Podcast
Questions and Answers
Which of the following is NOT a key term mentioned in the text?
Which of the following is NOT a key term mentioned in the text?
- Bivalved
- Blanch (correct)
- Dorsum
- Counter traction force
What is the purpose of a continuous passive motion machine?
What is the purpose of a continuous passive motion machine?
- To prevent skin injury in immobile patients
- To promote musculoskeletal function (correct)
- To care for a cast as it dries
- To immobilize a body part
Which of the following is NOT a skill mentioned in the text?
Which of the following is NOT a skill mentioned in the text?
- Applying a triangular bandage sling (correct)
- Cast care
- Transferring with a mechanical lift
- Care of the patient in traction
What is the purpose of an external fixator?
What is the purpose of an external fixator?
Which of the following is a consequence of immobility?
Which of the following is a consequence of immobility?
What is the major concern when a patient's movement is restricted?
What is the major concern when a patient's movement is restricted?
What can help prevent pneumonia in immobile patients?
What can help prevent pneumonia in immobile patients?
What can impair circulation and predispose a patient to pressure injuries?
What can impair circulation and predispose a patient to pressure injuries?
Which of the following is a recommended intervention for maintaining joint mobility and muscle integrity during bed rest?
Which of the following is a recommended intervention for maintaining joint mobility and muscle integrity during bed rest?
What is a potential complication of prolonged bed rest?
What is a potential complication of prolonged bed rest?
What is a potential effect of immobility on the musculoskeletal system?
What is a potential effect of immobility on the musculoskeletal system?
What is a recommended intervention for preventing pressure injuries in immobilized patients?
What is a recommended intervention for preventing pressure injuries in immobilized patients?
Which type of traction is typically performed by the physician prior to placing the affected extremity into a splint or cast?
Which type of traction is typically performed by the physician prior to placing the affected extremity into a splint or cast?
What is the main purpose of skin traction?
What is the main purpose of skin traction?
What is the maximum weight that can be applied in skin traction?
What is the maximum weight that can be applied in skin traction?
What must be done to prevent injury to the patient and alteration in the effects of traction?
What must be done to prevent injury to the patient and alteration in the effects of traction?
Which of the following is a recommended way to provide emotional support to a nonalert or comatose patient?
Which of the following is a recommended way to provide emotional support to a nonalert or comatose patient?
What may be helpful to reduce social isolation for an immobile patient being cared for at home?
What may be helpful to reduce social isolation for an immobile patient being cared for at home?
What can help reestablish the sense of self-worth for older adults who have become immobile and may feel like a burden to their families?
What can help reestablish the sense of self-worth for older adults who have become immobile and may feel like a burden to their families?
What is the purpose of applying a splint as a first aid measure?
What is the purpose of applying a splint as a first aid measure?
Which of the following can be done to relieve pressure on the tissues if a cast becomes too tight?
Which of the following can be done to relieve pressure on the tissues if a cast becomes too tight?
What can be done if there is a wound under the cast that needs observation?
What can be done if there is a wound under the cast that needs observation?
What should be avoided when using a spreader bar in a hip spica cast?
What should be avoided when using a spreader bar in a hip spica cast?
Why do hip spica casts often take longer to dry?
Why do hip spica casts often take longer to dry?
What should be done if a cast becomes too loose after edema subsides?
What should be done if a cast becomes too loose after edema subsides?
What is the purpose of a spreader bar in a hip spica cast?
What is the purpose of a spreader bar in a hip spica cast?
Which of the following is a potential complication of skeletal traction?
Which of the following is a potential complication of skeletal traction?
What is the purpose of counter traction in skeletal traction?
What is the purpose of counter traction in skeletal traction?
Which of the following materials is commonly used for casting?
Which of the following materials is commonly used for casting?
What can cause circulatory impairment and pressure injuries in a casted extremity?
What can cause circulatory impairment and pressure injuries in a casted extremity?
Which of the following is a potential consequence of immobility?
Which of the following is a potential consequence of immobility?
What is one of the major concerns when a patient's movement is restricted?
