Week 3
Hearing loss treatment (name at least 1)
Based on the cause:
Impacted cerumen – irrigation /manual removal
Mild to moderate hearing loss – hearing aids
Severe hearing loss – cochlear implants
Immobility - Impact on Overall Health - Pulmonary system (name at least 1)
Pneumonia (PNA), decreased cough reflex, pooling of pulmonary secretions, hypoventilation, atelectasis, decreased lung expansion
Immobility - Impact on Overall Health - Psychosocial (name at least 1)
Frustration, depression, loss of cognitive function, loss of confidence, and social isolation
Neurovascular check components (CMST)
Color of the limb; motion or movement; sensation; temperature
Hip precautions (name at least 2)
Avoid for at least 6 weeks post-op
Hip adduction, flexion, and internal rotation
Bending the hips more than 90 degrees
Crossing legs or feet
Lying on the operative side
Twisting upper body
Tub bathing
DO's of hearing aid care (name at least 2)
Do: Return to case when not in use; remove cerumen and debris regularly; keep extra batteries available; have hearing aids professionally examined twice a year; keep from reach of children and pets; wear regularly
Immobility - Impact on Overall Health - Cardiovascular system (name at least 1)
Decreased cardiac output, venous stasis, orthostatic hypotension, DVT
Immobility - Impact on Overall Health - Genitourinary system (name at least 1)
Incontinence, urinary tract infections (UTIs), urinary retention
This disorder occurs when pressure builds up in the fascia and causes compression to the nerves and blood supply of the involved muscle. When acute, it is a medical emergency. It can be caused by a tight cast or edema.
Compartment syndrome
Risk factors of back pain (name at least 2)
Disorders of spinal structures
Herniated disks, nerve root pain, compression fractures, osteoarthritis, strain, and spinal stenosis
Cancer, infection, inflammation
DON'Ts of hearing aid care (name at least 2)
Don't: Let hearing aid get wet; sleep with them inserted; share with others; place batteries in the refrigerator; leave sitting out when not in use; allow excessive buildup of cerumen and debris
Age-related changes to the musculoskeletal system (name at least 2)
Decreased bone density; cartilage thins; joint resilience reduced; more rigid and brittle ligaments and tendons; reduced muscle mass
Manifestations of arthritis (name at least 2)
Joint pain, stiffness, edema, decreased mobility
A release of fat and marrow into the bloodstream and blockage of small vessels. Those who have a fractured femur or humerus are at a higher risk of developing this complication.
Fat embolism
Back pain - Impact on overall health (name at least 2)
Can lead to disability
Reduced activity
Financial burden
Depression
Anxiety
Role of the nurse - Tinnitus (name at least 2)
Therapeutic communication; data collection on physical and psychological effects; safety considerations; education reinforcement [Available resources, lifestyle modifications (cut down caffeine, nicotine, alcohol, and sodium), stress management]
Causes of muscle atrophy (name at least 2)
Prolonged bedrest, aging, medical conditions (e.g., multiple sclerosis, stroke)
Manifestations of osteoporosis (name at least 1)
Asymptomatic and usually not diagnosed until after a fracture
Thoracic compression can cause kyphosis, cervical lordosis, and dyspnea
Education reinforcement to a client with a fracture (name at least 3 items)
Safety
Complication prevention
Immobilization
Concerning manifestations
Pain management
Assistive devices
Nutrition – Calcium and Vitamin D
Avoid alcohol (ETOH) and tobacco
Ongoing care
Psych support
Back pain - role of the nurse (name at least 2)
Ergonomic interventions (safe patient handling)
Safety
Education Reinforcement (Maintain activity, ergonomic practices[bending at the knees, avoiding twisting, etc], pain control)
Manifestations of Meniere's disease (name at least 3)
Vertigo, nausea, vomiting, ear pressure, tinnitus, hearing loss, blurry vision, cold sweats, trembling, headaches
Role of the nurse related to complications of immobility (name at least 2)
Encourage mobilization
Assist with mobility
Safety
Education reinforcement
Importance of early mobilization, safety measures
Role of the nurse - soft tissue injuries (name at least 2)
Ensure safety
Data collection
Mobility as ordered
Protect, rest, ice, compression, elevation (PRICE)
Education reinforcement
Role of the nurse for a client with traction (name at least 3)
Ensure the traction rope and pulley device are free from kinks and wear; the weight should hang freely; skeletal alignment maintained; stabilize the weight when repositioning client; collect data on pin sites (monitor for infection) at least once a shift; pin care once a shift (soap and water, using sterile swabs; get a new one for each pin; start at insertion site and work your way outward)
Education reinforcement - amputations (name at least 2)
Maintain mobility, wound care, pain management,
Pre-op: Smoking cessation, control of disorders, support
Post-op: Monitor for bleeding, monitor for circulation issues (color, temperature, blanching)