NA-C Chapter 21 Nursing Assistant CBC

Person feels pain in a limb or extremity that has been amputated.

Phantom limb pain

Person who has had an amputation may feel warmth, itching, and tingling in the area where the limb existed.

Phantom sensation

An artificial device that replaces a body part, such as an eye, tooth, arm, hip, or heart.

Prosthesis

Elastic bandages are commonly used to

keep dressing in place

List the 4 types of bones

long, short, flat, irregular

A fracture in which the skin is open and the bone may come though the skin is a(n)

open fracture

After an amputation, a resident may experience phantom sensation. Phantom sensation is

sensation where the limb existed.

Fluids are encouraged for residents who have had a total knee replacement to help prevent:

urinary tract infections

After total hip replacement, the hip cannot be bent or flexed more than _____ degrees.

90

The painful and permanent stiffening of a joint and muscle.

Contracture

Before applying a prosthesis, the area must be

Dry

A broken bone

Fracture

What is one reason that elastic bandages are used?

To provide compression and support for body parts

Surgical replacement of the head of the femur and the socket it fits into where it joins the hip.

Total hip replacement

Surgical replacement of a knee with artificial materials

Total knee replacement

Method of treating fractures by keeping bones in the proper position by using weights and pulleys.

Traction

T or F As people age, height is gradually lost.

True

T or F As people age, the body loses muscle mass.

True

T or F Bones are more easily broken as people age.

True

Define Non weight-bearing (NWB)

Unable to touch floor or support weight on one or both legs

Define partial weight-bearing (PWB)

Able to support some body weight on one or both legs

Surgical removal of part or all of a body part

Amputation

Which of the following is an example of a prosthesis?

An artificial arm to replace an arm that has been lost

General term for the inflammation of the joints that can cause pain, stiffness, and swelling.

Arthritis

Weakening, wasting away, and decrease in size of a muscle is called

Atrophy

Condition in which the small sacs of fluid near the joints become inflamed.

Bursitis

Osteoporosis is caused by a lack of ____ in the diet

Calcium

Which of the following statements is true of cast care

Elevate an extremity that is in a cast

T or F As people age, the amount of calcium in the bones increases.

False

T or F Joints become more flexible with age.

False

Disorder that causes pain, fatigue, sleep problems, problems with thinking and memory, and depression.

Fibromyalgia syndrome

List six guidelines for care of a resident who is recovering from a total hip replacement.

Follow care plan exactly Do not perform ROM Assist with dressing Apply TED hose as ordered Never rush patient Encourage fluids

List the 7 functions of the musculoskeletal system.

Give shape and form to the body Maintain posture Permit movement Protect internal organs Store calcium and phosphorus Produce heat Produce some blood cells

Rheumatoid arthritis is an autoimmune illness. With an autoimmune illness, the body's _____ system attacks normal tissue.

Immune

_____ are found at the place where two bones come together; they hold bones together and provide movement and _____.

Joints, flexibility

Which of the following is a function of the bones

Lending support to body structures

_____ are strong, fibrous bands that connect bones or cartilage and help _____ the joints and joint movement.

Ligaments, support

The musculoskeletal system allows the body to _____ and _____ itself, provides _____ for the body and creates _____.

Move, support, protection, heat.

List the 5 parts of the musculoskeletal system.

Muscles Bones Joints Tendons Ligaments

Normal age-related changes for the musculoskeletal system include

Muscles weaken and lose tone

Hereditary, progressive disease that causes muscles to weaken and stiffen, and hands and arms to twitch.

Muscular dystrophy

Another name for an elastic bandage is a(n)

Non-sterile bandage

Condition in which the cushiony cartilage that rests between the bone and pads the end of the bones begins to slowly erode, causing pain, redness, stiffness and swelling

Osteoarthritis

Condition in which bones lose density but not enough to be classified as osteoporosis.

Osteopenia

Condition in which bones lose density, causing them to be brittle and easily broken.

Osteoporosis

List 5 guidelines for cast care

Pad cast edges as needed Do not get wet Keep cast clean Follow orders on moving If elevation is needed, use pillows

Which of the following statements is true of osteoarthritis?

Pain and stiffness increase in cold or damp weather

Define Full weight-bearing (FWB)

Resident can support weight on both legs.

Condition that affects the synovial membrane and causes stiffness, swelling, severe pain, and deformities that can be severe and disabling.

Rheumatoid arthritis

The musculoskeletal system gives the body _____ and _____.

Shape, structure

List the 3 types of muscles in the body.

Skeletal Smooth Cardiac

Which of the following types is a voluntary muscle?

Skeletal muscle

Which of the following is a NA's responsibility regarding traction?

The NA should report to the nurse if the weights move

A full weight-bearing order for a resident with a total hip replacement means that

The resident can bear full weight on both legs.

Muscles are groups of _____ that help the body move by _____ and _____.

Tissues, contracting, relaxing

_____ are the rigid connective tissues that make up the _____, which is the framework of the human body.

bones, skeleton