1. Orthopedic Review! Keys to Success

2. Review! zVolksman’s contraction is found at the: ya.neck yb.forearm yc.thigh yd.foot z The earliest sign of compartment syndrome: ya.absent peripheral pulse yb.progressive pain yc.tissue necrosis yd.numbness and tingling

3. For Review zRay, 44, has bil. B-K amputation due to peripheral vascular disease.What nursing action will BEST help him to adjust to use of prosthesis? ya.Promote positive body image yb.Allow expression of guilt feelings yc.joint support group yd.Promote safe ambulation z When the pt. with A- K amp is allowed to be up, the nurse should instruct him to: ya. Keep hip in extension and adduction yb.Keep hip raised with stump elevated yc.Lift shoulder and hip of adducted side yRest stump on crutch

4. zTo control stump edema, the patient should: ya. elevate stump on pillow yb.re-wrap elastic bandage prn yc.administer diuretic yd.Limit fluid intake z For early and efficient ambulation with a new prosthesis: ya.Place pillow under stump yb. enc.. patient to lie supine yc. turn pt. to prone position yd. Keep backrest elevated

5. More Questions! zThe “hallmark” assessment finding for SLE is: ya. “butterfly” rash yb. arterial inflammation yc.muscle mass degeneration yd. firm skin fixed to tissue z For the pt. with SLE, the drug of choice for skin lesions and suppression of moderate joint disease is: ya.steroids yb.antimalarials yc.antibiotics yd. antituberculars

6. Questions? zFor the pt with osteomyelitis, which intervention is BEST? ya. exercise affected limb yb.immobilize affected limb yc.soak in warm water yd.use ROM exercise z Dressing changes for osteomyelitis require: ya. gloves, clean technique yb. gloves, sterile technique yc. gown, gloves, mask and sterile technique yd.gown, clean technique