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Acute Care Nurs 1310
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Acute Care Nurs 1310
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Acute Care Nurs 1310open fracture - ANSWER: bone fracture that breaks through the skin
closed fracture - ANSWER: broken bone with no open wound
Upper extremity fractures - ANSWER: Upper ribs, wrist, clavicle
Lower extremity fractures - ANSWER: fractures include those of the: femur, patella, tibia
& fibula, ankle & foot
Causes of fractures - ANSWER: MVA, falls, bone disease, trauma and malnutrition
What vitamins promote bone healing/strength? - ANSWER: Vitamin D and Calcium
What foods are high in Vitamin D and Calcium? - ANSWER: Milk, dairy, green leafy
vegetables, nuts
What way can we get Vitamin D that is free? - ANSWER: Sunlight
What are some clinical manifestations of fractures? - ANSWER: Pain, inability to use
extremity, Ecchymosis, poor pulses, paresthesia, issues with other symptoms
What pulses should you check with a fracture? - ANSWER: Distal pulses
What labs should you check with fractures? - ANSWER: H&H, erythrocyte
sedimentation rate, WBC count
Contraindications to MRI - ANSWER: Metal inside the patient, red dye on tattoos,
jewelry
Immobilization - ANSWER: Splints, casts, orthopedic boots, traction
What is given before and after surgery to prevent infection? - ANSWER: Antibiotics
Complications of fractures - ANSWER: Hemorrhage, hypovolemic shock, fat embolism,
DVT, infection, Delirium, dislocation
Vital signs with FE - ANSWER: BP increase, HR increase, RR increase, low SpO2
What should you monitor with FE? - ANSWER: Distal pulses and LOC (it gradually goes
away)
, What is a late manifestation of FE? - ANSWER: Petechiae
Should you massage a blood clot? - ANSWER: No because you can dislodge it
Best diet for mobility - ANSWER: Protein! Protein=Healing
Foods high in protein - ANSWER: Meats, eggs, beans, almonds
Six P's NV Assessment - ANSWER: Pain, pallor, pulselessness, parasthesia, paralysis,
pressure
Different types of amputations - ANSWER: Toe amputation, Syme amputation, toe
amputation, BKA, AKA
What does the ankle brachial index do? - ANSWER: Measures how arrow blood vessels
are
Doppler ultrasound is used for: - ANSWER: Finding pulses
Complications of amputations - ANSWER: hemorrhage, infection, phantom limb pain,
neuroma, flexion contracture
What kind of restraints are there? - ANSWER: Physical and chemical
Application of restraints - ANSWER: Slip knot or immediate release buckle, apply to
unmovable part of the bed, assess every 30-60 minutes, release restraints every 2
hours and do ROM
Alternatives to restraints? - ANSWER: Reorient as frequently as possible, check on
patient every hour, distractions such as puzzles, games, coloring, family member or
sitter
What should patient be informed of? - ANSWER: Reason for procedure, who will be
performing, alternatives, procedure risks, anesthesia risks, blood products
Responsibilities of the client - ANSWER: to be informed of procedure/what they are
consenting to
Responsibility of surgeon - ANSWER: Getting consent; making sure client is aware of
benefits/risks and answers any questions they still may have
Responsibility of Anesthesiologist - ANSWER: Making sure that client is aware of all
anesthesia that is going into them; can do blood consent
Responsibility of nurse - ANSWER: To make sure that patient is in right frame of mind
to consent
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