Exam (elaborations)
Study 26. Orthopedics
- Course
- Nursing
- Institution
- Amg School Of Licensed Practical Nursing
Study 26. Orthopedics
[Show more]
Content preview
Chapter 26. Orthopedics1. A mother brings into the emergency department a frail-looking infant with blue sclera and
arm and leg deformities. The mom said she was changing her diaper and heard a snap. She put
her shirt on and she heard another snap. She says that the baby has been crying, but eating a
little. Mom reports a clavicle fracture in the delivery room, but the doctors told her it was
nothing and would heal fine. The nurse notes a small lump on her right clavicle. It is not
painful to the touch. The infants left forearm and right femur appear swollen and deformed.
Based on your clinical knowledge of birth defects, your best answer to the mother would be:
1. We will call the doctor to do a skeletal survey.
2. We will call the Child Protective Services team to rule out abuse.
3. We will call Genetics to see if any genetic birth defects run in your family.
4. All of the above.
ANS: 4
Feedback
1.Often, children with osteogenesis imperfect (OI) are misdiagnosed;
therefore, all children should undergo steps to rule out abuse, then
proceed with genetic counseling, testing to verify a genetic
disorder. The blue sclera and fractures without severe trauma are
signs of OI.
2.Often, children with osteogenesis imperfect (OI) are misdiagnosed;
therefore, all children should undergo steps to rule out abuse.
3.Often, children with osteogenesis imperfect (OI) are misdiagnosed;
therefore, all children should undergo steps to rule out abuse, then
proceed with genetic counseling, testing to verify a genetic
disorder.
4.All of the responses are correct. Often, children with osteogenesis
imperfect (OI) are misdiagnosed; therefore, all children should
undergo
steps to rule out abuse, then proceed with genetic counseling, testing
to verify a genetic disorder. The blue sclera and fractures without
severe
trauma are signs of OI.
2. A 13-year-old boy, who has played baseball for three years, comes in complaining of left
elbow pain and swelling. He is a pitcher. He plays baseball all year. X-rays reveal medial
epicondyle irritation. There is no avulsion fracture. Based on these findings, you explain to
the child that he can:
,1. Swim. Its a safer sport.
2. Resume baseball gradually with pain-free motion.
, 3. Change positions in baseball for the season.
4. Protect, rest, ice, compress, and elevate the injury as well as stop baseball for three weeks.
ANS: 4
Feedback
1.The repetitive motion of swimming can cause the same irritation.
2.Sports injuries are common in adolescents, especially overuse
injuries. Open growth plates are locations for overuse injuries. Little
Leaguers elbow is characterized by pain, swelling, and repetitive
motions.
3.The child may not have an interest in other positions. A modification to
his pitching may need to be made.
4.Sports injuries are common in adolescents, especially overuse injuries.
Open growth plates are locations for overuse injuries. Little
Leaguers elbow is characterized by pain, swelling, and repetitive
motions.
3. A 16-year-old soccer player comes into the ER with left knee effusion and extreme pain. The
child claims that while kicking the ball away from an opponent, she felt a pop and fell to the
ground. She had to be assisted off the field. She is in the playoffs and wants to play again. X-
rays are normal, but as the nurse, you know which of the following about sports injuries?
1. X-rays can help classify fractures, but cannot classify tissue, tendons, and ligaments.
2. She probably has an ACL tear based on the symptoms of swelling, pain, inability to
bear weight, and hearing a pop before she went down.
3. She will need an MRI.
4. She will need crutches and a knee immobilizer as well as to rest, ice, compress, and elevate
the injury.
ANS: 4
Feedback
1.The X-ray can see some damage to the ligaments and swollen areas.
2.The pop does not classify the injury.
3.A CT scan would help identify the injured area.
4.Care of acute sports-related injuries include PRICE: protect from further
injury, rest, ice, compression, and elevation to relieve pain.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Yuniss. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
64438 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now