*NURSING > EXAM > Musculoskeletal (NCCPA outline) (Latest 2023 / 2024) Actual Questions and Answers 100% Correc (All)

Musculoskeletal (NCCPA outline) (Latest 2023 / 2024) Actual Questions and Answers 100% Correc

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1. - most common injury sustained in blunt thoracic trauma. - may cause localized pain, crepitus, pain with inspiration, dyspnea, and mayeven cause pneumothorax or hemothorax. Answer: Rib fracture... s 2. Fractures of the - rib usually indicate severe trauma because of thenecessary force to produce such an injury. Answer: first 3. The pain associated with rib fractures may lead to Answer: hypoventilation, atelectasis, retained secretions, and finally pneumonia. 4. treatment for the patient with multiple rib fractures. Answer: - Rapid mobilization,respiratory support, and pain management are the mainstays of treatment. - Continuous body positioning and oscillation therapy prevent hypoventilation andatelectasis by promoting redistribution of ventilation and perfusion to various lungsegments. - Mechanical ventilation allowsfor healing ofthe ribs and prevention of complicationsin the patient with respiratory failure. Incentive spirometry is excellent supportive therapy in stable patients. - Pain control is paramount in facilitating adequate ventilation. Epidural anesthesiawith bupivacaine controls pain without causing sedation and impairing the cough reflex. 5. Sternal fractures are most common in Answer: postmenopausal females, presumablysecondary to osteopenia. 6. What is Commotio cordis Answer: sudden cardiac death after blunt, low-impact chest wall trauma in the absence of structural cardiac abnormality. *Ventricular fibrillation*isthe most commonly reported induced dysrhythmia in commotio cordis. Young maleathletes aged 5-18 are particularly at risk for this catastrophe.It has been described *after blowsto the chest from baseballs,softballs, hockey pucks, and other objects.*Death is usually instantaneous, and successful resuscitation is uncommon. 7. Marfan's Syndrome Answer: Note: Pectus Excavatum - can also have MVP [Show More]

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