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NUR 211 Final Exam Questions And Answers New Edition
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NUR 211 Final Exam Questions AndAnswers New Edition
facture - Answer Break in the continuity of a bone
Fracture is Most Common in : - Answer Patients who have experienced trauma and older
adults
Long Bone Early Complications - Answer Fat Embolus
DVT
Compartment Syndrome
Compartment syndrome - Answer occurs when swelling causes increased pressure
leading to decreased blood flow and potential muscle and nerve damage... EMERGENT
For long bone fracture you should monitor - Answer Pulses and Temp.
Closed Fracture (SImple Fracture) - Answer Fracture is with in the skin, muscle and fascia
Open Fracture (Compound Fx) - Answer Fracture penetrates the skin, muscle, fascia
Transverse fracture - Answer Occurs at right angle of bone axis
Linear fracture - Answer fracture occurs parallel to bone axis
Nondisplaced Fracture (stable Fracture) - Answer Broken ends of the bone remain
,aligned
Displaced fracture (Compound) - Answer Broken ends of bone do not align requires
immediate attention.
Spiral - Answer Fracture Spirals around bone, common in sports and children
Green Stick - Answer bone fragments still partially join, children affected
communuted fracture - Answer break or splinter of the bone into more than 2 fragments,
such as high-impact trauma (MVA)
Greenstick - Answer xray will show fracture on only one side but the other side will look
normal.
3 Stages of Healing - Answer -Inflammatory/Reactive Phase
-Reparative Phase
-Remodeling Phase
Signs and Symptoms of Compartment Syndrome - Answer Reduce Blood Flow
Increases Blood Pressure
Monitor Temperature of Limb
Monitor Distal Pulses
Tenderness
Edema
SHOB
5 p's (pain, pulse, pallor, paranesthesia, paralysis)
,Fat embolus can form when - Answer can form when a long bone is fractured and fat cells
from yellow bone marrow are released into the blood.
Fat embolus can lead to - Answer PE (signs include increased heart rate, increased
respiratory rate, SHOB)
Hip Fx what should the nurse do? - Answer Teach:
Do not cross Legs
Use Abduction Pillow
Roll patient when moving or changing brief
Elevate HOB to 90 degrees
Risk factors of Hip Fracture - Answer Age
Female
History of Osteoporosis
Traumatic Hip Fx - Answer -One leg will be shorter
-acute pain
-deformed
-xray will not show fracture
Most common type of hip fracture - Answer intertrochanter
Complication of Hip fracture that can lead to PE - Answer Fat Emboli (CP increased HR
and RR, Hypoxia)
Strains - Answer Stretching or tearing of tendons
, Sprain - Answer Stretching or tearing of ligaments
Contusion - Answer Swollen or discolored Muscle Injury
Treatment of Strains, Sprains and Contusions - Answer RICE
Rest
Ice
Compression
Elevation
POLICE
Protection
Optimal
Load
Ice
Compression
Elevation
Dislocation Treatment - Answer -Keep Injury Stable
-Stay ahead of the pain
-avoid opioid overdose, rehab
Signs and symptoms of inadequate pain management - Answer diaphoresis
Increased heart Rate
Increased Blood Pressure
Complications of Fractures - Answer Avascular necrosis of bone
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