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: Kyphoplasty is an outpatient procedure that can help with compression fractures
What is True?
A client had a below the knee amputation and is complaining of pain in the removed limb. What is the name of this pain and how can this pain be relieved?
What is phantom limb 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
Apply this to an acute sprain or strain that occurred this morning.
What is ice?
Major problems associated with postop immobility.
What is
DVT/PE
Skin Integrity
Constipation
Pain
Cardiopulmonary deconditioning
Muscle loss
Renal Calculi
What would you teach your patient about osteoporosis risk factors?
What is Age, Family hx of osteoporosis, Sedentary lifestyle, Hx of falls and fractures, Smoking, poor Diet
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?
Post joint dislocation bone cell death due to inadequate blood supply
What is avascular necrosis
True or False: Side effects of AZATHIOPRINE (Imuran) include nausea and alopecia.
True: Teach your patient these side effects
This lab should be performed in order to check for Rhabdomyolysis?
What is creatine kinase (CK)?
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.
The 6 P's of compartment syndrome
What is
Pain
Pressure
Paresthesia
Pallor
Paralysis
Pulselessness
List patient teachings for post op care following a hip fracture repair to prevent hip dislocation.
1. Never allow affected leg to cross the center of the body 2. Never allow the body to be 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?
Do not apply longer than 30 min
What is heat
Where does myoglobin released from damaged muscle cells precipitate and cause obstruction?
What is the renal tubules?
Client teaching of contraindications of bisphosphonates.
What is Hypocalcemia, pregnancy and lactation, renal dysfunction and GI disease?