NSG223 / NSG 223 Final Exam (Latest 2024 / 2025 Update): Medical-Surgical Nursing II | Questions and Verified Answers | 100% Correct | Grade A - Herzing

Final Exam: NSG223 / NSG 223 (Latest 2024 / 2025 Update) Medical-Surgical Nursing II / Med Surg 2 Exam | Questions and Verified Answers | 100% Correct | Grade A - Herzing Q: infection in a patient with a cast most commonly occurs from what? Answer: breakdown of skin under the cast also called pressure necrosis Q: signs of pressure necrosis Answer: hot spot under the cast, musty smell, fever Q: how should a patient with an arm cast position their arm Answer: elevate it above the heart to reduce swelling Q: nursing care for a leg cast Answer: elevate the leg on several pillows to reduce swelling and apply ice for first 24 hours as prescribed Q: good diet for healing Answer: high in protein, iron, vitamins, carbs Q: monitor pts in a body/spica cast for what serious complication? Answer: cast syndrome Q: fracture patient's pain must be immediately reported to the HCP to avoid what Answer: paralysis and necrosis Q: how to monitor for potential cast syndrome Answer: note bowel sounds every 4-8 hours and report distention, nausea, and vomiting Q: treatment for cast syndrome Answer: try to relieve pressure, window in cast Q: goal for post knee replacement- flexion beyond how many degrees Answer: 90 degrees Q: patient after TKA should avoid pressure on what? Answer: heel Q: greatest concern after TKA and THA Answer: contractures Q: what is done to prevent contractures Answer: maintaining limb extension and CPM Q: acute compartment syndrome is caused by Answer: reduced circulation to the area causing increased pressure from cast that is put on too early or too tight Q: most common complication of lower extremity surgery Answer: DVT Q: earliest manifestation of fat embolism syndrome