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Ligament connect what ?
Bone to bone
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Tendons connect what?
Muscle to bone
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Where is red bone marrow found?
hematopoeitic tissue is found in flat and irregular bones = adults
Ends of the long bones == in children
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What mineral is needed for blood clotting, and proper functioning of the nerves and muscles
Calcium
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Heat?
an end product of cellular respiration
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Muscular system contributes to what?
heat production
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ATP?
produced by cellular respiration == the direct energy source for muscle contraction
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What vitamin is essential for the absorption of calcium and phosphorus?
Vitamin D
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Which vitamins are needed for the production of bone matrix?
Vitamin A & C
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Hormones needed for growth:
- Growth Hormone
- Thyroxine
- Insulin
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Growth hormone
increase mitosis and protein synthesis in growing bones
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Thyroxine
stimulates osteoblasts and also increases energy production from food
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Insulin?
essential for the efficient use of glucose to provide evergy
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Parathyroid Hormone
- secreted by the parathyroid gland
- increases the removal of calcium and phosphate from bones
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the hormone that promotes retention of calcium in bones
calcitonin
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Movement of all planes?
Ball and socket joint (scapula and humerus) & (pelvic bone and femur)
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What is on the joint surface of each bone?
Articular cartilage
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What does articular cartilage do?
provides a smooth surface
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Synovial membrane secretes what? what is the function?
- synovial fluid
- fxn== provides a slippery surface to prevent friction as bones move
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What happens when a muscle contracts?
muscle shortens and pulls on bone
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Have opposite functions
Antagonist muscles
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Can muscles push?
no they can only pull
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Muscles that work together or have similar functions
synergistic muscles
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Voluntary muscles
Skeletal muscles
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Where do nerve impulses originate?
The motor areas of the frontal lobe
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Coordination of the voluntary muscles is the function of what part of the brain>
Cerebellum
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Neurons in the CNS regulate what?
muscle tone == the state of slight contraction
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True/False: the body is always in a state of slight contraction ?
True
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Muscle tone is important for what?
posture and coordination
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What is the neuromuscular junction?
the termination of the motor neuron at the muscle fiber
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Most common neurotransmitter at the neuromuscular junction
Acetylcholine
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What are some data that should be collected during a neurovascular check?
- Movement
- Sensation
- Pulses
- Cap refill
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Health history of patient should include what>
- -injury?
- -occupation and activities?
- - risk factors ( family hx)
- - health status
- - diet ( calcium and vit D ?)
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Physical Exam: 3 areas of musculoskeletal data collection?
- inspection
- Palpation
- Range of Motion
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Grating sound as joint or bone moves?
crepitation
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What should you palpate for?
warmth, tenderness in areas of swelling, and areas where patient reports pain
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When assessing for joint mobility, what are you observing?
ROM, how patient performs ADLs
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Normal calcium levels?
8.5 - 10.5 mg/dL
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Hypercalcemia is related to?
bone disease
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hypocalcemia is related to ?
poor dietary intake
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Alkaline Phosphatase increases indicate what?
a bone abnormality ( metastatic bone cancer)
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What can cause an increase in CK levels?
IM injections
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3D visualization of the area, produces the best image?
MRI
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What should the nurse inform the patient when they are having a X-ray done?
- that they should lie still during the exam
- the table will be cold and hard
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What does a bone density scan measure?
Bone strength and weight bearing abilities
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Osteoporosis is usually diagnosed by what?
DEXA - bone scan
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Rhabdomyolysis is associated with what, and can cause what?
- associated with muscle destruction
- and can cause renal disease
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An invasive procedure, that allows visualization of joint?
arthroscopy
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What is something the nurse would have to get from a patient before arthroscopy can be done?
a signed consent
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Used to confirm cancer, surgical extraction of bone or muscle tissue
Biposy
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Nursing interventions for patient after bone biopsy is done?
- inspect site for bleeding, swelling, hematoma,
- do not move area for 8-12 hours
- vitals
- neuro checks
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Measures a muscles electrical impulses, aids in the diagnosis of muscle disease or nerve damage
electromyography
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How many bones are in the vertebral column?
- 7 cervical
- 12 thoracic
- 5 lumbar
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Small sacs of synovial fluid between joint and structures of friction that cross over the joint?
Bursae
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What happens to your musculoskeletal system when you get older?
1. Bone calcium loss == fractures
2. articular cartilage wears down == joint stiffness && joint pain
3. muscle strength decreases == falls
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What are some nurse - patient teaching for radiographic studies with contrast medium?
Teach the patient that there might be pain as the dye is injected
Ask patient of any allergies
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