Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

Orthopedic Nursing Study Guide Exam Questions & Correct Answers 100% Verified 2025 Updated, Exams of Medicine

Kent State University (KSU) - East Liverpool CampusMedicine

Orthopedic Nursing Study Guide Exam Questions & Correct Answers 100% Verified 2025 Updated This comprehensive study guide includes a collection of 100% verified exam questions and correct answers for the 2025 Orthopedic Nursing Certification Exam. It covers essential areas such as bone physiology, orthopedic assessments, post-op care, pain management, and mobility support. Designed to support effective exam preparation, this resource is ideal for candidates aiming for certification in orthopedic nursing.

Typology: Exams

2024/2025

Available from 05/18/2025

Nurseexcel
Nurseexcel 🇺🇸

5

(1)

832 documents

1 / 21

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1 / 21
of the synovi-
Orthopedic Nursing Study Guide Exam
Questions and Correct Answers 100% Verified 2025 Updated
1. Osteoarthritis (OA): degenerative joint disease; most common joint disorder.
combination of carilage degradation, bone stifening, and inflammation um
causes pain and functional impairment
joints feel wrose the more they are used throughout the day.
2. Modifiable Risk Factors of OA: obesity
repeptitive use
3. Non-Modifiable Risk Factors for OA: increased age female
previous joint damage
deformity
genetic susceptibility
4. Symptoms of OA: Deep, aching joint pain, occurring especially after exercise or weight-
bearing; relieved with rest.
Joint pain during cold weather Stiffness
when arising in the morning Crepitus of the
joint during motion Joint swelling
Altered gait
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15

Partial preview of the text

Download Orthopedic Nursing Study Guide Exam Questions & Correct Answers 100% Verified 2025 Updated and more Exams Medicine in PDF only on Docsity!

of the synovi-

Orthopedic Nursing Study Guide Exam

Questions and Correct Answers 100% Verified 2025 Updated

  1. Osteoarthritis (OA): degenerative joint disease; most common joint disorder. combination of carilage degradation, bone stifening, and inflammation um causes pain and functional impairment joints feel wrose the more they are used throughout the day.
  2. Modifiable Risk Factors of OA: obesity repeptitive use
  3. Non-Modifiable Risk Factors for OA: increased age female previous joint damage deformity genetic susceptibility
  4. Symptoms of OA: Deep, aching joint pain, occurring especially after exercise or weight- bearing; relieved with rest. Joint pain during cold weather Stiffness when arising in the morning Crepitus of the joint during motion Joint swelling Altered gait

Limited range of motion Muscle weakness around arthritic joints. Over time, pain is present even when you are at rest Pain that is worse when you start activities after a period of no activity.

  1. Goals of Treatment of OA: increase the strength of the joints maintain or improve joint movement reduce the disabling effects of the disease relieve pain the treatment depends on which joints are involved
  2. Lifestyle Recommendations for OA: Exercise helps maintain joint and overall movement. Water exercises Applying heat and cold Eating a healthy, balanced diet

women are at increase risk due to small bone structure, low levels os testosterone and low estrogen after menopause.

  1. symptoms of osteoporosis: no symptoms in the early stages later symptoms include:
  • bone pain or tenderness
  • fractures with little or no trauma; one of the most common causes of hip fracture.
  • loss of height over time
  • low back pain due to fracture of the spinal bones
  • neck pain due to fractures of the cervical bones.
  • stooped posture
  1. Medical Treatment for Osteoporosis: control pain from the disease slow down or stop bone loss prevent bone fractures with medications that strengthen bone minimize the risk of fall that might cause fractures
  2. Medications for Osteoporosis: Biphosponates: (Fusomax) slows bone loss. Calcitonin: prevents the breakdown of bone; helps pull calcium from the blood and into the bone. Hormone Replacement Therapy: helps calcium absorption (rarely used today) women after menopause. risk of estrogen based breast cancer. Parathyroid Hormone: causes the body to absorb more calcium. only used in severe cases where there is a lot of fractures and other medications are not working.
  3. prevention of osteoporosis: - calcium & viatmin D3 supplements (vitamin D is needed to absorb calcium)
  • healthy, well balanced diet
  • avoid drinking excess alcohol
  • don't smoke
  • get regular weight bearing exercise
  1. Nursing Interventions for patients osteoporosis/back pain: - pain manage- ment
  • exercise to improve physical mobility
  • work modifications; body mechanics
  • stress reduction
  • dietary plan and encouragement of weight reduction.

7 / 21 h a metal or ease flexibilty. for PT and

  1. Auto Transfuser: a drain that is used with excessive blood loss. as is drains it pulls fluid out and filters out the RBCs and delivers a tranfusion to the patient. patient is able to get their own blood transfused back into them. mostly in hip replacements, or knee replacement.
  2. Post-Op care: Knee Replacement: Assessment: standard post op in addition to....
  • assess pain
  • assess extremity for edema, pulses, color, cap refill, and temp of toes.
  • assess surgical site, dressing, and drain
  • assess for indicators of DVT
  • assess for infection *be sure to pay special attention to the extremity that was not operated on. Evaluation to reduce edema. Assist with ambulation as soon as ordered by MD Continuous Passive Motion Machine Cryotherapy
  1. Continuous Passive Motion (CPM): educate patient of the importance. used to increase circulation and ROM of the knee joint. works on the principle of flexion and extension. helps to gradually incr include the replacement of both articular surfaces within a joint or wit synthetic material.

ith CPM. it is removed at short periods of time to encourage patient movement rest.

