what should you include in pt ed for hip fracture prevention? post op?
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prevention
- osteoporosis
- weight-bearing exercise
- home safety evaluation
- don't smoke
- eat well (calcium + vitamin D)
- fluids - prevent kidney stones
, post op
- mobility
- safety
- raise toilet 90°
- don't bend past 90°
Which rational supports administering the medication pregabalin to a client with
acquired immunodeficiency syndrome (AIDS)?
1 To reduce neuropathic pain
2 To reduce cognitive difficulty
3 To reduce swallowing difficulty
4 To reduce muscle and joint paln
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1 To reduce neuropathic pain
how does skeletal (pins) traction work?
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- long term traction
- if pt is not an anesthesia candidate (age, comorbidities,
renal/liver)
- can be wks-mos
- reduces muscle spasm
- reduces pain & tissue damage
Wong-Baker FACES scale
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scale c drawings/pictures clinicians use to assess pain in
cognitively impaired client
While in Buck's extension traction, the client may be positioned:
A) On the back, with the knees flexed 45 degrees
B) On the back, with the buttocks slightly elevated off the bed
C) On the back, turning to the unaffected side for 10- to 15-minute periods
D) On the back, with the bed tilted toward the side that is opposite the traction
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C) On the back, turning to the unaffected side for 10- to 15-minute periods
compression fracture
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- occurs when the bone is pressed together (compressed)
on itself
- crushed fragments
What is botulism?
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- nerve paralysis due to toxin buildup
- toxin blocks release of acetylcholine in synapse
- food poisoning - blood in stool/vomit
- giving children honey
When teaching cast care, the nurse instructs the client to:
A) Blow dry the wet cast with a hair drier
B) Report changes in sensation or mobility to the area
C) Use only soft objects to slide down the cast for scratching
D) Cut away the edges of the cast if the skin becomes irritated
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B) Report changes in sensation or mobility to the area
What is Bell's palsy?
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- unknown cause - maybe viral?
- Ipsilateral facial paralysis w inability to close affected eye
- acute onset over 1-2 days, progressively worsening
weakness over 3 weeks, recovery in 6 months
- dx - CT & MRI (mostly to rule out other conditions)
- Unilateral facial nerve paralysis
- Hyperacusis (paralyzed stapedius muscle)
- differentiated from stroke bc BP only affects face
Give this one a try later!
prevention
- osteoporosis
- weight-bearing exercise
- home safety evaluation
- don't smoke
- eat well (calcium + vitamin D)
- fluids - prevent kidney stones
, post op
- mobility
- safety
- raise toilet 90°
- don't bend past 90°
Which rational supports administering the medication pregabalin to a client with
acquired immunodeficiency syndrome (AIDS)?
1 To reduce neuropathic pain
2 To reduce cognitive difficulty
3 To reduce swallowing difficulty
4 To reduce muscle and joint paln
Give this one a try later!
1 To reduce neuropathic pain
how does skeletal (pins) traction work?
Give this one a try later!
- long term traction
- if pt is not an anesthesia candidate (age, comorbidities,
renal/liver)
- can be wks-mos
- reduces muscle spasm
- reduces pain & tissue damage
Wong-Baker FACES scale
,Give this one a try later!
scale c drawings/pictures clinicians use to assess pain in
cognitively impaired client
While in Buck's extension traction, the client may be positioned:
A) On the back, with the knees flexed 45 degrees
B) On the back, with the buttocks slightly elevated off the bed
C) On the back, turning to the unaffected side for 10- to 15-minute periods
D) On the back, with the bed tilted toward the side that is opposite the traction
Give this one a try later!
C) On the back, turning to the unaffected side for 10- to 15-minute periods
compression fracture
Give this one a try later!
- occurs when the bone is pressed together (compressed)
on itself
- crushed fragments
What is botulism?
, Give this one a try later!
- nerve paralysis due to toxin buildup
- toxin blocks release of acetylcholine in synapse
- food poisoning - blood in stool/vomit
- giving children honey
When teaching cast care, the nurse instructs the client to:
A) Blow dry the wet cast with a hair drier
B) Report changes in sensation or mobility to the area
C) Use only soft objects to slide down the cast for scratching
D) Cut away the edges of the cast if the skin becomes irritated
Give this one a try later!
B) Report changes in sensation or mobility to the area
What is Bell's palsy?
Give this one a try later!
- unknown cause - maybe viral?
- Ipsilateral facial paralysis w inability to close affected eye
- acute onset over 1-2 days, progressively worsening
weakness over 3 weeks, recovery in 6 months
- dx - CT & MRI (mostly to rule out other conditions)
- Unilateral facial nerve paralysis
- Hyperacusis (paralyzed stapedius muscle)
- differentiated from stroke bc BP only affects face
