Question

CLINICAL CASE STUDY e cranium and face of a skull? us and nucleus pulposus ability and strength? Which olved in a "slipped disc? che anatomy class, picked old-fashioned telephone. up to his car and said, llo, obturator, obturator wure he was helping the s plant where his job was ut their visceral organs. his computer keyboard, lant. Soon, his wrist exed it, and he began to on the thumb half of his have? er rug and fell heavily terally rotated and when she attempted to get sed that her grandmother later proved to be true. I at what site? Why is a ture in the elderly? compare and contrast the tons. aracteristics each for ertebrae that would ectly. le is flexibility. What is Relate these functional en in these girdles. of an extremely aged and the bony structure in in particular. martially paralyzed in no longer paralyzed. che lumbar spine. his condition. ered to be a clever idea She had her husband und from one exhibit S. As they sat on the e complained to him s. Why? What do you fshe was wheeled 45-Year-Old Female with Dislocated Hip Kayla Tanner, a 45-year-old mother of four, was involved in a car accident. When emergency responders arrived on the scene and extracted her from the car, they found that her right thigh appeared shorter than her left thigh. They also noticed that even slight hip movement caused consider able pain. Suspecting a hip dislocation, they stabilized and transported her. In the emergency department, doctors discovered a decreased ability to sense light touch in her right foot, and she was unable to move her toes or ankle. Dislocation of her right hip was confirmed by X ray. Mrs. Tanner was sedated to relax the muscles around the hip, and then doctors placed her in the supine position and performed a closed reduction ("popped the femur back in place). 1. When the hip was pushed out of the hip socket, what spe- cific bones and bony structures might have been injured? NCLEX STYLE After hip dislocation and reduction, the nurse would watch the patient carefully for signs of which of these problems? a. Sciatic nerve injury b. Instability of the pubic symphysis c. Inflammation of the sacroiliac joint d. Damage to the lateral epicondyle 3. Mrs. Tanner suffered an injury to the hip joint, but if you were asked to rest your hands on your hips, you would not actually touch this joint. What structure in the pelvic girdle would your hands be resting on? 4. The sedation that Mrs. Tanner was given relaxed the large gluteal muscles of the buttocks. Name the structures on the femur and the pelvic girdle where these muscles attach. 5. NCLEX STYLE Mrs. Tanner is discussing her injury with you during recovery. Which of her remarks indicate a need for additional education about her injury? a. "I dislocated my shoulder twice. I guess this hip injury is just the same sort of thing--I'm surprised it hasn't happened before. I'm sort of nervous that it could just slip out any time!" b. "I didn't realize that so many of the hip bones were fused together." c. "The bottom of my spinal column is really different from the top!" d. "When you look at how tight those connections are, it's easy to see why I can't move my leg around at the hip the way I move my arm around at the shoulder."

answer in pov of skeleton NOT joint

answer Clinical Case study questions

Answer 1

Answer:

1. When the hip was pushed out of the hip socket, the ball- shaped head of the femur ( thighbone ) and the cup- shaped acetabulum of pelvis are injured.

2. Right ans: a) sciatic nerve injury

Explanation:

a) The sciatic nerve , usally the peroneal branch, is most often injured, and this complication can be seen after all types of posterior fracture-dislocations and simple posterior dislocation. The siatic nerve can be acutely lacerated, stretch , or compressed, or later encased in heterotopic . So nurse should watch the sciatic nerve injury at first.

b) The instability of the symphysis pubis may be the cause of congenital hip dislocation in newborn.

c) Inflammation of sacroillac joint mainly occur in case owhen sacroiliac joint is injured.

d) In hip dislocation , no need to assess the damage to lateral epicondylitis as it is the part of forearm.

3. In case of hip joint, the client should lies on supine position , rest the the hand beside her body.

4) Gluteral musclees are stretching from the back portion of the pelvic girdle down to greater trochanter, the bony protuberance at the top of the femur.

Gluteus maximus:It originates at the ilium and the portion of the sacrum and coccyx.

Gluteus medius: it originates at the back of the ilium below its its crest and stretches downlward to the greater trochanter of the femur.

Gluteus minimus: It originates at the ilium and attaches to the femur.

5) Right ans : c

a) This is normal statement about hip dislocation.

b) this is also normal statement.

c) there is no relation between spinal column in hip dislocation. So this statement is not normal. So this remarks indicate that client need education.

d) this is a normal stamement.