NUR 105 Musculoskeletal
- what is the difference between simple/closed fractures and compound/open fractures?
Answer compound/open fractures break the skin
- what is a pathologic fracture?
Answer occurs because of a pathologic condition in the bone, such as a tumor or disease process, that causes a spontaneous break
- what kind of meds increase risk for fracture?
Answer antiphycotic meds
- what are the healing stages of a fracture?
- hematoma formation
Answer
- fibrocartilage formation
- callus formation
- ossification
- consolidation and remodeling
- what is osteomyelitis?
Answer infection of the bone from contamination of an open wound associated with a fracture or from hardware used to repair the broken bone
- what are signs and symptoms of infection?
Answer 1 / 2
local pain, redness, purulent wound drainage, chills, and fever
- what is the first sign of a fat embolism?
Answer respiratory distress, followed by tachycardia , tachypnea, fever, confusion, and decreased LOC
- what is the treatment for a fat embolism?
Answer bed rest, gentle handling, oxygen, ventilatory support, and fluid restriction and diuretics for pulmonary edema. in an emergency situation get labs, suggest CT, listen for diminished breath sounds due to pulmonary edema
- what is compartment syndrome?
Answer internal pressure from bleeding/edema into a compartment; external pressure from a cast or tight dressing
- nursing intervention for compartment syndrome
Answer check cv status, pulslessness, loosen wraps
- after a fracture, their is a risk for excessive blood loss. loss of blood leads to shock,
evidenced by
Answer tachycardia, anxiety, pallor, and cool/clammy skin, low BP, may be disoriented and weak
- what is malunion?
- / 2
Answer expected healing time is appropriate but unsatisfactory alignment of bone results in external deformity and disfunction