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RNSG 1443 Musculoskeletal ACC CEC Level 2, Test 1 Test focus Questions With Complete Solutions
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RNSG 1443 Musculoskeletal ACC CEC Level 2, Test 1 Test focus Questions With Complete Solutions
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RNSG 1443 Musculoskeletal ACC CEC Level 2, Test 1 Testfocus Questions With Complete Solutions
6 P's of compartment syndrome Correct Answer Paresthesia
Pain distal to injury not relieved by opioids
Pressure increase in the compartment
Pallor w/ coolness and loss of color
Paralysis/loss of function
Pulselessness
Acute tx of fractures Correct Answer Prioritize ABC's of life
support, circulation; cover open wounds with clean cloth;
immobilize in the position it is found!!!
Aft assessing a pt w/a TKR for vascular integrity, what are the
next 2 important interventions specifically r/t TKR? What
machine can assist in this? Correct Answer Isometric quads
setting begins first day post-op; straight leg raises and gentle
ROM to obtain 90 degree flexion; CPM (continuous passive
motion) may promote joint mobility and facilitates
active/passive ROM throughout the day.
Anterior Cruciate Ligament Injury Correct Answer Stabilizes
the knee; injured during exercise; knee will buckle forward;
Lachman's test or MRI; surgery to reinforce: tendon graft,
repair; individualized rehab/PT; may need crutches for 48hrs or
longer after surgery; 6 - 8 months heal time
At the time of the MS injury and post-op, what type of assmt is
done on the affected area or limb? Correct Answer
Neurovascular assessment: periph vascular assmt = color, temp,
, cap refill, periph pulses, edema; periph neuro assmt = sensation,
motor function, pain; compare both extremities to ensure
accurate assmt
Bursitis Correct Answer Inflammation of bursae—closed sacs
lined with synovial membrane and contain a small amt of
synovial fluid; located at sites of friction. Results frm
repeated/excessive trauma or friction, gout, rheumatoid arthritis,
or infection; S/S include warmth, pain, swelling, limited ROM;
commonly occurs in hands, knees, greater trochanters,
shoulders, elbows
Carpal tunnel syndrome Correct Answer Condition caused by
ontinuous wrist mvmt, causing compression of the median nerve
that enters the hand through the narrow carpal tunnel. Assoc
with hobbies/occupations that require continuous wrist mvmt.
S/S incl weakness (esp thumb), numbness, impaired sensation,
burning pain, difficulty with fine motor skills, positive Timmel's
sign and Phalen's sign.
Clinical Manifestations of compartment syndrome Correct
Answer Large amts of myoglobin may result in acute tubular
necrosis --> renal failure;
Common signs of myglobinuria: dk reddish brn urine, clinical
manifestations assoc w/ acute renal failure (also called
rhabdomyolosis)
Compartment Syndrome Correct Answer Elevated pressure in
the myofascial compartment compromising NV fxn w/in that
space; cap perfusion is reduced below level necessary for tissue
viability; edema creates pressure obstructing circulation and
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