This and That
A client has a new cast and is noted trying to scratch down in the cast, what class of medication may be prescribed for the client.
What is antipruritic?
True or False: Clients with a PCA pump, LPNs are able to monitor the patients pain by adjusting the amount of medication being administer per the MDs order
What is False?
A client had a below the knee amputation and is complaining of pain the the removed limb. What is the name of this pain and how can this pain be relieved?
What is phantom pain. The nurse would instruct the client to move the limb which can activate the nerve which can relieve the pain.
The symptoms of this condition are: Pain, unrelieved by medication, and aggravated by passive stretching.
What is Compartment Syndrome
Believed to have a genetic cause and characterized by bone spurs, eroding cartilage and inflammation.
What is osteoarthritis?
A patient with this systemic disease needs education using sunscreen due to sun sensitivity.
What is Lupus?
A client enter the ER with a compound fracture. The bone is protruding from the skin and bleeding heavily. What is the first action the nurse should take?
What is cover the opening with a sterile dressing?
The symptoms of this include chest pain, dyspnea, and SOB, fever, hypoxemia and often seen after a long bone fracture.
What is Fat Embolism?
This condition often begins with systemic symptoms such a fatigue, fever, and weakness. Often seen in in women more than men.
What is Rheumatoid Arthritis?
True or False: Skin inspections should be done once a day for for clients with back braces due to surgery or scoliosis.
False: Should be inspected every 2 hours or at least once a shift.
These two labs should be performed in order to check for rheumatoid arthritis?
What is creatine kinase (CK) and rheumatoid factor (RF)?
A client is post op from an internal fixation of a fractured hip. Which position should the nurse place the client?
What is With the affected hip in an abducted position.
Autoimmune condition characterized by a butterfly rash on the face and autoimmune medications such as methotrexate is administered.
What is lupus?
1. Never allow affected leg to cross the center of the body 2. Never allow the body to bed more than 90 degrees (avoid bending forward to tie shoes) 3. Never allow the affected leg to turn inward
A client has presented to the ER with a right femoral neck fracture. What does the nurse expect to see with the right leg?
What is right leg shortening?
Fractures of the femoral neck will often shorten the fractured leg until aligned/repaired in place
Skin traction such as this is a short term treatment applied to the skin using tape, or boots with 8-10 pounds of weight.
What is Buck's traction?
Gout flare up
What is ice (to reduce inflammation)
Uric acid accumulates and in the bloodstream and deposits in the joints. Often will see joint swelling, redness and/or pain
What is Gout?
A low purine diet is one method of preventing a flare-up of this condition.
What is Gout?