What is one of the major concerns when a patient's movement is restricted?
What is the purpose of range-of-motion (ROM) exercises for immobile patients?
What is the purpose of range-of-motion (ROM) exercises for immobile patients?
What is one potential effect of immobility on the circulatory system?
What is one potential effect of immobility on the circulatory system?
Which type of traction is used to aid in the realignment of fractured bones?
Which type of traction is used to aid in the realignment of fractured bones?
What is the maximum weight that can be applied in skin traction?
What is the maximum weight that can be applied in skin traction?
What is the purpose of counter traction in skeletal traction?
What is the purpose of counter traction in skeletal traction?
What is the main purpose of skin traction?
What is the main purpose of skin traction?
What is the purpose of applying a splint as a first aid measure?
What is the purpose of applying a splint as a first aid measure?
What is the purpose of counter traction in skeletal traction?
What is the purpose of counter traction in skeletal traction?
What is a potential complication of prolonged bed rest?
What is a potential complication of prolonged bed rest?
What can help prevent pneumonia in immobile patients?
What can help prevent pneumonia in immobile patients?
Which of the following is NOT a potential complication of immobility?
Which of the following is NOT a potential complication of immobility?
What is the purpose of an air fluidized bed?
What is the purpose of an air fluidized bed?
Which of the following is NOT a recommended pressure relief device for immobile patients?
Which of the following is NOT a recommended pressure relief device for immobile patients?
What is the purpose of a neurovascular assessment on an immobilized extremity?
What is the purpose of a neurovascular assessment on an immobilized extremity?
What is the standard of practice for bed rest care in maintaining joint mobility and muscle integrity?
What is the standard of practice for bed rest care in maintaining joint mobility and muscle integrity?
What is a potential complication of immobility on the respiratory system?
What is a potential complication of immobility on the respiratory system?
What is a potential effect of immobility on the musculoskeletal system?
What is a potential effect of immobility on the musculoskeletal system?
What is a recommended intervention for preventing pressure injuries in immobilized patients?
What is a recommended intervention for preventing pressure injuries in immobilized patients?
Which type of traction requires the surgical placement of pins, tongs, screws, or wires that are anchored to or through the bone?
Which type of traction requires the surgical placement of pins, tongs, screws, or wires that are anchored to or through the bone?
What is the maximum weight that can be used for skeletal traction?
What is the maximum weight that can be used for skeletal traction?
What is the responsibility of the LPN/LVN in maintaining skeletal traction?
What is the responsibility of the LPN/LVN in maintaining skeletal traction?
What is the purpose of applying a layer of stockinette and padding before applying a cast?
What is the purpose of applying a layer of stockinette and padding before applying a cast?
Which of the following is a potential complication of skin traction?
Which of the following is a potential complication of skin traction?
What is the purpose of skeletal traction?
What is the purpose of skeletal traction?
What is the recommended frequency for performing circulation checks in skeletal traction?
What is the recommended frequency for performing circulation checks in skeletal traction?
What is the recommended technique for handling a cast during the drying period?
What is the recommended technique for handling a cast during the drying period?
Which of the following is a potential complication of wearing a cast that is too tight?
Which of the following is a potential complication of wearing a cast that is too tight?
What is the purpose of adding extra padding beneath the edge of a cast?
What is the purpose of adding extra padding beneath the edge of a cast?
What is a potential consequence of immobility for a patient in a hip spica cast?
What is a potential consequence of immobility for a patient in a hip spica cast?
What should be done if a cast becomes too loose after edema subsides?
What should be done if a cast becomes too loose after edema subsides?
Why do hip spica casts often take longer to dry compared to other casts?
Why do hip spica casts often take longer to dry compared to other casts?
What is the recommended method of turning a patient in a hip spica cast?
What is the recommended method of turning a patient in a hip spica cast?
Which of the following is NOT a potential complication of immobility?
Which of the following is NOT a potential complication of immobility?
What is the purpose of an external fixator?
What is the purpose of an external fixator?
What is the purpose of a continuous passive motion machine?
