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Acute Care Nurs 1310

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Acute Care Nurs 1310

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  • August 17, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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Acute Care Nurs 1310

open fracture - ANSWER: bone fracture that breaks through the skin

closed fracture - ANSWER: broken bone with no open wound

Upper extremity fractures - ANSWER: Upper ribs, wrist, clavicle

Lower extremity fractures - ANSWER: fractures include those of the: femur, patella, tibia
& fibula, ankle & foot

Causes of fractures - ANSWER: MVA, falls, bone disease, trauma and malnutrition

What vitamins promote bone healing/strength? - ANSWER: Vitamin D and Calcium

What foods are high in Vitamin D and Calcium? - ANSWER: Milk, dairy, green leafy
vegetables, nuts

What way can we get Vitamin D that is free? - ANSWER: Sunlight

What are some clinical manifestations of fractures? - ANSWER: Pain, inability to use
extremity, Ecchymosis, poor pulses, paresthesia, issues with other symptoms

What pulses should you check with a fracture? - ANSWER: Distal pulses

What labs should you check with fractures? - ANSWER: H&H, erythrocyte
sedimentation rate, WBC count

Contraindications to MRI - ANSWER: Metal inside the patient, red dye on tattoos,
jewelry

Immobilization - ANSWER: Splints, casts, orthopedic boots, traction

What is given before and after surgery to prevent infection? - ANSWER: Antibiotics

Complications of fractures - ANSWER: Hemorrhage, hypovolemic shock, fat embolism,
DVT, infection, Delirium, dislocation

Vital signs with FE - ANSWER: BP increase, HR increase, RR increase, low SpO2

What should you monitor with FE? - ANSWER: Distal pulses and LOC (it gradually goes
away)

, What is a late manifestation of FE? - ANSWER: Petechiae

Should you massage a blood clot? - ANSWER: No because you can dislodge it

Best diet for mobility - ANSWER: Protein! Protein=Healing

Foods high in protein - ANSWER: Meats, eggs, beans, almonds

Six P's NV Assessment - ANSWER: Pain, pallor, pulselessness, parasthesia, paralysis,
pressure

Different types of amputations - ANSWER: Toe amputation, Syme amputation, toe
amputation, BKA, AKA

What does the ankle brachial index do? - ANSWER: Measures how arrow blood vessels
are

Doppler ultrasound is used for: - ANSWER: Finding pulses

Complications of amputations - ANSWER: hemorrhage, infection, phantom limb pain,
neuroma, flexion contracture

What kind of restraints are there? - ANSWER: Physical and chemical

Application of restraints - ANSWER: Slip knot or immediate release buckle, apply to
unmovable part of the bed, assess every 30-60 minutes, release restraints every 2
hours and do ROM

Alternatives to restraints? - ANSWER: Reorient as frequently as possible, check on
patient every hour, distractions such as puzzles, games, coloring, family member or
sitter

What should patient be informed of? - ANSWER: Reason for procedure, who will be
performing, alternatives, procedure risks, anesthesia risks, blood products

Responsibilities of the client - ANSWER: to be informed of procedure/what they are
consenting to

Responsibility of surgeon - ANSWER: Getting consent; making sure client is aware of
benefits/risks and answers any questions they still may have

Responsibility of Anesthesiologist - ANSWER: Making sure that client is aware of all
anesthesia that is going into them; can do blood consent

Responsibility of nurse - ANSWER: To make sure that patient is in right frame of mind
to consent

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