Chapter 37: Management of Patients with Musculoskeletal Trauma

Pt open fx with extensive soft tissue damage. Fx is classified as which grade?

Pt open fx left arm after skating accident. Emergency management plans will be started? (SATA)

Pt arthoscopic surgery for rotator cuff tear. Full activity can usually resume after what period of time?

Compartment syndrome—complication casting/splinting— r/t increased pressure in confined space compromises blood flow.

Pt open fx femur 24 hrs ago. Pt having difficulty breathing, O2 sat decreases to 88% from 99%. Complications of fx?

A strain is an injury to ligaments supporting muscle fiber around a joint.

Pt, open fx right femur in MVA. Most serious complication pt will need to be monitored for?

Pt fx of arm. When will nurse inform pt that pendulum exercises will begin?

Pt with clavicle fx should be encouraged to elevate affected arm above shoulder level after 72 hours to increase range

Pt. supracondylar fx of humerus. Serious complication of injury should nurse monitor for?

Pt ankle edematous, painful to palpation. How long will acute inflammatory stage last?

Pt three rib fxs, reports pain with inspiration. Priority intervention in tx of pt?

Pt amputation. Interventions will nurse provide to foster positive self-image? (SATA)

Pt. femoral shaft fx in industrial injury. Immediate nursing concern for pt?

Pt open fx left hip. Type of shock nurse identifies may occur with this type of injury?

Pt pelvic fx. Nursing assessments for pelvic fx will be included? (SATA)

Pt AKA of left leg r/t complications from PVD. Dressing and bed covers saturated with blood. First action by nurse?

With open fx, the wound should be covered with a sterile dressing and no attempt should be made to reduce the fracture.

Prevention sports-related injuries include use proper equipment, training, stretching, hydration, and proper nutrition.

Pt. pelvic fx. Which complication does nurse monitor for that are common with pelvic fxs?