NUR 2356/MDC 1 Final Exam Review_ LATEST 2021/2022,100% CORRECT
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Course
NUR 2356
Institution
NUR 2356
NUR 2356/MDC 1 Final Exam Review_ LATEST 2021/2022
Managing open fractures, how to prevent infection
Frequent dressing changes with aseptic technique, monitor temperature and heart rate, administer broad spectrum antibiotics as ordered (Clindamycin and Gentamycin), irrigate open wound (clean to...
NUR 2356/MDC 1 Final Exam Review_
LATEST 2021/2022
Managing open fractures, how to prevent infection
Frequent dressing changes with aseptic technique, monitor temperature and
heart rate, administer broad spectrum antibiotics as ordered (Clindamycin and
Gentamycin), irrigate open wound (clean to dirty)
Managing ambulation with client who has cancer
➤Ask the patient to wear nonskid footwear.
> Place the bed in low position and lock the wheels.
> Assist the patient to dangle at the side of the bed
> If two nurses are available, each nurse should stand facing the patient on
opposite sides of the patient.
> Brace your feet and knees against the patient. Bend your hips at the knees and
hold onto the transfer belt. Pay attention to any known weakness.
> Instruct the patient to place her arms around you between your shoulders
and waist (the location depends on the height of the patient and the
nurses).Ask the patient to stand as you move to an upright position by
straightening your legs and hips.
> Allow the patient to steady herself for a moment.
> One nurse: Stand at the patient’s side, placing both hands on the transfer belt.
If the patient has weakness on one side, position yourself on the weaker side
Slowly guide the patient forward. Observe for signs of fatigue or dizziness.
> If the patient must transport an IV pole, allow the patient to hold onto the
pole on the side where you are standing. Assist the patient to advance the pole
as you ambulate
OA/RA
OA: Degenerative condition. Wear and tear. Loss/wear down of articular
cartilage in the joint which causes pain, stiffness, and crepitus
(cracking/popping sound). Aggravates with weight- bearing joint use (weight
loss, physical exercise, ice)
RA: Chronic, inflammatory, autoimmune disorder that causes bone erosion, joint
deformity, and painful swelling. Aggravates with weight-bearing joint use.
Inflammation and pain with no activity. Ice and heat. Adequate rest. NSAID’s.
Stretching.
Knee pain assessment
Client history, knee inspection for joint effusion/swelling/warmth/deformity,
palpate for point tenderness, AROM/PROM, neurovascular assessment
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, Discharge instructions for osteomyelitis
Importance of medication adherence and taking full-course,
signs/symptoms/re-infection detection, importance of hand hygiene, proper
irrigation techniques, assistive device use,assistance with ADL’s
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dressing changes and monitoring of incision site for infection, observation of
mobility and sensation, ABC’s, no excessive blood/fluid loss, monitor tissue
perfusion
90 degree ROM- elbow
Assessment for patient on bedrest w/pain in leg
PROM, neurovascular assessment for DVT/PE, pain assessment
Importance of ROM
Improves joint function, balance and muscle strength, flexibility, reduces pain and
stiffness, improves circulation, reduces injury potential
This study source was downloaded by 100000802531269 from CourseHero.com on 03 -04-2022 14:23:41 GMT -06:00
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