Musculoskeletal and Orthopedic Rehabilitation Flashcards

A rehabilitation nurse is caring for a patient with lateral epicondylitis (tennis elbow). Which activity modification is MOST appropriate?

Answer: Avoid repetitive wrist extension and gripping; use ergonomic tools

Lateral epicondylitis results from repetitive wrist extension overuse; activity modification to reduce that load is the cornerstone of conservative management.

Which complication is the CRRN MOST concerned about in the first 24–48 hours following total joint arthroplasty?

Answer: Deep vein thrombosis (DVT) and pulmonary embolism

DVT and PE are the leading causes of mortality after total joint arthroplasty; early mobilization and anticoagulation prophylaxis are critical preventive measures.

A patient with an ankle sprain is beginning rehabilitation in the subacute phase. Which intervention is MOST appropriate at this stage?

Answer: Proprioceptive and balance training to restore neuromuscular control

In the subacute phase of ankle sprain, proprioceptive training and balance exercises restore neuromuscular control and reduce re-injury risk.

A patient post-lumbar laminectomy is ready for discharge. Which activity is MOST important to include in discharge teaching?

Answer: Use proper body mechanics and log-roll technique when changing positions

Proper body mechanics and the log-roll technique protect the lumbar surgical site during position changes and reduce re-injury risk after laminectomy.

A patient with bilateral knee replacements is in inpatient rehabilitation. Which nursing concern is HIGHEST priority when the patient reports sudden calf pain and dyspnea on day 3?

Answer: Pulmonary embolism

Sudden calf pain with dyspnea after total joint arthroplasty is a classic PE presentation requiring immediate assessment, oxygen, and emergency notification.

When performing neurovascular checks on a patient in skeletal traction, which finding requires IMMEDIATE intervention?

Answer: Paresthesias and absent distal pulse in the affected extremity

Absent distal pulse and paresthesias indicate neurovascular compromise, which is a limb-threatening emergency requiring immediate traction adjustment and physician notification.