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NUR2356 Multidimensional Care 1 Exam
2 STUDY GUIDE
Osteoclasts... - Break old tissue/bone Example of a hinge joint: - Knee and elbow The ability to carry activities is know as? - Fitness T/F: Not bending forward at the waist or neck is a good way to have posture. - True ANHLOW;’JMNJHGGGFCDERTYUJHJJJKHGLKHJUUUUUTR4;’[HNMJBCNJHGHBJ HBHPOI;’[11ERTFDFFXCDFFXXXXXXZZVVNVBNMKJ,./;’[MNHVBN NBNNVMBMFNBMBMVNMBMVMBNVMBNVMBMBMNBNBNBNBBBMGGJVJHGJVV MVMVMVMVVMVUFJJXXXASZXZXZXZXZXZXZXZXZXZXZXXXXASasdfghjkl;’/[]\bjhnj nklklkkkluujjkkjkhasdfghjkl;’p[]/.nkjmbhgvbgfcjuyhhhhhhhhhhhhhhhhhgtrfcghghjguduiylm n T/F: Using high-heels helps with posture. - False What is important to communicate to the patient with weakness? - Keep good base of support. T/F: Using ROM helps the patient maintain muscle tone and strength. - True
A patient bends the knees while performing exercise with physical therapy. What motion is that? - Flexion T/F: Having a sedentary life doesn't affect us. - False T/F: Osteoarthritis is know by having crepitus (popping/grating sounds; creaking joints) which are due to lose of bone particles. - True T/F: Immobility has significant consequences in our overall health. - True Immobility can cause what type of musculoskeletal damage? - Foot drop (drop foot; difficulty lifting the front of the foot; the front of the foot may drag when patient is walking) A good nursing intervention to reduce atelectasis (complete/partial collapse of lungs) risk is? - Encourage cough, deep breathing and turning Adding vitamins and minerals helps the immobile patient prevent _______________. - Muscle mass reduction A way to prevent GU complications on an immobile patient is _________________. - Bladder training T/F: The bladder scan is used to determine how much urine is in the gallbladder. - False
To perform a proper neuromuscular assessment, you need to include pain, pulse, pallor, paraesthesia (burning/prickling sensation) and ____________ (Five P's). - Paralysis When rating muscle strength, the nurse knows that grade 2 means? - Poor T/F: Medications such as loop diuretics can cause osteoporosis. - True Which gland controls calcium release from the bones? - Parathyroid gland T/F: A patient with osteoporosis should receive education indicating to avoid jarring activities. - True T/F: The nurse should include in the education, ways to prevent falls. Some activities include removal of rugs and clutter. - True T/F: Adding weight-bearing exercises 3-5 times a week can help prevent osteopososis.
- True What would be a nursing intervention to prevent and maintain osteomylitis? - Educate about medication and compliance T/F: A patient with osteomylitis will need to be placed in droplet precaution. - False
T/F: After surgery the patient will need a neurovascular check that includes capillary refill. - True After a bunionectomy the nurse needs to educate the patient about how ______________. - They may need a walking shoe for 6-12 weeks What medication will be ordered for a patient with plantar fasciitis? - NSAIDs (non-steroidal anti-inflammatory drugs) like ibuprofen and aspirin The Phalen's test is used to determine ______________________. - Carpal tunnel A patient with a rotator cuff injury may need what treatment? - Steroids T/F: The nurse that pendulum exercises mean to dangle and swing the arm for 5- 10 minutes. - True What fracture is complete but with no injury to the skin? - Closed Which fracture is caused by a rotation motion? - Spiral What fracture is related to above and below force? - Transverse T/F: The first bone healing stage takes up to 72 hours. -
False After cast removal, it is normal to see dry skin, reduced strength, edema and ________________. - Decreased size Place in order from most important to least important to reduce infection risk: - Dressing changes with aseptic technique --> Monitor vital signs --> Antibiotic administration --> Wound irrigation Place in order the most common labs performed after a fracture: - Hgb &HCT --> WBC --> Ca+ --> ESR The nurse observes the following: increased edema, pain, weak pulse and skin discoloration. What should she suspect? - Acute Compartment Syndrome Place in order the interventions for ACS: - Cut dressing or cast padding --> Notify the provider --> Avoid elevation and ice --> Prepare for emergent procedure T/F: Fat embolism is most common after hip or pelvis fracture. - True What ocular change is normal with age? - Flattened cornea What is a normal change of the audition with age? - Pinna elongates
T/F: Asking the patient about ADL (activities of daily living) care is important to determine sensory affect. - True Which conditions are a risk for sensory complications? - Diabetes, pregnancy and hypertension What tools are used to assess ocular capacity? - Jaeger, Snellen and PERLA T/F: Ultrasonography is used to determine retinal detachment. - True What test is used to measure intraocular pressure (IOP)? - Tonometry Which test is used to determine if the intraocular pressure (IOP) is caused by open or closed angle? - Gonioscopy After cataract surgery, the patient can suffer which complications? - Infection, reduced vision, intraocular pressure (IOP), and floaters What should the patient avoid after surgery? - Heavy lifting & bending, and sneezing & blowing their nose T/F: You are treating a patient with acute closed-glaucoma, this patient should wait for treatment. - False
T/F: Instructing a weak patient to use 2 points of support helps reduce falls. - True T/F: It is important to assess the feet of a patient with diabetic neuropathy. - True What should be asked when a patient is having an MRI? - Fear of close-spaces, any metal (jewelry, rods, screws), and pregnancy T/F: A patient with kyphosis doesn't have any high-risk. - False What is a proper intervention for a patient with kyphosis after musculoskeletal surgery?
- Should be placed as a priority and auscultate lung sounds What should the nurse do when assisting with movement or mobility? - Face the direction of the movement and ask the patient to push with the arms When should the patient with a purulent wound be placed in isolation? - Before culture results T/F: Hip flexion of greater than 90-degrees should be avoided after hip surgery. - True Place in order the activities after a patient falls: - Assess neurological status --> Call for assistance --> Call the provider --> Call the family
What is the first intervention if a patient with a cast complains of tingling, numbness, colorlessness and cold? - Raise the limb T/F: If a patient taking Timoptic has a low heart rate, they should keep taking the medication. - False
