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CNA 2023
Chapter 35 Nervous System and Musculoskeletal Disorders
| Question | Answer |
|---|---|
| A removal of all or part of a an extremity is: | amputation |
| Arthritis is: | joint inflammation |
| Arthroplasy is: | the surgical replacement of a joint |
| A person has a fracture. The bone is broken by the the skin is intact. The person has a(n) _____ fracture. | Closed |
| A person has a fracture. The bone has come through the skin. The person has a(n)_____fracture. | compound |
| A compound fracture also is called a(n)_________fracture. | open |
| A fracture is: | a broken bone |
| Tissues die and become black, cold and shriveled. This is: | gangrene |
| Paralysis on one side of the body is: | hemiplegia |
| Paraplegia is paralysis and loss of sensory function: | in the legs |
| Quadriplegia is paralysis and loss of sensory function: | in the arms, legs, and trunk |
| Another term for quadriplegia is: | Tetraplegia |
| Which statement about arthritis is correct? | It is the most common joint disease |
| Which statement about osteoarthritis is correct? | Weight-bearing joints (hips, knees, and spine ) are commonly affected. |
| Which is a sign or symptom or osteoarthritis? | Joint swelling or tenderness |
| A resident has osteoarthritis. The person is most likely to have joint stiffness with: | rest and lack of motion. |
| A resident has osteoarthritis. The person is most likely to have joint pain: | with weight-bearing and joint motion |
| A resident has osteoarthritis. The person is overweight. Why is weight loss important for the person? | Weight loss reduces stress on weight-bearing joints |
| Which statement about rheumatoid arthritis is correct? | Wrist and finger joints are commonly affected. |
| A resident has rheumatoid arthritis. Which of the following can relieve pain and inflammation? | heat or cold applications |
| A resident has rheumatoid arthritis. The person has consented to joint replacement surgery. The affected joint will be replaced with a: | prosthesis |
| Which statement about osteoporosis is correct? | Bones become porous. |
| Which are risk factors for osteoporosis? | Being thin or having a small frame |
| Which of the following are signs and symptoms of osteoporosis? | Back pain |
| The greatest risk(s) from osteoporosis: | are fractures. |
| A resident has osteoporosis. Which of the following would be included in the person's care plan? | Assist with weight- bearing exercises as directed by PT. |
| A person with an arm fracture may have which of the following? | Deformity of the body part |
| A resident has a fracture wrist. The doctor has scheduled open reduction. This means that: | the doctor will move the bones back into alignment during surgery |
| After reduction, the fractured part is: | immobilized with a cast or traction |
| A resident has a plaster of paris cast. The cast dries in _____ hours. | 24 - 48 |
| You are assisting the nurse with cast care. Which action is correct? | Use your palms to lift and turn a casted extremity. |
| You are assisting the nurse with cast care. Which action is correct? | Support the entire cast with pillows. |
| A resident has a cast. Which of the following signs and symptoms indicated a problem? | Odor and drainage from under the cast |
| A resident has a cast on her right arm. You note that her fingers are pale and that she cannot move them. What should you do? | Tell the nurse at once |
| Traction is used to immobilize a fracture. This is done by: | applying a steady pull in two directions. |
| Skeletal traction is applied to the | bone. |
| A resident is in traction. Which action is correct? | Make the bed from the head of the bed to the foot of the bed |
| A resident is in traction. How should you position the person? | As directed |
| A resident fell in the shower and fractured his right hip. He is back at the nursing center after surgery to repair the hip. You know that he is at risk for which of the following postoperative complicatons? | Pneumonia, UTI, and thrombi in his leg veins |
| A resident fell in the shower and fractured his right hip. He is back at the nursing center after surgery to repair the hip. You know that he is at risk for which of the following postoperative complications? | Pressure ulcers, constipation and confusion |
| A hip fracture requires : | internal fixation. |
| A resident has a fractured right hop. How is the leg positioned? | Abducted at all times |
| A resident has a fractured right hip what position is not allowed | Right side lying position |
| A resident has a fractured right hip. You must use devices to prevent: | external rotation of the hip |
| A resident has a fractured right hip. The doctor ordered elastic stockings. They are used to: | prevent thrombi |
| A resident's left leg was amputated. The person complains of pain in the left leg. This is: | phantom limb pain. |
| Stroke is a(n): | disease that affects the arteries that supply blood to the brain |
| Two common causes of stroke are: | bleeding in the brain and blood clots. |
| Warning signs of stroke include which of the following? | Sudden numbness or weakness on one side of the body |
| Warning sigs of stroke include which of the following? | Sudden dizziness or loss of balance or coordination. |
| Warning signs of stroke last a few minutes. This is called a(n): | transient ischemic attack. |
| Risk factors for stroke include which of the following? | Hypertension and family history |
| Functions lost as a result of stroke depend on the : | area of brain damage. |
| A resident had a stroke. The person's left side is affected. Which of the following would be included in the person's care plan? | Assist with range of motion exercises. |
| Effects from a stroke resulting in hemiplegia paralysis often include which of the following? | Dysphagia and aphasia |
| A resident had a stroke. The person cries easily, sometimes for no reason . Which is true? | Changing emotions are common effects of a stroke. |
| Care of a person after stroke often includes which of the following? | A bowel or bladder training pproram. |
| Which is a common effect of stroke? | Hemiplegia |
| A resident had a stroke. When does rehabilitation begin? | At once |
| Which statement about Parkinson's disease is correct? | Signs and symptoms become worse over time. |
| Which of the following are common with Parkinson's diseases? | slow movement and mask-like expression |
| Which of the following are common with Parkinson's disease | Pill-rolling movements |
| Person's with Parkinson's disease often have speech problems. Which is common? | Slurred, monotone speech |
| The person with Parkinson's diseases needs protection from : | falls. |
| Symptoms of multiple sclerosis usually begin: | between the ages of 20 and 40 |
| Which statement about multiple sclerosis is correct? | The person may have remissions early in the disease. |
| a resident has MS. Which of the following is an accurate item that might be listed in the person's care plan? | Assist with deep-breathing and coughing exercises. |
| A resident has amyotrophic lateral sclerosis (ALS) which is correct? | ALS attacks the nerve cells that control voluntary muscles. |
| A resident has ALS. Which of the following is an accurate item that might be listed in the person's care plan? | Range-of-motions exercises |
| Which statement about head injuries is correct? | Paralysis and breathing difficulties may result |
| Which statement about spinal cored injuries is correct? | Lower level injuries result in greater loss of function |
| A resident is paralyzed from the waist down. Which of the following is an accurate item tat might be listed in the person's care plan? | Safety measures to prevent falls. |
| A resident is paralyzed from the waist down. The person is at risk for: | pressure ulcers and contractures. |
| Autonomic dysreflexia affects persons" | with spinal cord injuries above the mid-thoracic level |
| If untreated, autonomic dysreflexia can lead to: | stroke and heart attack |
| A resident has rheumatoid arthritis. You should encourage exercise when fever is present | True |
| a Common cause of autonomic dysreflexia is: | fecal impaction |