Week 8 NR283 Patho
Which actions could reduce complications associated with immobility? Select all that apply.
Assistance with repositioning every 1 to 2 hours Anti-embolic stockings Stool softeners Range of motion exercises
When muscle is unable to contract for weeks, _______- occurs. This leads to _______ bulk and strength.
Atrophy Decreased
A client experiences symptoms of flushing and sweating above the level of a spinal injury, low blood pressure, slow heart rate, and a cool pallor below the level of a spinal injury. Which of the following complications is most likely?
Autonomic dysreflexia
The healthcare provider in a clinic is seeing three clients. Identify the possible type of fracture based on the client's history.
Billie fell off a motorcycle and was not wearing a helmet. The CT imaging revealed a skull fracture. -> Depressed fracture Jamal's Tibia fracture -> Stress fracture Brett's femur fracture ->Transverse fracture
John's femur fracture did not penetrate the skin. This type of fracture is called a __________- fracture
Closed
X-ray showing an intact radial bone, but the ulnar bone shows a slanted break in the bone halfway between the elbow and wrist. The two pieces of ulnar bone do not align with each other above and below the break.
Closed displaced oblique fracture of the ulnar bone
Which of the following are the common tests used to evaluate spinal disorders?
Computed tomography scan (CT) Lumbar puncture Magnetic resonance imaging (MRI)
Increased osteoclastic activity with decreased osteoblastic activity most likely causes which of the following?
Decreased bone thickness and strength
Which findings could indicate a hospitalized client is experiencing complications associated with immobility? Select all that apply.
Deep vein thrombosis (DVT) Pneumonia Decubitus ulcers
The client ____ need additional treatments to _______ the risk of _______
Does Reduce Complications
Which part of the long bone cross-section is responsible for bone growth in children and adolescents?
Epiphysis
Question 3 / 4 What Is Happening? The father observed and the child reported: pain in the mid-forearm redness at the mid-forearm an abrasion to the right knee with a scab inability to move the fingers tearing from both eyes mole on the left cheek Which injury is most likely based on the symptoms, location, and mechanism of injury?
Fracture
Doug (preferred pronouns: he, him) was an active, independent person. He played basketball and soccer on the weekends. He had a major injury and was unable to use his legs. He is in rehabilitation to maintain residual functionality. Which psychological effects may Doug feel because of his immobility? Select all that apply.
Frustration Lowered mood Isolation Depression Apathy
How Can This Be Prevented? The father observed and the child reported: pain in the mid-forearm redness at the mid-forearm an abrasion to the right knee with a scab inability to move the fingers tearing from both eyes mole on the left cheek Billy went to the emergency department and was found to have a radial fracture. What could Billy do to prevent this same injury in the future?
Go to a climbing gym that uses soft flooring and safety equipment
Which of the following may increase the client's risk of skin breakdown? Select all that apply.
Incontinence Profuse diaphoresis Bedpan usage
Which of the following can cause spinal disorders?
Infection Injury Auto-immune disease
Which of the following can occur in a tendon or ligament injury? Select all that apply
Inflammatory response Rupturing Tearing
An x-ray reveals a fracture. Which best describes the x-ray depicted here? Select all that apply.
Left hip fracture Left femur fracture
Which conditions are most likely based on the injury? Select all that apply.
Left tibia fracture Left hip fracture Left hip strain Pelvic fracture
Which concept supports Mike's statements?
Ligaments and tendons have little blood supply and can be difficult and slow to heal.
What Could It Mean? Julie reported and observed: redness around the outer aspect of the left ankle discoloration of the toenail on the right big toe edema around the outer aspect of the left ankle tenderness around the outer aspect of the left ankle tenderness in the right knee ability to flex and extend the left ankle pain with flexion and extension of the left ankle Julie went to the emergency department (ED) for further testing. Which tests might help find the problem? Select all that apply.
Magnetic resonance imaging (MRI) Radiograph (X-ray)
The spinal cord is composed of which type of tissue?
