Exam (elaborations)
NUR 405 ( LATEST 2024 / 2025 ) FINAL 1 | LATEST QUESTIONS WITH COMPLETE GRADE A++ ANSWERS
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NUR 405 ( LATEST 2024 / 2025 ) FINAL 1 | LATEST QUESTIONS WITH COMPLETE GRADE A++ ANSWERS
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NUR 405 Final1. Nursing assessments for fractures
Answer
- Neurovascular assessment (5 P's- pallor, pain, paresthesia, pulses, paralysis)
- VS
- ROM; proper positioning, alignment, stability of traction/splinting)
2. Nursing interventions for fractures
Answer
- X-ray
- ORIF
- Pain management
3. Post-op complications for fractures
Answer
DVT and infection
4. Open Reduction Internal Fixation (ORIF)
Answer
Surgical alignment of fractured bones using screws, pins, wires, or nails to maintain bone
alignment
,5. Client teaching for fractures
Answer
- Observe pin sites on fixator
- Pin care twice a day
- High protein diet
6. Osteomyelitis
Answer
Infection of the bone
7. Causes of osteomyelitis
Answer
- Infection (staph aureus)
- Open fracture
- Trauma
8. Osteomyelitis clinical manifestations
Answer
Pain not relieved by rest, swelling, ten- derness & warmth at site, fever, nausea, chills, malaise
9. Nursing assessment for osteomyelitis
Answer
,- Assess the infection site (swelling, warmth, redness),
- Neurovascular (5 P's)
- Temperature
10. Nursing interventions for osteomyelitis
Answer
- Labs
- Blood cultures
- OR for debridement
11. Labs for osteomyelitis
Answer
- CBC (need to know WBC count)
- Blood cultures
12. When should you administer broad-spectrum antibiotics for a patient sus- pected of having
osteomyelitis?
Answer
After obtaining blood cultures
13. Teaching for osteomyelitis
, Answer
- High protein diet
- Wound care
- Antibiotics through PICC line
- s/s of it getting worse
- Medication adherence
14. Nursing assessment for a total hip replacement
Answer
- Neurovascular (5 P's)
- Musculoskeletal (ROM)
- Leg will look displaced/rotated and be shorter
15. Nursing interventions for a total hip replacement
Answer
ORIF needs to be done, cannot go to surgery right away if on warfarin/coumadin (administer
vitamin K to reverse it; Buck's traction in meantime)
16. Teaching for a total hip replacement
Answer
- High protein diet
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