Fact or Cap:Traction
Buck's traction is skin traction.
What is fact?
Remember when you are "Buck" you are only wearing your skin.
This is the goal of nursing care for client's with chronic illnesses.
What is foster independence?
The nurse should do this for a client with a compound (open) fracture of the femur (thigh).
What is splint the thigh as it lies?
Do not attempt to straighten the leg.
This is the cardinal sign of compartment syndrome.
What is unrelenting, severe pain not relieved by narcotics?
This agent treats opioid overdose.
What is naloxone?
The weights for traction should rest on a bedside table.
What is cap? The weights should hang freely and the nurse should not adjust traction weights.
This nursing intervention prevents contractures.
What is range of motion?
ROM does not increase strength!
Client teaching about the frequency of applying ice to an injury.
What is Q 2 hours for 10-20 minutes? Not continuous.
Fact or cap: Discharge teaching for a client with a total hip replacement should include- Do not lie on the operative side.
What is cap?
Client's may sleep on the operative side. It is important to explain they must put a pillow between their legs if lying on either side.
This agent treats heparin overdose.
What is protamine sulfate?
An overhead trapeze will promote the client's independence.
What is fact?
The goal of rehab nursing is to promote independence.
The best intervention for preventing skin breakdown.
What is turn or change position every 2 hours?
Check skin too!
This nursing intervention assists in preventing compartment syndrome after cast placement.
What is elevate the limb?
Clients are taught to avoid these positions after a total hip replacement.
What is:
don't cross your legs x 3 months
Avoid FLAIR: Flexion beyond 90 degrees, Adduction (moving legs together), or internal rotation.
Avoid sitting in low chairs/toilets
This agent treats magnesium overdose (overcorrection).
What is calcium gluconate?
The nurse should ensure that the client's feet are resting on the floorboard to ensure proper alignment of Buck's traction.
What is cap?
The feet should not touch the foodboard.
The time period that rehabilitation nursing begins after an injury.
What is upon admission?
The client should use this setting on a hair dryer to relieve itching after cast placement.
What is COOL?
Not hot which could cause a burn.
The nurse assesses for this problem for a client with an abductor pillow.
What is alteration in peripheral circulation?
Check 6 P's
This agent treats midazolam, a benzodiazepine, overdose.
What is flumazenil?
The nurse should do pin care with povidone-iodine twice a day for a client in Buck's traction.
What is cap?
Buck's traction is a type of skin traction, so there are no pins. Pins are used in skeletal traction and the nurse would do pin care but not with povidone-iodine (betadine).
The best way for the nurse to promote independence for a client who has hemiparesis after a stroke.
What is give step-by-step directions?
The frequency of neurovascular checks after a fracture or arthroplasty.
What is Q 1 hour x 24 hours?
This nursing intervention is best for a older adult client with a traumatic brain injury who is working on learning to walk again.
What is introduce to a peer who has has a similar injury?
This agent treats beta blocker overdose.
What is glucagon?