Nerve
Which clients are at higher risk for injury from mobility? Select all that apply.
Older adult female with osteoporosis who walks without an assistive device An adolescent playing volleyball without knee pads Young adult jogging a steep mountain trail
Which cells are responsible for bone breakdown?
Oseoclast
Which cells are responsible for forming bone tissue?
Osteoblast
2/3 Which of the following may need immediate treatment? Select all that apply.
Pain in the mid-forearm Inability to move the fingers Redness at the mid-forearm
Question 4 / 4 How Can This Be Prevented? Julie reported and observed: redness around the outer aspect of the left ankle discoloration of the toenail on the right big toe edema around the outer aspect of the left ankle tenderness around the outer aspect of the left ankle tenderness in the right knee ability to flex and extend the left ankle pain with flexion and extension of the left ankle The X-ray was normal. The magnetic resonance image (MRI) revealed a peroneal strain. What could Julie do in the future to help prevent injury?
Perform tendon stretches before jogging
Which findings decrease Gladys' risk for fracture? Select all that apply.
Performing weight and strength training Using safety devices in the home Taking medication to treat osteoporosis Eating a nutritious diet with regular intake of vitamin C and calcium
Which age group will typically recover most quickly from a broken bone?
Preschoolers
Which complications is a client hospitalized with a spinal cord injury of the neck is at risk for? Select all that apply.
Pressure ulcers Autonomic dysreflexia Urinary retention
Which functions do bones provide? Select all that apply.
Provide protection Produce red blood cells Provide support for the body
What purpose does bone have in mobility?
Provides stability and support
Billy climbed a tree, fell, and hurt their arm. The father saw the incident and rushed over to see what happened. Question 1 / 4 What Matters Most? Based on the child's signs and symptoms and the father's observations, which of the following is likely related to the injury? Select all that apply.
Redness at the mid-forearm Inability to move the fingers Pain in the mid-forearm
Which of the following can lead to improved mobility? Select all that apply.
Resistance exercises Playing an outdoor sport Frequent repositioning
Which of the following information does the spinal cord relay to the brain? Select all that apply.
Temperature Sensory Position Pain
Question 1 / 4 What Matters Most? Which signs or symptoms are most likely related to the ankle injury? Select all that apply.
Tenderness around the outer aspect of the left ankle Edema around the outer aspect of the left ankle Pain with flexion and extension of the left ankle Redness around the outer aspect of the left ankle
Question 3 / 4 What Is Happening? Julie reported and observed: redness around the outer aspect of the left ankle discoloration of the toenail on the right big toe edema around the outer aspect of the left ankle tenderness around the outer aspect of the left ankle tenderness in the right knee ability to flex and extend the left ankle pain with flexion and extension of the left ankle An X-ray and magnetic resonance imaging (MRI) tests were done. Which of the following is most likely the problem?
Tendon strain
Which of the following are involved in moving the body? Select all that apply.
Tendons Bones Muscles Nerves Ligaments
Which of the following prevention strategies can reduce the risk of a spinal disorder? Select all that apply.
Use a seat belt when riding or driving in a car Use proper body mechanics when lifting heavy objects Get vaccinated for meningitis
Which findings decrease Tanesha's risk for fracture? Select all that apply.
Wearing protective equipment Eating a nutritious diet with regular intake of vitamin C and calcium Following traffic laws and riding in designated bicycle areas Using weight and strength training weekly
Tanesha was riding a bicycle, hit the curb, and fell off. Tanesha put a hand in front as they hit the ground and felt a 'snap.' Tanesha experienced pain, an inability to flex or extend the wrist, nausea, dizziness, and a deformity of the wrist, but the skin remained intact. Tanesha was seen by the healthcare provider and had no temperature elevation, pulse rate was 95, and blood pressure was 120/60. What Could It Mean? Which conditions are most likely based on the injury? Select all that apply.
Wrist muscle strain Radial or ulnar fracture Wrist ligament sprain