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NURS 302 Test 3 Musculoskeletal Part 1 Questions and Answers 2024/2025( A+ GRADED 100% VERIFIED).
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NURS 302 Test 3 Musculoskeletal Part 1 Questions and Answers 2024/2025( A+ GRADED 100% VERIFIED).
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Nurs 302 Test 3 Musculoskeletal Part 1define sprain - ANS an injury to the ligament structures surrounding a joint
what is a sprain usually caused by - ANS by a wrenching or twisting motion
what are the types of sprains - ANS 1st Degree (mild) - tearing of a few fibers
2nd Degree (moderate) - partial tearing - more swelling and tenderness
3rd Degree ( severe) - complete tearing of the ligament
what is the presentation of a sprain - ANS extreme pain, may be able to palpate a gap in the
joint...most common areas of sprains are the ankle and wrist.
bruising is more common with __ than __ (strain or sprain)? - ANS strain than sprain
if you're stretching ligaments you're usually stretching ___ as well - ANS tendon
what is the definition of a strain - ANS Excessive stretching of a muscle and the facial
sheath...often involves the tendon
what are the types of strains - ANS 1st Degree - mild or slightly pulled muscle
2nd Degree - moderately torn muscle
3rd Degree - severely ruptured or torn muscle
what is the presentation of a strain - ANS Presents as pain, edema, decreased ability to
function, bruising
complications of sprains and strains: an ___ fracture occurs when a ligament pulls loose a
fragment of the bone. - ANS avulsion
complications of sprains and strains: what is hemarthrosis? - ANS bleeding into the joint cavity
complications of sprains and strains: unstable joint can ___ - ANS dislocate
both mild sprains and strains are usually ___ with full function in ___ - ANS self limiting; 3-6
weeks
,sprain and strain nursing care: what do we do for acute care? - ANS RICE RICE BABY
- rest and limit usage
- ice
- compression
- elevation
- analgesia
every ____ mins after injury, you need to take the compression and ice off - ANS 15-30
When do you add heat with RICE treatment? What do you continue to do even with adding
heat? - ANS 48 hours after injury of sprain or strain?
- limited use
- continue analgesia
sprain or strain nursing care: PT ed regarding... - ANS warm up exercises
Following x-rays of an injured wrist, PT is informed it is badly sprained. In teaching the PT to
care for the injury, the nurse tells the PT to:
A. apply a heating pad to reduce muscle spasms
B. wear an elastic compression bandage continuously
C. use pillow to keep the arm elevated above the heart
D. gently exercise the joint to prevent muscle shortening - ANS C. use pillow to keep the arm
elevated above the heart
if you hear crepitus, what has probably happened - ANS you've torn something
What is a dislocation? - ANS a severe injury of the ligament structures that surround a joint
What does a dislocation result in? - ANS Dislocation results in the complete displacement or
separation of the articular surfaces of the joint.
what is subluxation - ANS a partial or incomplete displacement of the joint surface
What are the most common dislocation sites? - ANS Upper Extremities - thumb, elbow and
shoulder
Lower Extremities - Hip and Patella
dislocation injuries are considered... - ANS orthopedic emergencies
, what are complications of dislocation injuries - ANS avascular necrosis and compartment
syndrome
with dislocation there is a lot of __, __, and complications can occur - ANS bleeding and tearing
what is the treatment for dislocations - ANS closed or open reduction
What are the three things you do following the reduction of the joint - ANS 1. immobilize
(initially but will need rehab on the shoulder of joint so they will then go to physical therapy)
2. pain management
3. rehab to prevent contractures?
What is closed reduction? - ANS popping it back in without surgery
What is open reduction? - ANS surgically popping joint back into place
ask the doctor with an open reduction, "would you like to consider..." - ANS conscious sedation
(because it really hurts)
with dislocation injuries, PT ed regarding... - ANS the increased likelihood of future dislocations
once the joint is separated
if there is a lot of bleeding with dislocation, the doctor will... - ANS aspirates the blood, reduces
the joint, then sends them for physical therapy after?
What do you not want to do when immobilizing the joint? - ANS only does this initially, then you
want passive range of motion the next day.
A PT is seen at the urgent care center after falling on the right arm and shoulder. It will be most
important for the nurse to determine
A. whether there is bruising at the shoulder area
B. whether the right arm is shorter than the left
C. the amount of pain the PT is experiencing (PT will experience pain always...)
D. how much range of motion (ROM) is present) (do not assess this on PT if you assess fracture
or injury. You can tear, cut, and hurt things if you do) - ANS B. whether the right arm is shorter
than the left
most of the time carpal tunnel is associated with... - ANS repeated motion
carpal tunnel is a condition caused by... - ANS compression of the median nerve
common causes of carpal tunnel - ANS Tendonitis, Mass, Rheumatoid disease, Repetitive
motion
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