M/S 1
A major nursing intervention for an adult patient with osteoporosis is implementing fall prevention strategies to prevent these high-risk events.
What are fractures?
The nurse ensures that a patient taking an oral bisphosphonate, such as alendronate (Fosamax), remains in this position for at least 30 to 60 minutes after taking the medication.
What is sitting upright or standing?
Following a traumatic musculoskeletal injury, the nurse's first priority is ensuring the patient's airway, breathing, and this.
What is circulation?
The nurse teaches post-menopausal women that increasing their intake of these two nutrients can help prevent this bone-density disease.
What are calcium and vitamin D?
When assessing a patient with a cast, the nurse performs neurovascular checks, focusing on the 7 Ps: paresthesia, pallor, pain, poikilothermia, paralysis, pulselessness, and this final "P".
What is prolonged capillary refill?
For a patient with a hip fracture, the nurse places a pillow between the patient's knees when turning them to maintain alignment and prevent this complication.
What is hip dislocation?
The nurse administers these prophylactic medications for a patient with a lower extremity fracture to prevent deep vein thrombosis.
What are anticoagulants?
This class of medications, including enoxaparin (Lovenox), apixaban (Eliquis), or aspirin, is given prophylactically to reduce the risk of a blood clot.
What are anticoagulants?
The nurse teaches the patient to prepare their home for discharge by removing throw rugs and securing these in bathrooms and stairways.
What are grab bars or safety rails?
To prevent pneumonia, the nurse encourages the patient to perform this activity every two hours.
What is deep breathing and coughing?
The nurse immediately elevates and applies ice to an injured limb to help reduce this.
What is swelling?
The nurse emphasizes the importance of avoiding this activity, both before and after surgery, as it can inhibit bone healing.
What is smoking?
To prepare the limb for a prosthesis, the nurse wraps the residual limb with a compression bandage using this specific pattern.
What is a figure-eight wrapping pattern?
The nurse recognizes that unrelieved pain that is out of proportion to the injury may indicate this serious complication requiring immediate intervention.
What is compartment syndrome?
The nurse may administer this anticonvulsant medication, which is also used for neuropathic pain, to manage phantom limb pain.
What is gabapentin (Neurontin)?
The nurse explains that this type of pain is felt in the part of the limb that has been removed and is common after an amputation.
What is phantom limb pain?
The nurse applies these devices to the legs to prevent blood clots from forming.
What are pneumatic compression devices or TED hose (elastic stockings)?
The nurse places this device between the legs of a patient with a new total hip replacement to prevent the legs from adducting and keep the joint aligned.
What is an abduction pillow or wedge?
The nurse is aware that a trauma-related hemorrhage may cause ischemic tissue damage, leading to this post-operative complication requiring careful monitoring.
What is tissue necrosis?
A nursing intervention to address the long-term mobility issues associated with amputation is to collaborate with this team member for strength and range-of-motion exercises.
What is a physical therapist?
The nurse's first priority for a bleeding amputation site is to apply this while elevating the residual limb.
What is direct pressure?
A critical nursing intervention is to perform frequent checks for this, especially after a knee replacement, to ensure adequate blood flow and sensation.
What is a neurovascular assessment or checks (the 7 P's)? •Pain, paresthesia, pulse, pallor, pressure, paralysis, puffiness
This type of pain is felt in the part of the limb that has been removed and is a common post-amputation complication.
What is phantom limb pain?
The nurse monitors the patient for redness, warmth, or drainage at the incision site, which can indicate this common complication.
What is infection?
The nurse may administer this anticonvulsant medication to help manage the neuropathic component of phantom limb pain.
What is gabapentin (Neurontin) or pregabalin (Lyrica)?