What is the purpose of a continuous passive motion machine?
Which type of traction requires the surgical placement of pins, tongs, screws, or wires that are anchored to or through the bone?
Which type of traction requires the surgical placement of pins, tongs, screws, or wires that are anchored to or through the bone?
Which of the following is a potential consequence of immobility?
Which of the following is a potential consequence of immobility?
What is one of the major concerns when a patient's movement is restricted?
What is one of the major concerns when a patient's movement is restricted?
What is a potential complication of immobility on the respiratory system?
What is a potential complication of immobility on the respiratory system?
What can impair circulation and predispose a patient to pressure injuries?
What can impair circulation and predispose a patient to pressure injuries?
Which of the following is a type of commercial splint mentioned in the text?
Which of the following is a type of commercial splint mentioned in the text?
What is the purpose of applying a splint as a first aid measure?
What is the purpose of applying a splint as a first aid measure?
What is the recommended technique for handling a cast during the drying period?
What is the recommended technique for handling a cast during the drying period?
What is a potential effect of immobility on the musculoskeletal system?
What is a potential effect of immobility on the musculoskeletal system?
Which of the following is NOT a type of traction mentioned in the text?
Which of the following is NOT a type of traction mentioned in the text?
What is the maximum weight that can be applied in skin traction?
What is the maximum weight that can be applied in skin traction?
What is the main purpose of skin traction?
What is the main purpose of skin traction?
Which of the following is NOT a potential complication of immobility?
Which of the following is NOT a potential complication of immobility?
What is the purpose of counter traction in skeletal traction?
What is the purpose of counter traction in skeletal traction?
What is the purpose of range-of-motion (ROM) exercises for immobile patients?
What is the purpose of range-of-motion (ROM) exercises for immobile patients?
What is a potential effect of immobility on the musculoskeletal system?
What is a potential effect of immobility on the musculoskeletal system?
What can help prevent pneumonia in immobile patients?
What can help prevent pneumonia in immobile patients?
Which of the following is NOT a recommended method for preventing skin breakdown on the back and buttocks of a patient in traction?
Which of the following is NOT a recommended method for preventing skin breakdown on the back and buttocks of a patient in traction?
What is the maximum weight that can be applied in skeletal traction?
What is the maximum weight that can be applied in skeletal traction?
What is the purpose of applying a layer of stockinette and padding before applying a cast?
What is the purpose of applying a layer of stockinette and padding before applying a cast?
What is the recommended technique for handling a cast during the drying period?
What is the recommended technique for handling a cast during the drying period?
What is a potential complication of wearing a cast that is too tight?
What is a potential complication of wearing a cast that is too tight?
What is the purpose of a window cut in a cast?
What is the purpose of a window cut in a cast?
What is the purpose of a spreader bar in a hip spica cast?
What is the purpose of a spreader bar in a hip spica cast?
What can be done if a hip spica cast becomes too loose after edema subsides?
What can be done if a hip spica cast becomes too loose after edema subsides?
What is a potential consequence of immobility for a patient in a hip spica cast?
What is a potential consequence of immobility for a patient in a hip spica cast?
What is a recommended technique for handling a cast during the drying period?
What is a recommended technique for handling a cast during the drying period?
Which of the following is NOT a potential consequence of immobility?
Which of the following is NOT a potential consequence of immobility?
What is the purpose of a continuous passive motion machine?
What is the purpose of a continuous passive motion machine?
What is the purpose of applying an elastic bandage to a stump after an amputation?
What is the purpose of applying an elastic bandage to a stump after an amputation?
What is the purpose of a triangular bandage sling?
What is the purpose of a triangular bandage sling?
Which of the following is NOT a potential complication of immobility?
Which of the following is NOT a potential complication of immobility?
What is a potential consequence of immobility for a patient in a hip spica cast?
What is a potential consequence of immobility for a patient in a hip spica cast?
What is the purpose of counter traction in skeletal traction?
What is the purpose of counter traction in skeletal traction?
What can help prevent pneumonia in immobile patients?
