated with fractures?

    <p>Fat embolism</p> Signup and view all the answers

    What does an external fixator do for open fractures?

    <p>Provides support for complicated fractures</p> Signup and view all the answers

    What should be done if a cast is wet?

    <p>Use a blow dryer on the cold setting for drying</p> Signup and view all the answers

    What is an appropriate method to assess neurovascular status?

    <p>Assess capillary refill and skin temperature</p> Signup and view all the answers

    Which of the following is a delayed complication of fractures?

    <p>Complex regional pain syndrome</p> Signup and view all the answers

    What is an indicator of infection at pin sites of an external fixator?

    <p>Foul odor and drainage</p> Signup and view all the answers

    What is a common precaution for patients after a total hip replacement?

    <p>Using reachers to avoid bending over</p> Signup and view all the answers

    Which type of traction uses heavier weights and is inserted into the bone?

    <p>Skeletal traction</p> Signup and view all the answers

    What does the acronym PRICE stand for in the context of managing soft tissue injuries?

    <p>Protect, Rest, Ice, Compression, Elevation</p> Signup and view all the answers

    When assessing a patient in traction, what is crucial to maintain?

    <p>Continuous traction without interruptions</p> Signup and view all the answers

    What is the main concern for patients with an intracapsular hip fracture?

    <p>Potential for avascular necrosis due to compromised blood supply</p> Signup and view all the answers

    What is the purpose of using anti-coagulants in patients with fractures?

    <p>To prevent blood clots</p> Signup and view all the answers

    What type of injury is a sprain specifically associated with?

    <p>Ligaments and tendons</p> Signup and view all the answers

    Which symptom is NOT associated with a hip fracture?

    <p>Increased mobility</p> Signup and view all the answers

    What is a key consideration when caring for a patient with a skeletal traction?

    <p>Regular neurovascular assessments are needed</p> Signup and view all the answers

    What indicates that a patient may have compartment syndrome?

    <p>Pain that is out of proportion to the injury</p> Signup and view all the answers

    What is the expected outcome of effective traction application?

    <p>Realignment of the fracture and reduced deformity</p> Signup and view all the answers

    Which of the following is a complication of immobility after a fracture?

    <p>Development of pressure injuries</p> Signup and view all the answers

    What is the purpose of using a sponge bath for a patient with a fracture?

    <p>To ensure complete hygiene without bending</p> Signup and view all the answers

    What is the primary goal of reduction in fracture management?

    <p>To restore alignment and immobilize the fracture</p> Signup and view all the answers

    Which of the following is a sign of skin breakdown at a pin site in skeletal traction?

    <p>Increased skin temperature and pallor</p> Signup and view all the answers

    What physical assessment finding indicates a potential issue with joint function?

    <p>Restricted range of motion</p> Signup and view all the answers

    Which diagnostic test provides a detailed picture of joint conditions?

    <p>MRI</p> Signup and view all the answers

    What should be monitored for patients with a cast to prevent complications?

    <p>Signs of infection at the site</p> Signup and view all the answers

    What is a common characteristic associated with contractures in joints?

    <p>Shortening of surrounding joint structure</p> Signup and view all the answers

    What is the primary purpose of an arthrocentesis?

    <p>Removing joint fluid for analysis</p> Signup and view all the answers

    Which condition can severely affect the healing process of a fracture?

    <p>Diabetes</p> Signup and view all the answers

    What is an essential aspect of monitoring neurovascular status in a patient with a cast?

    <p>Checking capillary refill time in the fingers or toes</p> Signup and view all the answers

    What impact does the presence of edema have on a joint injury?

    <p>It indicates potential infection and inflammation</p> Signup and view all the answers

    What characterizes an unstable pelvic fracture?

    <p>Involvement of more than one part of the pelvis</p> Signup and view all the answers

    Which statement is true regarding post-operative care for a patient after total hip arthroplasty?

    <p>Mobility can begin within a day using a walker or crutches</p> Signup and view all the answers

    What is a significant sign indicating a need to contact the doctor after hip surgery?

    <p>Bright red drainage from the surgical site</p> Signup and view all the answers

    Which nursing intervention is essential for preventing heterotopic ossification after hip replacement surgery?

    <p>Ensuring the leg remains in a neutral position with abductor pillow</p> Signup and view all the answers

    What condition might lead to a patient requiring total hip arthroplasty?

    <p>Congenital deformities</p> Signup and view all the answers

    Which of the following is a sign of compartment syndrome that requires immediate medical intervention?

    <p>Pallor in affected limb</p> Signup and view all the answers

    What is the primary reason for using a leg abductor pillow after hip surgery?

    <p>To prevent dislocation of the new hip</p> Signup and view all the answers

    Which of the following symptoms is characteristic of a fractured hip?

    <p>Externally rotated and shortened leg</p> Signup and view all the answers

    What immediate nursing intervention is crucial within 24 hours post hip surgery?

    <p>Encourage deep breathing and coughing</p> Signup and view all the answers

    What complication should a nurse be particularly vigilant about that indicates an issue with tissue perfusion?

    <p>Numbness and tingling</p> Signup and view all the answers

    Which precaution is essential to maintain the desired position of the hip after a total hip replacement?

    <p>Using trochanter rolls</p> Signup and view all the answers

    What is a potential risk if a patient experiences severe pain and inability to move after a hip fracture surgery?

    <p>Compartment syndrome</p> Signup and view all the answers

    Which measure can help prevent deep vein thrombosis (DVT) in postoperative hip patients?

    <p>Using compression devices on the legs</p> Signup and view all the answers

    What is the primary reason for using chlorhexidine solution in pin care?

    <p>To minimize the risk of infection</p> Signup and view all the answers

    Which of the following complications is characterized by compromised blood flow in the muscle compartment?

