1. An examination of an orthopedic patient should include an assessment of neurological function. This is done by checking the patient's _____ and _____.

2. Terms used to describe the character of a patient's pain include cramping, throbbing, and shooting. Other terms are _____ and _____.

3. A major advantage in the use of turning frames is  _____.

.4. Standard axillary crutches need two adjustments. These adjustments are the _____ and the _____.

5. To avoid self-injury, those engaged in orthopedic nursing must understand and apply .

6. The 4-point crutch-walking gait is used when:

a. The patient should bear no weight on the affected leg.
b. The patient's lower extremities are paralyzed.
c. The patient can bear some weight on both lower extremities.

7. Which of the following statements is NOT a reason for application of a cast?

a. To correct deformities.
b. To hold bone fragments in reduction.
c. To prevent early mobilization.
d. To immobilize fractures.

8. You are caring for a patient with a newly applied cast, which of the following actions would be incorrect?

a. Expose the cast to air circulation.
b. Support the cast with plastic covered pillows.
c. Handle the cast with your palms.
d. Cover the casted extremity.

9. A patient's newly casted extremity feels cold and color does not return when the blanching test is performed. This suggests _____.

10. "Petaling" is a technique used to _____.

11. When turning a patient in a spice cast, the patient should be turned with the _____ side uppermost.

12. List five purposes for the use of traction.

13. The basic methods of applying traction are referred to as  _____ and _____.

14. Which of the following statements is NOT a correct statement?

a. Traction weights should be securely tied to a rope.
b. Traction weights should be removed only with the physician's authorization.
c. Traction weights should hang free.
d. Traction weights should be allowed to swing back and forth.

15. In _____, there an angle of approximately 20 between the thigh and the bed, with slight flexion of the hip and knee.

a. Running traction.
b. Balanced suspension traction.
c. Buck's extension traction.
d. Russell traction.

16. The combination of skeletal traction and balanced suspension is commonly used to treat _____.

17. An injury to a joint in which ligaments, capsule, and tissue are partially torn or severely stretched is a _____.

18. Fractures occur when a bone is subjected to more _____ than it can absorb.

19. _____ may occur easily from just a slight movement in bones that have become weakened with age or disease.

20. A fracture associated with a large amount of nerve, blood vessel, or soft tissue damage is called a _____ fracture.

21. In what type of fracture are the bone ends wedged or jammed into each other?

a. Depressed.
b. Impacted or compressed.
c. Comminuted.
d. Displaced.

22. Pain, false motion, edema, and crepitus are signs of a _____.

23. The process of restoring bone ends to their normal anatomical position is called _____.

24. Casting, splinting, and application of continuous traction are techniques of _____ .

25. The principles of fracture management are  _____ and _____.

26. Which of the following is NOT one of the "5 P's" of assessment?

a. Pain.
b. Pressure.
c. Paralysis.
d. Pulse.

27. This life threatening complication may occur without symptoms. If symptoms do occur, they may be presented as substernal pain, dyspnea, apprehension, weak and rapid pulse, or shock. Which of the following was just described?

a. Tetanus.
b. Gas gangrene.
c. Fat emboli.
d. Pulmonary emboli.

28. Severe and uncontrolled infection, peripheral vascular disease, and chronic pain may be indications for _____.

29. The two types of amputation procedures are  _____ and _____.

30. Proper positioning of the stump postoperatively will prevent _____.

31. Arthritis, gout, and other related diseases can be collectively referred to as _____.

32. One pathological change in patients with rheumatoid arthritis is _____, which is the formation of tissue that adheres to the opposite joint surface, inhibiting motion.

33. _____ is also known as degenerative joint disease.

34. A pathological change in the affected joints of patients with osteoarthritis is _____.

of cartilage and synovial membrane.

35. Primary, is a metabolic disorder in which the body is unable to properly metabolize purines. This inability results in deposit of _____ in the joint and connective tissues.

36. Drugs used to relieve pain of mild to moderate intensity and reduce body temperature in selected febrile conditions are _____ drugs.

37. _____ drugs are used to reduce inflammation and relieve pain.

38. Two opium alkaloids widely used in the practice of medicine are  _____ and _____.

39. Seizures, breathing difficulties, and respiratory depression may be serious adverse reactions to:

a. Nonsteroidal anti-inflammatory drugs.
b. Nonnarcotic analgesic/antipyretic drugs.
c. Opium alkaloid narcotic agonist.
d. Urate crystals.

40. Naloxone hydrochloride is an opioid _____; it can reverse opioid-induced respiratory depression and should be kept on the nursing unit where opioid medications are used.

Solutions to Exercises

1. Reflexes, sensation, motor ability

2. Sharp, dull, piercing

3. The prevention of complications

4. Length of the crutch, position of the hand grip

5. Principles of body mechanics

6. c

7. c

8. d

9. Impaired arterial circulation

10. Finish a cast

11. Affected (bad )

12. To reduce and immobilize fractures
    To prevent fracture deformities
    To relieve muscles spasm
    To reduce pain
    To help regain normal length and alignment

13. Skin traction, skeletal traction

14. d

15. d

16. Fractures of the femoral shaft

17. Sprain

18. Stress

19. Pathological fractures

20. Complicated

21. b

22. Fracture

23. Reduction

24. External fixation

25. Reduction, immobilization, rehabilitation

26. b

27. d

28. Amputation

29. Open (or guillotine) and closed (or flap)

30. Contractures

31. Connective tissue disorders

32. Fibrous ankylosis

33. Osteoarthritis

34. Thinning, thickened

35. Gout, urate crystals

36. Nonnarcotic analgesic/antipyretic

37. Nonsteroidal anti-inflammatory

38. Morphine, codeine

39. c

40. Antagonist

End of the Course
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