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NU-155, Galen San Antonio, Final Exam, Harwell With Complete Solution
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NU-155, Galen San Antonio, Final Exam, Harwell With Complete Solution...
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NU-155, Galen San Antonio, Final Exam,Harwell With Complete Solution
What are the s/s of a bone fracture? - ANSWER Pain, edema, crepitus,
deformity, feel crepitus (grinding of 2 bone fragments), shortened extremity,
may see bone in an open fx, muscle spasms (seen or felt)
What are the treatments for a bone fracture? - ANSWER -closed reduction-
bone manipulated to alignment
-open reduction- surgical alignment
-stabilization- internal/external fixation, casts, splints
-traction
What are the complications of a bone fracture? - ANSWER -healing impeded
by improper alignment and inadequate mobilization
-infection with open reduction
What is external fixation for a fracture and why is it necessary? - ANSWER
-system of external pins or apparatus to hold the fractured area stable
-massive open fractures w/ extensive soft tissue damage
-infected fractures that don't heal properly
-multiple trauma (burns, chest or head injury)
What are the nursing assessments for skin/skeletal traction? - ANSWER
-assess to see that they are in correct position and that the weights are
hanging freely
, -assess pt's body position for proper alignment
What is the nursing care needed for strains/sprains? - ANSWER -RICE
-NSAID's to manage swelling
-check for circulation/sensation below compression
What is a splint? - ANSWER flexible or rigid device that is used to protect and
maintain the position of an injured extremity
What patient teaching is needed for cast care? - ANSWER -explain the
procedure
-do NOT scratch under the cast
-cast must be protected from moisture
What is compartment syndrome? - ANSWER External or internal pressure
that restricts circulation in one or more muscle compartments of the
extremities
What are the s/s of compartment syndrome? - ANSWER Pallor, Pain, No
Pulse, Paresthesia, Paresis (slight/partial paralysis)
What is the treatment for compartment syndrome? - ANSWER -immediate
recognition
-remove cast/dressings (if present)
-surgical fasciotomy
What is key to preventing compartment syndrome? - ANSWER elevation!!!
What is carpal tunnel syndrome? - ANSWER compression of the median
nerve, usually caused by repetitive movements of hands and wrists
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