Orthopedic Treatment and Surgery Quiz

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What is the primary purpose of a cast in orthopedic treatment?

To promote circulation to the injured site
To immobilize an injured structure while it heals (correct)
To provide aesthetic support to the injured area
To enhance mobility immediately after injury

Which type of cast encircles the entire trunk of the body?

Body cast (correct)
Hip spica cast
Arm cast
Cylinder cast

After how many joints should a cast be applied when immobilizing an injury?

Only above the joint of the injury
Just around the injured joint
From the joint above the break to the joint below it (correct)
At least two joints above and below the injury

Which of the following types of casts encircles the arm or leg?

Cylinder cast (B) Signup and view all the answers

What is one reason for using splints or braces in orthopedic treatment?

To provide some support without full immobilization (C) Signup and view all the answers

What principle should be maintained during traction treatment?

Ensure body alignment and weight distribution (D) Signup and view all the answers

In orthopedic surgery, which type is performed to realign broken bones?

Open reduction (B) Signup and view all the answers

What differentiates minimally invasive joint replacement surgery from conventional methods?

Reduced trauma to surrounding tissues (D) Signup and view all the answers

What is the purpose of internal fixation devices in orthopedic surgery?

To stabilize fractures by holding the bone in place (D) Signup and view all the answers

What method is utilized for closed reduction in orthopedic treatment?

External manipulation with skin traction or casts (C) Signup and view all the answers

Which of the following procedures involves the removal of part of a bone?

Osteotomy (C) Signup and view all the answers

Which statement accurately describes arthrodesis in orthopedic surgery?

It is a procedure for joint fusion (C) Signup and view all the answers

What distinguishes minimally invasive surgery from conventional arthroplasty?

Minimally invasive allows for joint surface repairs instead of full replacement (C) Signup and view all the answers

What is the maximum degree of knee flexion that a client should achieve by discharge after a knee replacement?

90° (D) Signup and view all the answers

What condition should clients with hip replacements avoid exceeding during the use of a CPM machine?

30° of flexion (B) Signup and view all the answers

What is one of the main causes for an amputation?

Malignant tumors (D) Signup and view all the answers

Which of the following is a method of amputation?

Guillotine method (D) Signup and view all the answers

Which statement is correct regarding phantom limb pain?

It is a common and anticipated phenomenon. (A) Signup and view all the answers

What is a recommended intervention for clients with a leg amputation?

Provide stump care and bandaging. (A) Signup and view all the answers

During rehabilitation, what approach is recommended for amputees receiving prostheses?

A team approach (D) Signup and view all the answers

What should clients be expected to achieve regarding mobility with a prosthesis?

Progress to walking (A) Signup and view all the answers

What is a nursing intervention for monitoring an amputee post-surgery?

Facilitating communication about limb loss (B) Signup and view all the answers

What degree of flexion should a client with a hip replacement never exceed in a CPM machine?

30° (B) Signup and view all the answers

What is the purpose of traction in the treatment of fractures?

To stabilize a fracture and restore tension to surrounding tissues (B) Signup and view all the answers

Which statement about skin traction is true?

It can be used to prevent contractures. (B) Signup and view all the answers

What is a critical principle for maintaining effective traction?

Ensure continuous traction is applied. (A) Signup and view all the answers

What describes skeletal traction?

It involves direct attachment to the bone with wires or pins. (B) Signup and view all the answers

Which procedure involves surgically exposing and realigning a broken bone?

Open Reduction Internal Fixation (ORIF) (B) Signup and view all the answers

What is essential for assessing the effectiveness of traction?

Monitoring neurovascular status regularly. (A) Signup and view all the answers

What should be checked to ensure proper traction setup?

Alignment of traction equipment. (A) Signup and view all the answers

Which of the following is not a part of effective traction nursing guidelines?

Checking the patient's emotional state. (D) Signup and view all the answers

What is the purpose of applying a cast with the joint slightly flexed?

To decrease joint stiffness (A) Signup and view all the answers

What is the primary purpose of a bivalve cast?

To allow for easy access when a radiograph is needed (B) Signup and view all the answers

What is a key nursing management practice when caring for a client with a cast?

Monitoring for signs of circulation and sensation (C) Signup and view all the answers

Which statement best describes the role of splints in treatment?

