Wounds
A superficial open wound such as scrapes, scratches, carpet burns, and skinned knees is called what?
What is abrasion.
What assistive device will a patient use when unable to bear weight on a le?
What is crutches?
What acronym is used for treatment of a sprain?
What is RICE?
When a patient has fluid volume excess, what will the patient's BUN value be? (high or low)
What is low BUN?
A patient is taking the diuretic lasix (furosemide), what electrolyte must be monitored and encouraged to be increased in their dietary intake?
Potassium
If an abdominal wound opens and abdominal contents protrude, what is this called?
What is evisceration?
When using crutches, on what part of the body does one bear body weight?
What is hands/wrists?
What member of the health care team will the nurse work with to aide the patient in recouping full mobility and strength after a musculoskeletal injury?
What is physical therapist?
Name two examples of insensible fluid loss.
What is..
sweating
respiration
What is considered normal K+ blood range?
3.5-5 mEq/L
A wound to the LEs developed when deoxygenated blood pools in the veins?
What is stasis ulcer?
What is..
Three finger breadths fit between the axilla and crutch pad with crutch tip 4-6 inches to side of heel
What immobilization device is used to keep a patient from adducting the affected leg post hip replacement?
What is abductor pillow?
What are the 4 functions of water in the body?
What is..
Maintain body temperature
Transport electrolytes/minerals/waste products
Protect brain and spinal cord
Lubricate joints and digestive tract
Name 4 foods naturally high in potassium.
What is..
oranges
bananas
apricots
potatoes
whole grains
avocados
yogurt
orange/yellow fruits
When a wound is infected with by this bacteria, a crackling sensation is felt when the affected area is pressed.
What is Clostridia?
What is an artificial limb that will be fitted to thr stump called?
What is prosthesis?
Name 3 care/safety guidelines to follow post hip replacement?
What is..
Keep abductor pillow in place while the patient is in bed.
Avoid turning the patient on the operative side.
Ensure/educate the patient does not flex the hip beyond 90 degrees
Educate patient to use extension gripper to pick up any dropped items.
Educate patient to walk with a wide stance
Name 4 possible s/s of fluid volume excess?
What is...
Increased RR, SOB with exertion
Sudden cough onset
JVD
Increased BP; full bounding pulse
Edema, ascites
Crackles/Wheezes in lung sounds
Weight gain
Anxiety
What is the blood's normal ph lab value?
A ph of 7.68 would be considered alkaline or acidic?
What is..
7.35-7.45
Alkaline
Name at least 4 assessments indicative of wound infection.
What is..
Increased redness
Increased swelling
Increased pain
Purulent drainage
Malodor
Fever/chills
Name at least 3 guidelines for proper/safe walker use.
What is..
The walker comes up to hip joint for proper fit
The patient stands in between the 2 back legs when using walker
The patient grips the handles with elbows bent at a 30 degree angle
Patient moves affected leg forward with walker, then unaffected leg
Patient sets the hand brakes before sitting in walker seat
Name 3 guidelines of pin site care.
What is..
Cleanse pin site with ns and hydrogen peroxide
Do not apply ointment to pin sites
Use one cotton tip applicator/swab per pin site
Report any s/s of infection to MD
Do not remove any serous crust built up, from pin site
Name 4 nursing interventions when taking care of a patient with fluid volume overload.
What is..
Monitor I&O
Obtain daily weight (same time, scale, clothes)
Administer diuretics if ordered and monitor effects
Teach to decrease NA intake. Educate on high NA foods
Teach about fluid restriction
Monitor VS q4h (htn, increased pulse rate, elevated temp)
Listen to lung sounds for adventitious lung sounds
Assess dependent sites for edema
Name 3 s/s of hypocalcemia.
What is..
muscle twitching/spasm
tingling around the mouth/fingers toes
confusion/disorientation
hypotension
positive Chvostek's and Trousseaus sign