Prioritization
Complications
Casts/Immobilizations
Traction
Intervertebral Disk Disease
100
You watched a patient trip and fall, landing with arms out in front of her. You suspect she sustained a Colle's fracture. What is your priority nursing consideration?
What is IMMOBILIZE THE EXTREMITY
100
A patient complains of lower leg pain. You note his R>L calf size. You suspect? What is the best assessment technique you can use to support your suspicions?
What is A DVT, CHECK FOR POSITIVE HOLMAN'S SIGN
100
This kind of cast can only be smoothed with the palms of the hands
What is A PLASTER CAST
100
The treatment of choice for hip fxs
What is ORIF (open reduction, internal fixation)
100
The pain will be located here...
What is THE LOCATION OF THE SLIPPED DISC
200
The 7 P's (double points if able to answer without looking it up/ phoning a friend)
What is PAIN, PALLOR, PARESTHESIA, PARALYSIS, POLOR TEMPERATURE, PUFFINESS, PULSELESSNESS
200
A patient is complaining of severe pain in his R lower arm, unrelieved by meds, and aggravated by passive muscle movement. He states the pain is 10/10 and feels heavy, full, and numb. He recently fell and obtained a Colle's fracture and is now wearing a synthetic cast. What do you suspect is happening and what can you do about it?
What is COMPARTMENT SYNDROME. ELEVATE EXTREMITY, CALL MD IMMEDIATELY TO HAVE HIM REMOVE CAST.
200
The process of covering rough edges with stockingette and tape
What is PETALING
200
The traction for young children with unstable hip or femur fractures
What is BRYANT'S TRACTION
200
We use this method to turn a patient with herniated disc/instability
What is THE LOG ROLL WITH 2 PEOPLE AND A DRAW SHEET
300
You notice an patient who is recently post-op BKA is bleeding profusely from the surgical site. What are your priority actions?
What is TOURNIQUET LEG AND PRESSURE DRESSING, NOTIFY MD
300
The patient with an BKA should be placed in prone position occasionaly to prevent what complication
What is HIP FLEXION CONTRACTURES
300
4 nursing considerations for a patient with a 2 week old cast.
ELEVATE EXTREMITY MONITOR FOR INFECTION (ODOR AND HOT SPOTS) MONITOR CMST/7 P'S DISTRACT TO REDUCE PRURITIS PT ED ON NOT PUTTING ANY THING IN CAST
300
The location to be monitored in Russel's traction. Double points if know what should be monitored.
What is POPLITEAL AREA FOR PRESSURE, SWELLING, AND NEUROVASCULAR DAMAGE
300
Nursing considerations for spinal fusion and interbody fusion.
What is ASSESSMENT OF 2 SITES (DONOR AND RECIPIENT) FOR PAIN, S/S OF INFECTION, HEALING, ETC.
400
Infection of the bone is called? What is the diagnostics used for this disorder? Which type of fracture is at risk for this disorder?
What is OSTEOMYELITIS, DX WITH INCREASED WBC COUNT, INCREASED ESR, POSITIVE WOUND CULTURES, COMPOUND (OPEN)
400
Signs and symptoms of hemorrhagic shock
What is HYPOTENSION, TACHYCARDIA, CHANGE IN LOC, ANXIETY/RESTLESSNESS/AGITATION, DECREASED UO, INCREASED PAIN AT LOCATION OF TRAUMA
400
Nursing considerations for an hour old plaster cast
PROP ON PILLOW WHILE DRYING TO MAINTAIN SHAPE TURN PATIENT TO ALLOW FOR EVEN DRYING AND KEEP CAST UNCOVERED HANDLE WITH PALMS ONLY PLACE ABSORBENT MATERIAL UNDERNEATH WHILE DRYING PT ED ABOUT WARM CAST AND NOT GETTING WET
400
Nursing considerations for traction system
What is PULLEY IN GROOVE, WTS FREELY HANGING, BODY PARTS PROPERLY ALIGNED
400
The acceptable position a post op herniated disc repair patient can be in
What is SUPINE/FLAT, PILLOW UNDER HEAD, KNEE REST SLIGHTLY UP
500
The signs and symptoms for this disorder include: dyspnea, tachypnea, hypoxemia, chest pain, tachycardia, cough, and hemoptysis
What is PULMONARY EMBOLISM
500
This complication is common in younger populations who have fractured a long bone.
What is FAT EMBOLISM
500
The clinical picture of a patient who has just had his spica body cast removed.
What is MUSCLE WEAKNESS/ATROPHY, RISK FOR ORTHOSTATIC HYPOTENSION, IMPAIRED SKIN INTEGRITY/DRY SKIN
500
Describe Russel's Traction
What is A TYPE OF SKIN TRACTION WHERE THE KNEE IS SUSPENDED IN SLING CREATING UPWARD PULL AND THE LOWER LEG IS HORIZONTAL TRACTION FOR HIP AND KNEE FRACTURES
500
Characteristics of pain s/s due to intervertebral disc disease (3)
What is BACK, SHOULDER, NECK, OR LEG PAIN AND NUMBNESS; OCCURRING ON ONE SIDE AND RADIATING DOWN OVER BUTTOCK AND LEG; WORSE WITH INCREASED INTRA-ABDOMINAL PRESSURE (COUGHING, SNEEZING, BENDING)
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