They help support an injured body part in a functional position. (A) Signup and view all the answers

What is an essential component of client education related to cast care?

Emphasizing the importance of skin care around the cast (D) Signup and view all the answers

Which of the following statements about braces is true?

They control movement and prevent additional injury. (B) Signup and view all the answers

What is the primary method for removing a cast?

Employing a mechanical cast cutter (C) Signup and view all the answers

What is the key reason for elevating an extremity during cast application?

To reduce the risk of swelling (A) Signup and view all the answers

How should a cast be handled during its application?

Using the entire hand for support (A) Signup and view all the answers

What is the significance of using warm material while applying casts?

It reduces the risk of skin irritation. (D) Signup and view all the answers

What is the purpose of preoperative nursing management for joint replacement?

To assist in reducing pain and increasing mobility (B) Signup and view all the answers

Minimally invasive joint replacement techniques are advantageous because they involve:

Smaller incisions and quicker recovery (A) Signup and view all the answers

Which position is recommended to prevent dislocation after hip replacement surgery?

Extended with abductor cushions (D) Signup and view all the answers

What is a common postoperative complication that involves the legs?

Deep vein thrombosis (DVT) (C) Signup and view all the answers

What educational component should be included in postoperative nursing management?

Teaching the importance of using walkers (C) Signup and view all the answers

What type of anesthesia is often used in minimally invasive joint surgeries?

Spinal anesthesia (C) Signup and view all the answers

What is an important step in postoperative care concerning breathing?

Encouraging incentive spirometry (B) Signup and view all the answers

Which practice should patients be taught to prevent infection after joint replacement?

Keeping the surgical area clean and dry (A) Signup and view all the answers

What is the purpose of a CPM device following joint replacement?

To facilitate controlled movement and flexibility (B) Signup and view all the answers

Postoperative patients are advised to avoid bending over to:

Minimize pain and dislocation risk (B) Signup and view all the answers

What are internal fixation devices used for in orthopedic surgery?

To stabilize fractures internally (D) Signup and view all the answers

Which type of procedure involves the fusion of a joint?

Arthrodesis (D) Signup and view all the answers

What distinguishes external fixation from internal fixation?

External fixation uses pins and screws outside the bone (C) Signup and view all the answers

What is the purpose of closed reduction in orthopedic treatment?

To manipulate broken bones back into place without surgery (B) Signup and view all the answers

Which procedure is characterized by the partial replacement of a joint?

Hemiarthroplasty (C) Signup and view all the answers

What is the main purpose of a body cast in orthopedic treatment?

To encircle the trunk for support (B) Signup and view all the answers

Which type of cast would be most appropriate for a fracture in the leg?

Cylinder cast (C) Signup and view all the answers

In terms of traction management, what is a crucial element for maintaining effective traction?

The alignment of the pulling force directly toward the fracture (C) Signup and view all the answers

What distinguishes internal fixation from external fixation in orthopedic surgery?

External fixation stabilizes fractures using pins inserted through the skin (D) Signup and view all the answers

Which condition is most commonly managed by amputation?

Severe trauma or uncontrollable infection (D) Signup and view all the answers

What is a key factor in the nursing management of a client with a cast?

Monitoring for signs of infection and circulation issues (A) Signup and view all the answers

Which surgical approach is less invasive than conventional surgery and can reduce recovery time?

Minimally invasive joint replacement surgery (B) Signup and view all the answers

What is one important nursing consideration for a client who has undergone total knee replacement?

Managing postoperative pain and promoting mobility (B) Signup and view all the answers

What is the goal for a client with a knee replacement by the time of discharge?

To achieve flexion of 90° (B) Signup and view all the answers

What is the primary function of traction in orthopedic treatment?

To realign and stabilize a fracture or injury (B) Signup and view all the answers

Clients with hip replacements should ensure that the flexion in a CPM machine does not exceed what maximum degree?

30° (A) Signup and view all the answers

What is the difference between skin traction and skeletal traction?

Skeletal traction attaches directly to the bone, skin traction does not (D) Signup and view all the answers

What is one of the initial steps in the rehabilitation process for amputees?

Team-based rehabilitation approach (A) Signup and view all the answers

What is a common complication that nurses should monitor for in clients with amputations?

Phantom limb sensations (C) Signup and view all the answers

Which of the following correctly describes the purpose of countertraction in traction therapy?