    <p>Compartment syndrome</p> Signup and view all the answers

    Why is skin assessment critical for patients in traction?

    <p>To monitor for skin breakdown</p> Signup and view all the answers

    What should a nurse primarily do when signs of infection are observed at a pin site?

    <p>Notify the healthcare provider</p> Signup and view all the answers

    Which of the following best describes a common indication of cast syndrome?

    <p>Increased heart rate</p> Signup and view all the answers

    What is a crucial step in nursing management to prevent complications after a fracture?

    <p>Elevate the affected extremity</p> Signup and view all the answers

    What is the main purpose of applying skin sealants over bony prominences?

    <p>To prevent skin breakdown</p> Signup and view all the answers

    In which population is fat embolism most commonly observed?

    <p>Men under 40 with fractures</p> Signup and view all the answers

    What is one of the primary goals when managing a patient who has sustained a fracture?

    <p>Achieve satisfactory fixation and immobilization</p> Signup and view all the answers

    Which condition is a potential risk factor for developing atelectasis in patients with fractures?

    <p>Immobility and dehydration</p> Signup and view all the answers

    What dietary modification is recommended for post-menopausal women to prevent osteoporosis?

    <p>Consume a diet rich in calcium and vitamin D</p> Signup and view all the answers

    What diagnostic tool is recommended for assessing fracture risk in women over 50?

    <p>Bone density test (Dexa scan)</p> Signup and view all the answers

    Which class of medication is commonly recommended for patients with osteoporosis?

    <p>Bisphosphonates</p> Signup and view all the answers

    What is a major characteristic of osteomyelitis?

    <p>Infection resulting from necrosis and inflammation of the bone</p> Signup and view all the answers

    Which of the following is NOT a common factor that can lead to osteoporosis?

    <p>High levels of estrogen</p> Signup and view all the answers

    What type of exercises are recommended to strengthen the muscles post-fracture?

    <p>Isometric quad and gluteal exercises</p> Signup and view all the answers

    What lifestyle changes are suggested to help maintain bone mineral density?

    <p>Engage in regular weight-bearing exercises</p> Signup and view all the answers

    Which group is at a higher risk for developing osteomyelitis?

    <p>Older adults with chronic illnesses</p> Signup and view all the answers

    What should be avoided to prevent complications after a total hip replacement?

    <p>Crossing legs</p> Signup and view all the answers

    What is the primary purpose of traction in fracture management?

    <p>Align and immobilize the fracture</p> Signup and view all the answers

    Which type of traction involves heavier weights and insertion into the bone?

    <p>Skeletal traction</p> Signup and view all the answers

    What is a significant risk associated with an intracapsular hip fracture?

    <p>Ischemia leading to avascular necrosis</p> Signup and view all the answers

    When using the PRICE method for managing soft tissue injuries, what does 'R' stand for?

    <p>Rest</p> Signup and view all the answers

    What type of dressing is recommended for pin sites to prevent infection?

    <p>Chlorhexidine cleaning followed by bacitracin</p> Signup and view all the answers

    What dietary recommendation is made to prevent complications after a fracture?

    <p>High fiber diet</p> Signup and view all the answers

    What is a common symptom of a sprain?

    <p>Joint tenderness and painful movement</p> Signup and view all the answers

    Which assessment should be conducted every 8 hours for a patient with skeletal traction?

    <p>Pin site inspection for infection</p> Signup and view all the answers

    What is true about the use of anti-coagulants in fracture management?

    <p>They prevent blood clots</p> Signup and view all the answers

    What indicates a possible compartment syndrome in a patient?

    <p>Severe pain out of proportion to injury</p> Signup and view all the answers

    What is the expected duration for skeletal traction implementation until surgery is performed?

    <p>6-8 weeks</p> Signup and view all the answers

    What is the primary focus when monitoring a patient in traction?

    <p>Maintain continuous traction</p> Signup and view all the answers

    Study Notes

    Musculoskeletal System

    • 206 bones in the human body
    • Bones are made of cortical (compact) and cancellous (spongy) bone tissue
    • Bones protect vital organs and facilitate movement
    • Bone cells include osteoblasts (form bone), osteocytes (maintain bone), and osteoclasts (resorb bone)
    • Bone remodeling and regeneration are continuous processes
    • Exercise, diet (calcium, vitamin D), and thyroid function influence bone formation and mass
    • Bone healing occurs in three phases: reactive (inflammation), reparative (tissue formation), and remodeling (bone maturation)
    • Bone fractures involve a complex healing process
    • Joints connect bones and enable various movements (ball-and-socket, hinge, pivot, gliding)
    • Synovial fluid lubricates joints, reducing friction during movement

    Muscles

    • Muscles are composed of cells and fascia (connective tissue)
    • Muscles are responsible for movement, posture, and heat production
    • Muscles require ATP for energy
    • Muscles can contract isometrically (constant length) or isotonically (changing length)
    • Muscle tone is the state of muscle fibers partially contracted
    • Muscle disorders include atrophy, hypertrophy, and fasciculation

    Assessment and Diagnostics

    • Health history, symptoms, and physical examination assess musculoskeletal problems
    • Physical examination includes posture, joint deformities, inflammation, neurovascular assessment, ROM, and muscle strength
    • Diagnostic tests, such as X-rays, CT scans, MRI, and bone density scans, aid in diagnosis
    • Lab tests (blood counts, ESR) are useful in identifying inflammatory processes

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    Description

    This quiz covers the fundamentals of the musculoskeletal system, including bones, muscle functions, and joint mechanics. Learn about the types of bone tissue, the role of bone cells, and the healing process of fractures. Additionally, explore muscle composition and their energy requirements.

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