Fractures | RA vs. OA | Diagnostic Tests | Osteoporosis | Misc. |
---|---|---|---|---|
What is another word that means “greenstick” fracture? What is another word that means “simple” fracture?
Incomplete Fracture
Closed Fracture |
Which disease has inflammatory processes?
Rheumatoid Arthritis
|
What does a DEXA score of -0.7 indicate?
Normal BMD
|
What kind of exercise should a patient at high-risk for osteoporosis be encouraged to do? Give an example of one.
Weight-bearing
ie: walking, jogging, stairs |
Which of these does not fall under hip precautions?
Use adduction pillow Don’t bend hip >90 degrees Use fracture pan High seats
Use adduction pillow
|
Name 2 things that affect bone healing.
Blood supply, Inadequate immobilization, Type of Injury, Displacement, Metabolic/Nutrition Problems
|
Name this disease:
Clear synovial fluid Low level of WBCs
Osteoarthritis
|
What enzyme is indicative of fracture healing?
ALP
|
Name two modifiable risk factors for Osteoporosis.
Dairy-free diet (low calcium & vitamin D intake), Obesity, Smoking, Sedentary lifestyle, Alcoholism
|
Why do you need long-term ATB treatment in osteomyelitis?
Bone is harder to penetrate
|
Would you apply heat or cold to a fracture? Why?
Cold because it would decrease blood flow to site thereby decreasing inflammation.
(Remember RICE) |
Which disease targets specific joints? Name the joints.
Osteoarthritis.
Weight-bearing joints: hips, knees, cervical & lumbar spine, hands, feet |
What is the definitive finding of gout in the synovial fluid of the affected joint?
Urate Crystals
|
What is the appropriate daily dose of Vitamin D intake?
800-1000 units
|
What is the Triad of Fat Embolism Clinical Manifestations?
Hypoxemia
Neurologic Compromise Petechial Rash |
A patient with a left arm fracture x3 days is c/o pain that isn’t relieved with pain meds anymore. What is the priority nursing action?
Complete a neurovascular assessment
|
A patient complains to you about joint pain that occurs continuously, beginning with morning stiffness lasting over an hour. He states his fingers feel hot and swollen. What is your first thought this patient might be experiencing?
Rheumatoid Arthritis
|
Osteomalacia looks similar osteoporosis on X-ray scans except for the occurrence of what 2 things?
Looser lines &
Pseudo- fractures |
Which patient needs a BMD test?
Women younger than 60 who have reached menopause. Adults who break a bone after age 35. All women aged 50 or older.
Women younger than 60 who have reached menopause.
|
What 3 major symptoms does the nurse need to watch for with a patient on a COX-2 inhibitor?
Redness
Edema Warmth of LE |