Medical Surgical Nursing

Medical Surgical Nursing

Muscular-Skeletal System

1. Muscular – skeletal System
2. Highly ______system
3. What is the leading cause of disability in the US? ______
4. Function:
5. ______
6. ______
7. ______
8. Move
9. ______
10. Facilitates ______return
11. ______
12. ______cells
13. Minerals
14. ______& ______
15. Skeletal System
16. How many bones are in the human body? ______
17. Types of bones
18. ______bones
19. ______bones
20. ______bones
21. ______bones
22. Bone structure:
23. ______bone: ______
24. ______bone: Bone ______

______bone marrow / ______bone marrow
Location: / Location:
Contents: / Contents:

1. Bone cells
2. Osteo ______: Form ______
3. Osteo______: ______
4. Osteo ______: Dissolving and ______
5. Bone Maintenance
6. Modeling: ______hood
7. Remodeling: ______hood

1. Articulation:
2. AKA: ______
3. Where two or more ______meet
4. Synovial joint
5. ______filed with synovial ______
6. Ligaments:
7. Connects ______to bones
8. Function: Joint ______
9. Tendon:
10. Connects ______to bones
11. Function: Joint ______
12. Muscular System
13. Types of Muscles
14. ______muscles
15. ______movement
16. ______muscles
17. ______organs
18. ______
19. ______muscles
20. ______muscle
21. ______
22. Muscle structure: Thick ______of parallel ______
23. Contraction
24. Each muscle cell is ______, can ______& ______to stimuli
25. Skeletal muscle cells contract (shorten) when motor ______release ______(neurotransmitter)
26. ______neuron  acetylcholine  ______cell  ______
27. Extension
28. Muscle extend then they ______
29. Muscle Tone
30. ______impulses maintain muscle tone
31. Lack of muscle use  ______(muscle ______)
32. Geriatric Considerations
33. ______bone mass
34. Joints and disc ______ ______height
35. ______flexibility
36. ______& ______flex, head tilts ______ Altered center of ______ ______risk of falls
37. Small Group Questions
38. What is the function of the muscular-skeletal system?
39. What minerals are stored by the skeletal system?
40. Differentiate between the two types of bone marrow.
41. What are the three types of bone cells and what are their functions?
42. How does muscle contraction and extension occur?
43. Define articulation, ligament and tendon
44. Describe common geriatric changes in the skeletal muscle system. (What do these changes put an elder person more at risk of?)
45. Assessment of the muscular-skeletal system
46. Chief Complaints: ______& limited ______
47. Gait: ______
48. Movement: ______
49. Posture: ______
50. ______: ______curve of the ______spine
51. ______: ______curve of the ______spine
52. ______: ______curve of the spine
53. Inspect & palpate
54. Crepitus: ______sound or sensation during ______
55. Neurovascular Status
56. C ______
57. ______
58. ______
59. ______
60. M ______
61. ______/______
62. S ______
63. Paresthesia
64. ______
65. ROM
66. ______
67. Types of movement
68. Flexion: ______joint
69. Extension: ______a joint
70. Abduction: Move ______from midline
71. Adduction: Move ______from midline
72. Passive: ______
73. Active: ______
74. NEVER attempt to move a joint past its normal ROM!
75. Dx test
76. Erythrocyte Sedimentation Rate: ______
77. C-Reactive Protein: ______
78. Serum ______& ______levels
79. X-rays: ______
80. CT-scan: ______
81. CT-scan with contrast: ______
82. MRI: ______
83. Bone density scan:
84. Used to diagnose: ______
85. Prep. ______
86. Arthroscopy:
87. Flexible ______endoscope used to visualize the ______
88. Pre-procedure:
89. ______concent
90. ______
91. Post-procedure
92. Assess ______status
93. ______management
94. Assess ______& ______
95. ______
96. ______
97. Soft Tissue injury
98. Sprain
99. ______injury
100. Strain
101. Tear in the ______
102. Diagnostic tests
103. ______: to rule out ______
104. Treatment
105. R ______
106. I______
107. C ______
108. E ______
109. Crutches
110. Requirements:
111. Good ______
112. Strong ______body
113. ______posture
114. Adjusting
115. Length: ______below axilla
