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NSG430 EXAM 3 (NEW 2024/ 2025 UPDATE) ADULT HEALTH NURSING II REVIEW EXAM WITH 75 ACTUAL QUESTIONS AND COMPLETE 100%CORRECT ANSWERS WITH VERIFIED AND WELL EXPLAINED RATIONALES ALREADY GRADED A+ BY EXPERTS |LATEST VERSION 2024 WITH GUARANTEED SUCCESS AFT $8.49
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NSG430 EXAM 3 (NEW 2024/ 2025 UPDATE) ADULT HEALTH NURSING II REVIEW EXAM WITH 75 ACTUAL QUESTIONS AND COMPLETE 100%CORRECT ANSWERS WITH VERIFIED AND WELL EXPLAINED RATIONALES ALREADY GRADED A+ BY EXPERTS |LATEST VERSION 2024 WITH GUARANTEED SUCCESS AFT
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NSG430 EXAM 3 (NEW 2024/ 2025 UPDATE) ADULT HEALTH NURSING II REVIEW EXAM WITH 75 ACTUAL QUESTIONS AND COMPLETE 100%CORRECT ANSWERS WITH VERIFIED AND WELL EXPLAINED RATIONALES ALREADY GRADED A+ BY EXPERTS |LATEST VERSION 2024 WITH GUARANTEED SUCCESS AFTER DOWNLOAD ALREADY PASSED!!!!!!! (PROVEN IT...

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  • 26 octobre 2024
  • 57
  • 2024/2025
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NSG430 EXAM 3 (NEW 2024/ 2025
UPDATE) ADULT HEALTH NURSING II
REVIEW EXAM WITH 75 ACTUAL
QUESTIONS AND COMPLETE
100%CORRECT ANSWERS WITH VERIFIED
AND WELL EXPLAINED RATIONALES
ALREADY GRADED A+ BY EXPERTS |LATEST
VERSION 2024 WITH GUARANTEED
SUCCESS AFTER DOWNLOAD ALREADY
PASSED!!!!!!! (PROVEN ITS ALL YOU NEED
TO EXCEL IN YOUR EXAM

,
,external fixation -An external fixator is a metallic device composed of metal pins that are inserted
into the bone and attached to external rods to stabilize the fracture while it heals.

-The external fixator is attached directly to the bones by percutaneous transfixing pins or wires.

-It can be used to apply traction or to compress fracture fragments and immobilize reduced fragments
when the use of a cast or other traction is not appropriate.

-The external device holds fracture fragments in place similar to a surgically implanted internal device.

-External fixation is often used in an attempt to salvage extremities that otherwise might require
amputation.

-Because the use of an external device is a long-term process, ongoing assessment for pin loosening and
infection is critical.

-Infection (indicated by exudate, erythema, tenderness, and pain) may require removal of the device.

-Pus oozing out of the hole, redness, swelling, elevated temperature, and elevated WBC indicates
infection

-Instruct the patient and caregiver about meticulous pin care.

-Although each physician has a protocol for pin care cleaning, chlorhexidine 2mg/ml is often used.

-Water and peroxide is used for pin site care

internal fixation -Internal fixation devices (pins, plates, intramedullary rods, and metal and
bioabsorbable screws) are surgically inserted to realign and maintain position of bony fragments.

-These metal devices are biologically inert and made from stainless steel, vitallium, or titanium.

-Proper alignment and bone healing are evaluated regularly by x-rays.

facial fractures -Traumatic injury:

falls, MVA, sports (eye-globe rupture, orbital fracture (blow-out)

-Airway maintenance, suctioning, positioning

-Tracheostomy to by-pass obstruction

-Facial and cervical injuries often occur together

-Treat as cervical spine injury present until proven negative

-Neuro assessment:

GCS, LOC, EOMs, pupillary response, grips and pushes



Types of Facial Fractures:

-Frontal bone: rapid edema that may mask underlying fractures

, -Periorbital bone: possible frontal sinus involvement, entrapment of ocular muscles

-Nasal bone: displacement of nasal bones, nosebleed (epistaxis)

-Zygomatic arch: depression of cheek bone (zygomatic arch) and entrapment of ocular muscles

-Maxilla: segmental motion (instability) of maxilla and tooth fracture at socket

-Mandible: tooth fractures, bleeding, limited motion of mandible



Immobilization:

-Maxillary: more stable usually

-Mandibular: unstable

•Splinted to maxilla to stabilize

•Intermaxillary fixation



Postoperative Care:

-Airway and nausea/vomiting management are priorities

-Elevate HOB, turn to side to maintain airway

-Oral hygiene

-Communication

-Pain management

-Nutrition

-Safety concerns at bedside

•Scissors, wire cutters: remove if concerns with breathing or airway, provide home teaching

•Emergency tracheostomy kit

•Suction set up with Jonker tip

•NG tube if persisting vomitus

•Antiemetics

•Method of communicating

amputation -Removal of an extremity by trauma or surgery

-Goal of surgery:

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