What can help prevent pneumonia in immobile patients?
Which of the following is a potential consequence of immobility for a patient in a hip spica cast?
Which of the following is a potential consequence of immobility for a patient in a hip spica cast?
What is the purpose of range-of-motion (ROM) exercises for immobile patients?
What is the purpose of range-of-motion (ROM) exercises for immobile patients?
What is a potential effect of immobility on the musculoskeletal system?
What is a potential effect of immobility on the musculoskeletal system?
What is a potential complication of immobility on the respiratory system?
What is a potential complication of immobility on the respiratory system?
Which type of traction is typically performed by the physician prior to placing the affected extremity into a splint or cast?
Which type of traction is typically performed by the physician prior to placing the affected extremity into a splint or cast?
What is the maximum weight that can be applied in skin traction?
What is the maximum weight that can be applied in skin traction?
What is the purpose of counter traction in skeletal traction?
What is the purpose of counter traction in skeletal traction?
What is the responsibility of the LPN/LVN in maintaining skeletal traction?
What is the responsibility of the LPN/LVN in maintaining skeletal traction?
Which of the following is a potential complication of skeletal traction?
Which of the following is a potential complication of skeletal traction?
What is the maximum weight that can be applied in skeletal traction?
What is the maximum weight that can be applied in skeletal traction?
What is the purpose of counter traction in skeletal traction?
What is the purpose of counter traction in skeletal traction?
What should be done if a cast becomes too loose after edema subsides?
What should be done if a cast becomes too loose after edema subsides?
What is the purpose of immobilizing an injured part with a splint?
What is the purpose of immobilizing an injured part with a splint?
What is the purpose of elevating an injured part when applying a splint?
What is the purpose of elevating an injured part when applying a splint?
What is the purpose of using traction in immobilizing parts of the body?
What is the purpose of using traction in immobilizing parts of the body?
What can help reestablish the sense of self-worth for older adults who have become immobile and may feel like a burden to their families?
What can help reestablish the sense of self-worth for older adults who have become immobile and may feel like a burden to their families?
Which of the following is a potential complication of wearing a hip spica cast?
Which of the following is a potential complication of wearing a hip spica cast?
What is the purpose of bivalving a cast?
What is the purpose of bivalving a cast?
What is the purpose of adding extra padding beneath the edge of a cast?
What is the purpose of adding extra padding beneath the edge of a cast?
What is the purpose of a window cut in a cast?
What is the purpose of a window cut in a cast?
What is the purpose of securing a cast with outside bandaging or more casting material?
What is the purpose of securing a cast with outside bandaging or more casting material?
What is a potential consequence of wearing a cast that is too loose?
What is a potential consequence of wearing a cast that is too loose?
What is the standard of practice for bed rest care in terms of maintaining joint mobility and muscle integrity?
What is the standard of practice for bed rest care in terms of maintaining joint mobility and muscle integrity?
What is a potential consequence of immobility on the musculoskeletal system?
What is a potential consequence of immobility on the musculoskeletal system?
What is a potential psychological effect of immobilization on patients?
What is a potential psychological effect of immobilization on patients?
What can help prevent pressure injuries in immobilized patients?
What can help prevent pressure injuries in immobilized patients?
Which of the following is a potential consequence of immobility for a patient in a hip spica cast?
Which of the following is a potential consequence of immobility for a patient in a hip spica cast?
What is one of the major concerns when a patient's movement is restricted?
What is one of the major concerns when a patient's movement is restricted?
What is the purpose of counter traction in skeletal traction?
What is the purpose of counter traction in skeletal traction?
What can impair circulation and predispose a patient to pressure injuries?
What can impair circulation and predispose a patient to pressure injuries?
Which type of traction requires the surgical placement of pins, tongs, screws, or wires that are anchored to or through the bone?
Which type of traction requires the surgical placement of pins, tongs, screws, or wires that are anchored to or through the bone?
What is the purpose of counter traction in skeletal traction?
What is the purpose of counter traction in skeletal traction?
What is a recommended intervention for preventing pressure injuries in immobilized patients?
