The nurse provides education for a group of nursing students about sports related injuries and includes which definition of impingement syndrome?
The entrapment of soft tissues and nerves under the coracoacromial arch of the shoulder
The nurse teaches a nursing student about the goals of surgical procedures on common joints. The nurse identifies that further education is needed when the student lists which goal?
Relieving acute pain
A patient is hospitalized with severe bleeding in the leg. An x-ray of the leg reveals that the periosteum is intact across the fracture and that the bone is still in alignment. Which type of fracture does the patient have?
Greenstick fracture
A patient experiences a greenstick fracture. The nurse reviews the patient’s x-ray results and expects which finding?
An incomplete fracture with one side splintered and the other side bent
Which activity may precipitate bursitis?
Kneeling repeatedly
The nurse provides discharge education for a patient who has undergone a total knee arthroplasty. Which statement made by the patient indicates the need for additional teaching?
I should expect that my knee my change shape
Which part of the joint enables progression of inflammation to other parts of the joint?
Tendons
Ligaments
Articular cartilage
Synovial membrane
Synovial membrane
Basic pathologic changes in a joint occur within the synovial membrane. Removal of the thickened synovium prevents extension of the inflammatory process into tendons, ligaments, and adjacent articular cartilage.
Which primary manifestation is associated with bursitis?
Swelling
A patient with profound osteoarthritis is recommended for total hip arthroplasty (THA). The patient asks why this will relieve the discomfort. What is the nurse’s best response?
THA will remove degenerative debris from the joint allowing for increased mobility and decreased pain.
THA removes a wedge of bone to restore alignment to the joint, alleviating pain and promoting mobility.
THA will provide increased mobility for patients with arthritis by reshaping the ball of the femur rather than replacing it.
THA can provide significant pain relief for patients with joint deterioration from arthritis by replacing the ball-and-socket joint as well as the upper shaft of the femur
Rationale
An arthroplasty is a procedure that relieves pain and promotes mobility by reconstructing or replacing a joint; a THA removes the ball-and-socket joint and the upper shaft of the femur. A hip resurfacing arthroplasty is an alternative to THA that allows the ball of the joint to be preserved and reshaped. An osteotomy removes a wedge or slice of bone to restore alignment and shift weight-bearing, thus relieving pain. A debridement procedure removes degenerative debris from the join to relieve pain and promote mobility.
Which condition can be prevented with anticoagulant drugs in a patient who underwent orthopedic surgery?
Fat embolism
Bone infection
Thromboembolism
Compartment syndrome
Rationale
Thromboembolism can be prevented with anticoagulant drugs. These drugs diminish hypercoagulability. Antibiotics reduce bone infection. Corticosteroids treat fat embolism. Proper management techniques and surgery can relieve compartment syndrome.
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