Exam (elaborations)
NUR 405 ( LATEST 2024 / 2025 ) FINAL | WITH 100% VERIFIED ANSWERS
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NUR 405 ( LATEST 2024 / 2025 ) FINAL | WITH 100% VERIFIED ANSWERS
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NUR 405 Final1. Fracture assessments
Answer
NV (pallor, pain, paresthesia, pulses, paralysis), VS, ROM (wiggle fingers, move hand, move
hip)- helps rule out
2. Fracture interventions
Answer
x-ray, ORIF, external fixator/traction
3. Fracture post op ORIF
Answer
DVT, infection, bleeding, pain management
4. Fracture teaching
Answer
watch pin sites, pin care 2 times a day, increase protein
5. Total hip replacement assessments
Answer
NV (5 Ps), musculoskeletal assess, ROM of hip, leg will be shorter
,6. Total hip replacement interventions
Answer
ORIF, must stop blood thinners (Vit K) before surgery, Buck's traction before surgery
7. Total hip replacement teaching
Answer
post op
infection, protein, don't cross legs, don't bare all weight, higher up chairs/toilet seats, use
grabbers to pick things up
8. Amputation assessments
Answer
ABCs, vitals, pain (could be phantom limb pain), NV
9. Amputation interventions
Answer
STOP BLEEDING ASAP (tourniquet), IV SITE FIRST (2 sites, >20), prep for admin blood,
O2
10. Amputation teaching
Answer
infection, pain control, wound care, home health care, get them up and moving right away,
protein, calories, psychosocial
,11. Osteomyelitis assessments
Answer
pulses, NV, fracture hx, temp, pain, site (swelling, warmth, redness), not feeling well (malaise)
12. Osteomyelitis causes
Answer
open fracture, open wound, untreated DM, staph infections
13. Osteomyelitis interventions
Answer
CBC (wbc), cultures, debridement, start with broad spectrum abx after blood cultures
14. Osteomyelitis teaching
Answer
increase protein for wound healing, dietary teaching, wound care, abx via PICC w/ homecare,
s/s of infection spreading, finish all abx
15. Traction assessments
Answer
neurosensory, skin (possible pressure ulcers develop- ing), ROM
16. Traction interventions
Answer
, leave weights in same spot before surgery
17. Traction teaching
Answer
pt/fam CANNOT move the weights, no sudden movements, teach it's temporary
18. Increased ICP
Answer
herniation
after head injury, too much bleeding, initial HR increase and rapid HR decrease, resp status
decreases, BP increases due to excess pressure (causes herniation), pupils fixed and dilated,
mannitol/diuretic (increases UO = EXPECTED FINDING), don't suction too often = increases
ICP, HOB 30 degrees, decreased stimuli
19. Increased ICP
Answer
decorticate
arms and elbows in towards chest
20. Increased ICP
Answer
decerebrate
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