What is a recommended intervention for preventing pressure injuries in immobilized patients?
What is a potential complication of immobility on the respiratory system?
What is a potential complication of immobility on the respiratory system?
What is a potential consequence of immobility for older adults?
What is a potential consequence of immobility for older adults?
What is the purpose of applying a splint as a first aid measure?
What is the purpose of applying a splint as a first aid measure?
What is the purpose of traction?
What is the purpose of traction?
Which type of traction is typically performed by the physician prior to placing the affected extremity into a splint or cast?
Which type of traction is typically performed by the physician prior to placing the affected extremity into a splint or cast?
What is a potential complication of wearing a cast that is too tight?
What is a potential complication of wearing a cast that is too tight?
What is the maximum weight that can be applied in skin traction?
What is the maximum weight that can be applied in skin traction?
What is the purpose of counter traction in skeletal traction?
What is the purpose of counter traction in skeletal traction?
What is a potential effect of immobility on the circulatory system?
What is a potential effect of immobility on the circulatory system?
Which of the following is NOT a recommended pressure relief device for immobile patients?
Which of the following is NOT a recommended pressure relief device for immobile patients?
What is the purpose of a bivalved cast?
What is the purpose of a bivalved cast?
Which of the following is NOT a recommended method for preventing skin breakdown in immobilized patients?
Which of the following is NOT a recommended method for preventing skin breakdown in immobilized patients?
What is the purpose of a continuous passive motion machine?
What is the purpose of a continuous passive motion machine?
What should be done if a hip spica cast becomes too loose after edema subsides?
What should be done if a hip spica cast becomes too loose after edema subsides?
What is the purpose of a spreader bar in a hip spica cast?
What is the purpose of a spreader bar in a hip spica cast?
What can be done if a cast becomes too tight?
What can be done if a cast becomes too tight?
What is the purpose of securing a cast with outside bandaging or more casting material?
What is the purpose of securing a cast with outside bandaging or more casting material?
What is a potential consequence of immobility for a patient in a hip spica cast?
What is a potential consequence of immobility for a patient in a hip spica cast?
Why do hip spica casts often take longer to dry?
Why do hip spica casts often take longer to dry?
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Study Notes
Immobility and Its Consequences
- Immobility can lead to pneumonia, circulatory impairment, pressure injuries, and muscle atrophy.
- Prolonged bed rest can cause immobility, which can lead to complications such as pneumonia, circulatory impairment, and pressure injuries.
Traction and Its Types
- Traction is used to aid in the realignment of fractured bones.
- There are three types of traction: skin traction, skeletal traction, and continuous traction.
- Skin traction typically uses a maximum weight of 5 pounds (2.3 kg).
- Skeletal traction requires the surgical placement of pins, tongs, screws, or wires that are anchored to or through the bone.
- Counter traction is used to counteract the force of skeletal traction.
Casts and Splints
- A cast is used to immobilize and support a fractured bone.
- Plaster of Paris is a common material used for casting.
- Applying a layer of stockinette and padding before applying a cast helps to reduce skin irritation and pressure.
- A splint is used as a first aid measure to immobilize and support an injured extremity.
- A spreader bar is used in a hip spica cast to maintain the alignment of the hip and knee joints.
Preventing Complications
- Range-of-motion (ROM) exercises can help prevent muscle atrophy and maintain joint mobility in immobile patients.
- Turning a patient regularly can help prevent pressure injuries and respiratory complications.
- Applying an elastic bandage to a stump after an amputation can help promote healing and reduce swelling.
- A triangular bandage sling can be used to immobilize and support an injured arm.
Maintaining Muscle Integrity and Joint Mobility
- Regular exercise and ROM exercises can help maintain muscle integrity and joint mobility in immobile patients.
- Continuous passive motion machines can help maintain joint mobility and muscle integrity.
Emotional Support
- Providing emotional support and reestablishing a sense of self-worth can help older adults who have become immobile and feel like a burden to their families.
- Reducing social isolation can help immobile patients being cared for at home.
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