  1. Cryotherapy: therapeutic use of cold. encourage the use of ice to minimize pain and swelling in conjuction w
  • undisplaced fractures of the the acetabulum
  • after reduction of a hip dislocation can use tape or pre-made boot. do not use more than 10 lbs used temporarily until surgery can be done/short term intervention.
  1. Skeletal Traction: traction apparatus is applied directly to the bone with pins.
  2. Purpose of traction:: reduce muscle spasms; decreases pain reduce, align, and immobilize fractures reduce deformity increase space between opposing forces
  3. Principles of Effective Traction: traction must be continuous to reduce and immobile fractures

skeletal traction is NEVER interrupted weights are not removed unless intermitten traction is prescribed ropes must be unobstructed and weights must hang freely knots or the footplate must NOT touch the foot of the bed. (MUST KNOW FOR TEST)

  1. Nursing Care of the Patient in Traction: Properly apply and maintain traction; meticulous nursing care needed. Monitor for complications of skin breakdown, nerve pressure, respiratory problems and circulatory impairment (hazards of immobility)
  • assess for pain
  • inspect the skin at least 3 x a day; frequent skin care
  • palpate skin around traction pins to assess for tenderness q8h; pin care.
  • assess neurovascular integrity (CMS)- circulation, movement, & sensation.
  • assess circulation by checking pulses, color, cap refil, and temp of toes. ask pt to move their toes, and theck if they have normale sensation in the toes.
  • assess for indicators of DVT; SCD's for prevention
  • assess for indcators of infection
  • continue ROM on unaffected limbs; monitor for development of contractures r/t lack of activity
  • trapeze to help with mobility
  • coping: knowledge.
  1. Associated Problems with Fractures: - pain
  • loss of function

nes to not ugh the

  1. Complete Fracture: a break that extends through the entire thickness of the bone
  2. Incomplete Fracture: bone is not broken all the way through
  3. Simple fracture: an uncomplicated fracture in which the broken bo pierce the skin
  4. Compound Fracture: break in the bone where the bone comes thro skin; open fracture
  5. Emergency Management of Fractures: - Immobilize the body part Splinting: joints distal and proximal to the suspected fracture site must be supported and immobilized
  • Assess neurovascular status before and after splinting
  • Open fracture: cover with sterile dressing to prevent contamination
  • Do not attempt to reduce the fracture

dia, cyanosis,

  1. Complications of Fractures: Shock Fat embolism Compartment syndrome Delayed union and nonunion Avascular necrosis Reaction to internal fixaction devices Complex regional pain syndrome (CRPS) Heterotrophic ossification
  2. Factors that affect fracture healing: blood supply, nutrtion, excess movement.
  3. Fat Embolism: bone marrow fat escapes into the bloodstream. S&S: hypoxia, decreased oxygen saturation level, tachypnea, tachycar and mental status changes.

patient teaching

  1. Cast: external immobilizing device uses:
  • immobilize a reduced fracture
  • correct a deformity
  • apply uniform pressure to soft tissues
  • provide support to stabilize a joint materials:
  • firberglass, plaster (rarely used now)
  1. Teaching Needs of the Patient with a Cast: Prior to Cast Application: - ex- plain need for the cast and the process for applying the cast
  • for plaster casts eplain that it will take 24 - 72 hours for to dry completely and until then it must be kept off of hard surfaces
  • explain purpose and goals of the cast
  • describe expectations during the casting process: ie the heat from hardening plaster (if used)
  1. Teaching Needs of the Patient With a Cast: cast care: keep clean and dry; do not cover with plastic positioning: keep the cast & extremity elevated, use slings if needed
  • hygiene
  • activity and mobility
  • explain exercises
  • do not scratch or stick anything under the cast: call MD for medication if needed.
  • cushion rough edges
  • require follow-up care
  • cast removal *report the following S&S:
  • persistent pain or swelling
  • changes in sensation, movement, skin color, or temp.
  • signs of infection or pressure areas
  1. CMS: circulation movement stimulation/sensation

isometric exercise to maintain strength & prevent atrophy heal skin wounds and maintain skin integrity; treat wounds to skin before the cast is applied.

  1. Amputation: the surgical or traumatic removal of a body part. used to relieve symptoms, improve function, or save the persons life. usually as a result of advanced PVD r/t DM, fulminating gas gangrene, crushing injuries, electrical burns, frostbite, congenital deformities, chronic osteomylitis, or malignant tumor. level is determine by ciruclation of the limb and functional usefulness.
  2. Assessment of Amputation: neurovascular status and function of affected extremity or residual limb and the unaffected extremity.
  • signs and symptoms of infection
  • nutritional status
  • concurrent health problems > diabetes, smoker?
  • psychological status of coping
  1. Nursing Interventions for Amuptations: Pain: - administer analgesic or other medications as prescribed
  • changing postion
  • putting a light sand bag on residual limb
  • alternative methods of pain relief- distraction, tens unit, meditation.
  • NOTE: pain may be an expression of grief and latered body image.
  1. Amputations: Promoting wound healing/Pre-prosthetic care: - handle limb gently
  • residual limb shaping
  • proper bandaging: wrap w/ ace from distal to proximal toward the heart to improve venous

return and decrease edema.

  • massage
  • toughening of the residual limb.
  1. Amputations: Complications: - hemorrhage: r/t surgical severing of major blood vessels
  • infections
  • skin breakdown
  • phantom limb pain: r/t disruption of peripheral nerve endings in the limb.
  • flexion contracture of the hip: r/t positioning and protective flexion withdrawal pattern associated with pain (encourage turning and position prone.)