Exam (elaborations)
KAPLAN MED-SURG FINAL exam with answers
- Course
- MED-SURG
- Institution
- Kaplan College
KAPLAN MED-SURG FINAL exam with answers
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KAPLAN MED-SURG FINAL exam withanswers
s/s of fractures - ** VERIFIED ANSWERS **✔✔swelling pallor, ecchymosis,
loss of sensation, deformity, pain/or acute tenderness, muscle spasms,
abnormal mobility, loss of function, crepitus, shortening of affected limb,
decreased or absent pulses distal to injury, affected extremity colder than
contralateral part
Complications of fractures - ** VERIFIED ANSWERS **✔✔fat emboli,
hermorrhage, delyaed union, nonuion, sepsis compartment syndrome
compartment syndrome - ** VERIFIED ANSWERS **✔✔high pressure within
a muscle compartment of an extremity compromises circulation; pressure
may be internal, external; if left untreated nueromuscular damage occurs
within 4-6 hours; limb can become useless within 24-48 hours; will see
unrelenting pain out of proportion to injury and unrelieved by pain
medication, decreased pulse strength and pale cool extremity
unrelenting pain out of proportion to injury and unrelieved by pain
medication - ** VERIFIED ANSWERS **✔✔compartment syndrome
emergency fracture care - ** VERIFIED ANSWERS **✔✔immobilize, cover
wound if open fracture, give pain meds
treatment of fractures - ** VERIFIED ANSWERS
**✔✔splinting/immbolization, internal fixation, open reduction/surgical
dissection
Bucks traction - ** VERIFIED ANSWERS **✔✔a skin traction, non invasive,
relieves muscular spasm of leg and back; if no fracture, may turn to either
side; with fracture, turn to unaffected side, 8-20 lb used, elevate food of
bed for countertraction. Pillow beneath lower leg not heel. Don't elevate
knee gatch.
, skeletal traction - ** VERIFIED ANSWERS **✔✔halo fixation, Crutchfield
tongs -- invasive
Cast care - ** VERIFIED ANSWERS **✔✔avoid covering cast until dry, avoid
resting cast on hard surfaces or sharp edges, keep affected limb elevated
above heart on soft surface until dry, watch for danger signs, elevate arm
cast above level of heart
danger signs to watch for with casts - ** VERIFIED ANSWERS
**✔✔blueness, paleness, pain, numbness or tingling sensations on affected
area
nursing actions if pt with cast is feeling pain in affected limb with
numbness or tingling - ** VERIFIED ANSWERS **✔✔elevate limb and call
provider if it exists
s/s of hip fracture - ** VERIFIED ANSWERS **✔✔leg shorter, adducted,
externally rotated, pain, hematoma, ecchymosis
hip replacement preop and postop care - ** VERIFIED ANSWERS
**✔✔abduction of affected extremity (wedge pillow or 2-3 normal pillows
between legs), Ice, trapeze for lifting, DVT prophylaxis, ambulate with
walker at first, don't sleep on operated side, don't flex hip more than 90,
report increased pain, cleanse incision daily, inspect for infection
too much drainage post op - ** VERIFIED ANSWERS **✔✔? review drainage
care
postop discharge teaching -- hip/knee replacement - ** VERIFIED ANSWERS
**✔✔maintain abduction, avoid stooping, do not sleep on operated side,
flex hip only 90 degrees, never cross legs, avoid position of flexion, walk,
pt should resume normal activity by - ** VERIFIED ANSWERS **✔✔3 months
after hip replacement
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