116. Hand grip: ______elbow flexion
117. Down stairs
118. ______
119. ______
120. ______
121. Up stairs
122. ______
123. ______& ______
124. Medications:
125. ______
126. ______(______)
127. Small Group Questions
128. Define Gait, kyphosis, Lordosis, scoliosis, crepitus
129. How do you perform a neurovascular assessment?
130. Define flexion, extension, abduction, adduction, passive ROM and active ROM
131. What does a ESR and C-reactive protein test measure?
132. What nursing measures / should be implemented post arthroscopy
133. What is the difference between a sprain and a strain
134. Describe how to go up and down stairs using crutches.
135. Fractures
136. ______in the continuity of the ______
137. S&S
138. ______
139. Pain
140. ______
141. Crepitus
142. Emergency Tx
143. ______
144. Open wound: cover with ______dressing
145. Asses
146. ______
147. CMS
148. Dx Tests:
149. ______to confirm fx
150. Tx:
151. ______: restore alignment
152. ______
153. Cast Care
154. Frequently assess: ______
155. Promptly report:
156. ______in CSM
157. ______or severe ______
158. Drainage
159. * READ TEXT CAST CARE: Ch 42 (especially Box 42-4)
160. Medications
161. ______and NSAIDs
162. ______softeners
163. ______
164. Dislocation
165. ______of contact between two bones of a joint
166. Common sites: ______& ______
167. S&S
168. ______
169. Deformity
170. ______change
171. Immobility
172. Tx
173. ______
174. ______
175. Amputation
176. Partial or total ______of a body part
177. Indications:
178. Bone ______
179. ______
180. Trauma
181. Affects: ______
182. complications
183. ______
184. ______
185. Permanent ______for the muscle  ______
186. Prevention:
187. ______: extension
188. ______leg pain
189. Tx.
190. ______dressing
191. Limited ______bearing: ______post-op
192. Osteoporosis
193. ______bones
194. ______bone mass
195. ______fragile
196. ______risk of fractures
197. Assoc. with ______
198. Pathophysiology
199. Bone is constantly being ______
200. ______age  more bone is ______than ______
201. ______bone mass
202. S&S
203. Asymptomatic
204. ______height
205. Progressive ______of the spine
206. Low back ______
207. ______
208. Complications:
209. ______
210. ______Fx
211. Dx tests
212. Bone mineral ______
213. ______
214. Tx
215. Diet: ______& Vitamin ______(needed for Ca+ absorption)
216. Small Group Questions
217. What is the emergency first responder treatment for a fracture?
218. How do you know if someone has fractures a bone?
219. How are dislocations similar to fractures?
220. What are common complications of a amputated limb? How do you prevent these complications?
221. Describe the pathophysiology of osteoporosis
222. What are the advanced signs and symptoms of osteoporosis?
223. What is the treatment for osteoporosis?
224. Osteomyelitis
225. ______of the bone
226. Usually d/t ______
227. Dx tests
228. ______
229. ______
230. Blood / tissue ______
231. Imaging: ______or ______
232. Tx
233. ______
234. Arthritis
235. ______of the joint
236. Osteoarthritis
237. ______joint disease (DJD)
238. Progressive loss of joint ______
239. S&S
240. ______
241. ______
242. Dx tests
243. ______
244. ______
245. Tx plan
246. Lose ______
247. ______
248. ______
249. Medications
250. Mild ______
251. Aspirin, acetaminophen, ______
252. Surgery
253. ______
254. Small group questions
255. Why is osteomyelitis so hard to treat / cure?
256. What is osteoarthritis?
257. What are the signs and symptoms of DJD
258. What advice would you give to a patient who was newly diagnosed with osteoarthritis?
259. Mid-Term notes
260. 100 questions
261. There will be approximately 9 questions on Culture; disease transmission; fluid & electrolytes; integumentary system, hematology, immune system and Skeletal-muscular system. There will be approximately 15 questions on the cardiovascular system and the respiratory system.
262. There will be 5 bonus questions on the skeletal muscle system.

Elizabeth Keele

Skeletal system handout - short3/29/20121