Following an arthroscopy, a nurse should monitor and assess the client
Serous drainage/bleeding
Surgical excision of fascia and separation of muscles
Compartment syndrome when the tissue perfusion in the muscle is compromised which causes tissues swelling, hemorrhage, sudden pain complaint
Bony enlargements of the distal interphalangeal joints
Heberden nodes
Bouchard nodes-enlargement of proximal interphalangeal joints
How long must a tick be attached to a client to contract Lyme Disease
36-48 hours
Malar rash
occurs in 50% of clients dx systemic lupus erythematosus SLE
Name the fracture in which a bone fragment is driven into another bone fragment
Impacted
Pathological-fx that occurs through an area of diseased bone
This connects bone to bone
Ligament
Which fracture involves the bone splintered into several fragments
Comminuted
Compound-fx damage also involves skin or mucous membranes
Name a nursing diagnosis for a goal for wounds to heal without infection
Impaired Tissue Integrity
Risk for Infection
Altered skin integrity
Tendons
What do you anticipate the next phase for a client who has had their short arm cast removed to aid with prevention of additional injury for long term use
Brace application
Splint supports in functional position, does not require rigid immobilization, for short term use
Name 2 supplements to include in teaching with an older adult to maintain bone mass and muscle strength
Calcium
Vitamin D
What does PRICE stand for
P-Protection
R-Rest
I-Ice
C-Compression
E-Elevation
When does the greatest bone growth activity occur
From birth through Puberty
What is a s/s of chronic osteomyelitis
Persistent draining sinus
I aid with muscle spasms, align bones and maintain immobilization
Traction
Which position promotes stump extension and prevents contractures for a client with an amputation
Prone
What movement is performed to confirm a deep vein thrombosis
Dorsiflexion-Homan's Sign
What lab results would you consider to confirm a dx of gout
Uric Acid Level
What is the best way to help a client transfer onto a stretcher following a fracture of lower extremity to help minimize pain
Support the area of discomfort by placing a hand above and below the area affected to Minimize pain and discomfort during transfers
During your thorough assessment which body function will you particularly be interested in for a fractured rib
Respiratory function
Name 3 nursing implications to explain to a parent with a child who has had a new short leg cast applied
-Assess circulation, sensation, mobility every 1-2 hours
-Elevate casted extremity 24-48 hours
-Keep cast clean and dry
-Do not itch under cast with foreign objects
-When removed apply lotions and soaks to with skin care
What diagnosis do you anticipate when the patient reports a feeling that their amputated limb still remains
Phantom limb or phantom pain-sensations can presist for months or decades and or can come and go
What is the most significant complication from dx Scoliosis
Respiratory decline
What type of cast is applied when the foot is slightly flexed which extends from the junction of the upper and middle third of the thigh to the base of the toes
Long Leg Cast
Short leg cast- extends from below the knee to the base of the toes-foot is flexed at a right angle in a neutral position