NURS 120 MED SURG. QUIZ 3 REVIEW
Bone Types - answer Long, Short, Flat, Irregular
Purpose of musculoskeletal system? - answer protect our organs, provide support &
stability, & allow coordinated movement
3 Types of Cells – answer Osteoblasts: form new bone
Osteocytes: bone cells that form osteoblasts
Osteoclasts: dissolves/breakdowns bone
Which diagnostic studies/labs should we be checking? - answer Alkaline Phosphatase
Serum calcium
Serum phosphorus
*FOR HEALING
What is important to watch out for during bone scans? - answer Bone scans involve
injection of isotope, isotope is seen in osteomylelitis, CA and certain fx
Watch out for individuals taking metformin (renal failure), allergy to shell-fish * iodine
sprain vs strain
(soft tissue injuries) - answersprain - ligament injury
strain - excessive stretching to a muscle, its fascial sheath, or a tendon
What does R.I.C.E mean? - answerRest
Ice
Compression
Elevation
Dislocation - answercomplete displacement or separation of the articular surfaces of the
joint
Subluxation - answerpartial or incomplete displacement of the joint surface
What is the primary goal for soft tissue injuries? - answerRealignment --> Closed vs.
open reduction
, Complications of Soft Tissue Injuries - answerFractures within the joint
Avascular necrosis
Damage to adjacent nerves and blood vessels
Difference between Open vs. Closed fracture - answerOpen fracture: Skin is broken,
exposing the bone and causing soft tissue injury
Closed fracture: Skin has not been ruptured & remains intact
Complete vs. Incomplete Fracture - answerComplete = fracture goes through both
cortices of bone
Incomplete = does not go through entire bone
A child comes into the clinic with a spinal fracture. Parents tell the nurse that they got
the fracture from playing soccer. What is something you should consider/take into
account? - answerSpinal fracture in child = abuse b/c a twisting motion requires a lot of
strength
Assess living situations with parents
Displaced vs. Nondisplaced - answerDisplaced: two ends separated from one another
Nondisplaced: periosteum is intact and bone is aligned
Clinical Manifestations of a Fracture - answerLocalized pain
Decreased function
Inability to bear weight or use
Guard against movement
May or may not have deformity
IMMOBILIZE if suspect fracture
What are the 6 steps of fracture healing? - answerHematoma
Granulation tissue
Callus formation
Ossification
Consolidation
Remodeling
Complications of Fracture Healing - answerdelayed union: slow healing
non-union: fails to heal properly
Bone Types - answer Long, Short, Flat, Irregular
Purpose of musculoskeletal system? - answer protect our organs, provide support &
stability, & allow coordinated movement
3 Types of Cells – answer Osteoblasts: form new bone
Osteocytes: bone cells that form osteoblasts
Osteoclasts: dissolves/breakdowns bone
Which diagnostic studies/labs should we be checking? - answer Alkaline Phosphatase
Serum calcium
Serum phosphorus
*FOR HEALING
What is important to watch out for during bone scans? - answer Bone scans involve
injection of isotope, isotope is seen in osteomylelitis, CA and certain fx
Watch out for individuals taking metformin (renal failure), allergy to shell-fish * iodine
sprain vs strain
(soft tissue injuries) - answersprain - ligament injury
strain - excessive stretching to a muscle, its fascial sheath, or a tendon
What does R.I.C.E mean? - answerRest
Ice
Compression
Elevation
Dislocation - answercomplete displacement or separation of the articular surfaces of the
joint
Subluxation - answerpartial or incomplete displacement of the joint surface
What is the primary goal for soft tissue injuries? - answerRealignment --> Closed vs.
open reduction
, Complications of Soft Tissue Injuries - answerFractures within the joint
Avascular necrosis
Damage to adjacent nerves and blood vessels
Difference between Open vs. Closed fracture - answerOpen fracture: Skin is broken,
exposing the bone and causing soft tissue injury
Closed fracture: Skin has not been ruptured & remains intact
Complete vs. Incomplete Fracture - answerComplete = fracture goes through both
cortices of bone
Incomplete = does not go through entire bone
A child comes into the clinic with a spinal fracture. Parents tell the nurse that they got
the fracture from playing soccer. What is something you should consider/take into
account? - answerSpinal fracture in child = abuse b/c a twisting motion requires a lot of
strength
Assess living situations with parents
Displaced vs. Nondisplaced - answerDisplaced: two ends separated from one another
Nondisplaced: periosteum is intact and bone is aligned
Clinical Manifestations of a Fracture - answerLocalized pain
Decreased function
Inability to bear weight or use
Guard against movement
May or may not have deformity
IMMOBILIZE if suspect fracture
What are the 6 steps of fracture healing? - answerHematoma
Granulation tissue
Callus formation
Ossification
Consolidation
Remodeling
Complications of Fracture Healing - answerdelayed union: slow healing
non-union: fails to heal properly
