ExamI3:INSGI430/INSG430I(NewI2024/
I2025IUpdate)IAdultIHealthINursingIIII
CompleteIGuide|IQsI&IAsI|I100%ICorrect|I
GradeIAI(VerifiedIAnswers)-IGCU
Q:IbodyIjacketIbrace
Answer:
IusedIforIimmobilizationIandIsupportIforIstableIspineIinjuriesIofItheIthoracicIorIlumbarIspine
assessIforIsuperiorImesentericIarteryIsyndromeI(castIsyndrome)
Q:IsuperiorImesentericIarteryIsyndromeI(castIsyndrome)
Answer:
IoccursIifItheIbraceIisItooItight,IcompressingItheIsuperiorImesentericIarteryIagainstItheIduoden
umI=IabdominalIpain,IabdominalIpressure,Inausea,IandIvomiting
assessIfor:IdecreasedIbowelIsounds,IrespiratoryIstatus,IbowelIandIbladderIfunction,IandIareasIo
fIpressureIoverItheIbonyIprominences,IespeciallyItheIiliacIcrest
Tx:IgastricIdecompressionIwithIaInasogastricI(NG)ItubeIandIsuction
Q:IAfterIapplicationIofIaIlowerIextremityIcastIorIdressing
Answer:
IelevateItheIextremityIaboveItheIheartIonIpillowsIforItheIfirstI24Ihours.
DOINOTIplaceIinIdependentIpositionI(hangingIdown)I(increasesIedema)
assessIforIcompartmentIsyndrome
Q:IexternalIfixator
Answer:
,IcomposedIofImetalIpinsIandIwiresIthatIareIinsertedIintoItheIboneIandIattachedItoIexternalIrod
sItoIstabilizeItheIfractureIwhileIitIheals
-IusedItoItryItoIsalvageIextremitiesIthatIotherwiseImayIrequireIamputation
-Ilong-termIprocess,IongoingIassessmentIforIpinIlooseningIandIinfectionIisIcritical
-ITEACHIPatientIaboutIpinIcare!!
I
Q:IInternalIFixation
Answer:
I(pins,Iplates,IintramedullaryIrods,ImetalIandIbioabsorbableIscrews)IareIsurgicallyIinsertedItoIr
ealignIandImaintainIpositionIofIbonyIfragments
Q:IwhenIimmobilizingIaIjoint...
Answer:
IalwaysIimmobilizeIinIalignmentIofIfunction-IkeepIyourIlegIatIaI90IdegreeIangle
handIwillInotIbeIstraight,IitIwillIbeIatIaI90IdegreeIangle
Q:IDrugItherapyIfracturesIhelpIwithImuscleIspasms
Answer:
ICentralIandIperipher-
IalImuscleIrelaxants:IcarisoprodolI(Soma),Icyclobenzaprine,IorImethocarbamolI(Robaxin)
Q:IDrugItherapyIfracturesIopenIfracture
Answer:
ItetanusIandIdiphtheriaItoxoidIorItetanusIimmunoglobulin
cephalosporinI(e.g.,Icefazolin)I(prohalcticIantibiotics)
Q:InutritionalItherapyIfractures
,Answer:
I-
IadequateIproteinI(e.g.,I1Ig/kgIofIbodyIweight),IvitaminsI(especiallyIB,IC,IandID),Icalcium,Iph
osphorus,IandImagnesium
-IfluidIintakeIofI2000ItoI3000ImL/dayIpromotesIoptimalIbladderIandIbowelIfunction
-IimmobilizedIinIbed=IeatI6IsmallImeals
Q:InurisngImanagementIfracturesIprimaryIconcern
Answer:
IneurovascularIassess-Iment,IdistalItoIfractureIsite
Q:IneurovascularIassessment
Answer:
IperipheralIvascularIassessmentI(color,Itempera-Iture,IcapillaryIrefill,IperipheralIpulses,Iedema)
peripheralIneurologicIassessmentI(sensation,ImotorIfunction,Ipain)
Q:IpinIcare
Answer:
IregularlyIcleansingIwithIchlorhexidine,IrinsingIwithIsterileIsaline,IandIdryingItheIareaIwithIste
rileIgauze.
Q:IpatientIpositionIforIcounetrtraction
Answer:
IcenterIofItheIbedIinIaIsupineIpositionIapplyItractionIwithoutItryingItoIrepositionIorIrealignIthe
Iextremity
Q:IifIcompartmentIsyndromeIisIsuspected
, Answer:
IDOINOTIelevateItheIextremityIaboveItheIheart.
Q:IManifestationsIofIFacialIFractures
Answer:
IFrontalIbone-IRapidIedemaIthatImayImaskIunderlyingIfractures
Mandible-IToothIfractures,Ibleeding,IlimitedImotionIofImandible
Maxilla-ISegmentalImotionI(instability)IofImaxillaIandItoothIfractureIatIsocket
NasalIbone-IDisplacementIofInasalIbones,InosebleedI(epistaxis)
PeriorbitalIbone-
IPossibleIfrontalIsinusIinvolvement,IentrapmentIofIocularImusclesIZygomaticIarch-
IDepressionIofIcheekIboneI(zygomaticIarch)IandIentrapmentIofIocularImuscles
Q:IimmediateIinterventionsIfacialIfractures
Answer:
I1.establishIandImaintainIaIpatentIairwayIandIprovideIadequateIventilation
2.AllIpatientsIwithIfacialIinjuriesIshouldIbeItreatedIasIifItheyIhaveIaIcervicalIinjuryIuntilIprove
nIotherwiseIbyIexaminationIandICTIscanIorIx-ray.I(UseIaIcervicalIcollarItoIstabilizeItheIspine)
I
Q:ImandibleIfractureIIfItheIpatientIbeginsItoIvomitIorIchoke
Answer:
ItryItoIclearItheImouthIandIairwayI=ISuction
NGItubeIcanIremoveIfluidsIandIgasIfromItheIstomachItoIhelpIpreventIvomitingIandIaspiration
Q:IpostIopIfacialIfractureIposition
Answer:
IAfterIsurgeryIplaceItheIpatientIonItheIsideIwithItheIheadIslightlyIelevated.
