Exam (elaborations)
2024 NUR 1024 FINAL- REVIEW EXAM WITH CORRECT ANSWERS
- Course
- Institution
2024 NUR 1024 FINAL- REVIEW EXAM WITH CORRECT ANSWERS
[Show more]
Content preview
2024 NUR 1024 FINAL- REVIEWEXAM WITH CORRECT
ANSWERS
Pharmacological: Fractures - CORRECT ANSWERS-Analgesics: opioids, PCA, (severe fractures) NSAIDS (pain and inflammation)
Antibiotics (prevent and tx of infection)
Anticoagulants (prevent or tx of DVT)
Surgery: OA - CORRECT ANSWERS-Arthroscopy
-repairs cartilage that is worn from the ends of bones
-camera that is inserted into the joint to visualize the joint structures and small surgical instruments inserted for debridement
Joint resurfacing
-small amount of bone is removed at the articulating surface of the joint, and
a metal replacement is fitted over the end of the bone
Osteotomy -surgical removal of a wedge of bone above or below the joint to realign the joint and shift the weight away from the damaged portion of the joint
Joint fusion -(arthrodesis) permanently fuses two or more bones together at a joint using pins, plates, screws, and rods
Arthroplasty
-total joint replacement, surgeon removes the damaged joint surfaces and replaces them with plastic, metal, or ceramic prostheses
Surgery: PD - CORRECT ANSWERS-Deep brain stimulation (DBS)
-Neurostimulator is implanted in client to send electrical signals to brain
-Reduces tremor, bradykinesia, & rigidity
-Often allows clients to decrease dosage of levodopa
-Complications - hemorrhage, infection, dislodging of leads, component failure Pallidotomy (destroys part of basal ganglia) and thalamotomy (destroys part of thalamus) largely replaced by DBS
Diagnostic testing: Back problems (herniated disc) - CORRECT ANSWERS-
Health history Physical exam
Mobility test- straight leg raise test, gait test, reflex test, muscle strength test
Imaging- CT scan (most common) and MRI (severe cases) Blood tests- CBC, erythrocyte sedimentation rate, C-reactive protein, HLA-
B27 (used to test for inflammation, infection, arthritis) Myelogram- dye is injected into the spinal fluid and visualized by x-ray may be used to identify areas of pressure on the spinal cord or nerves
Electromyogram - measures the electrical activity of the muscles at rest during contraction
Nursing care: fractures - CORRECT ANSWERS-administer analgesics as prescribed elevate the injured area and apply ice packs to decrease swelling
Drain fluid from drainage devices and monitor the drainage for possible hematoma
Encourage client to move frequently (changing positions to relieve pressure, wiggling fingers or toes to improve circulation and ambulating to reduce complications)
Teach client alternative methods of pain management (relaxation, distraction, imagery, social interaction)
Notify physician of unrelieved pain and advocate for increased pharmacologic intervention
Nursing care: PD - CORRECT ANSWERS-Nurses are essential for monitoring progression of client's PD
-Monitoring client's ability to perform ADLs
-Client teaching
-Emotional support
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Elitaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
