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