To counterbalance the mechanical pull of traction (D) Signup and view all the answers

During traction therapy, which guideline is crucial for ensuring effectiveness?

Weights should hang freely without any obstruction (C) Signup and view all the answers

What is the preferred positioning for a client with a leg amputation?

Maintaining proper alignment and elevation of the stump (A) Signup and view all the answers

Which method of amputation involves creating an open flap?

Guillotine amputation (B) Signup and view all the answers

What characterizes open reduction internal fixation (ORIF) in orthopedic interventions?

It involves surgical exposure and realignment of broken bones (A) Signup and view all the answers

After a knee replacement, clients should be encouraged to do what activity upon discharge?

Begin walking with assistance (D) Signup and view all the answers

Which guideline should be followed when caring for a patient undergoing skeletal traction?

Ensure the exact amount of weight is applied at all times (C) Signup and view all the answers

What is an important observation while providing pin care for skeletal traction?

Check for any signs of skin irritation or infection (D) Signup and view all the answers

What type of prosthesis should an amputee expect to have after surgery?

A temporary prosthesis attached to a plaster shell (C) Signup and view all the answers

Which type of fixation method involves using devices attached to the skin rather than directly to the bone?

Skin traction (A) Signup and view all the answers

What is a key factor influencing the success of an amputee's rehabilitation?

Having realistic expectations for recovery (B) Signup and view all the answers

What essential nutrient is important for promoting healing in an amputee?

Proper protein intake (B) Signup and view all the answers

What is one of the primary goals of preoperative nursing management for joint replacement?

Assist in reducing pain and risk of infection (B) Signup and view all the answers

Which technique during minimally invasive joint replacement surgery is aimed at conserving surrounding muscles and tendons?

Resurfacing (D) Signup and view all the answers

What is a recommended positioning precaution after a hip replacement to prevent dislocation?

Keep knee apart at all times (B) Signup and view all the answers

Which of the following is a key postoperative nursing management practice related to movement?

Monitoring mobility using a CPM machine (D) Signup and view all the answers

Which nursing intervention is critical for managing potential complications following joint replacement surgery?

Promotion of physical mobility (D) Signup and view all the answers

What should be a primary concern regarding a patient's breathing status after orthopedic surgery?

Development of pulmonary embolism (A) Signup and view all the answers

What is an important education component to discuss with patients regarding care after discharge?

Home modifications and care instructions (C) Signup and view all the answers

Which of the following practices is important for reducing the risk of infection after joint replacement surgery?

Maintaining a sterile environment during care (C) Signup and view all the answers

What role does the use of an incentive spirometer play in postoperative care?

It encourages deep breathing to prevent pneumonia (A) Signup and view all the answers

Which technique is utilized to minimize complications during joint replacement surgery?

Implementing computer-assisted surgery (D) Signup and view all the answers

What is the primary function of a bivalve cast?

To allow for easy access to the limb during treatment (D) Signup and view all the answers

Which nursing management practice is crucial for a client with a cast?

Regularly checking for signs of circulatory impairment (C) Signup and view all the answers

How should a cast be handled during the application process?

With palms to avoid creating pressure points (B) Signup and view all the answers

What common misconception might clients have regarding limb positioning in a cast?

The limb should be placed straight to ensure alignment (C) Signup and view all the answers

What is a key consideration when applying a cast?

The extremity should be elevated to reduce swelling (B) Signup and view all the answers

In which situation is a splint typically preferred over a cast?

If there is a need for significant swelling management (B) Signup and view all the answers

What is the role of skin care education for a patient with a cast?

To maintain skin integrity and prevent irritation (A) Signup and view all the answers

What is a critical nursing intervention during cast removal?

Explaining the removal process to alleviate fears (D) Signup and view all the answers

Which statement accurately describes the care for a joint when a cast is applied?

Minimal movement at the joint is acceptable to maintain flexibility (B) Signup and view all the answers

What should be monitored for in a client with a newly applied cast?

Signs of circulatory impairment (D) Signup and view all the answers

Types of Casts

Casts immobilize injured areas during healing, providing support and alignment. There are cylinder casts (arm/leg), body casts (trunk), hip spica casts (legs/trunk), and others.

Cylinder Cast

A cast that encircles the arm or leg.