NU-155, Galen San Antonio, Final
Exam, Harwell
What are the complications of a bone fracture? - ✔️✔️-healing impeded by improper
alignment and inadequate mobilization
-infection with open reduction
What is external fixation for a fracture and why is it necessary? - ✔️✔️-system of
external pins or apparatus to hold the fractured area stable
-massive open fractures w/ extensive soft tissue damage
-infected fractures that don't heal properly
-multiple trauma (burns, chest or head injury)
What are the nursing assessments for skin/skeletal traction? - ✔️✔️-assess to see that
they are in correct position and that the weights are hanging freely
-assess pt's body position for proper alignment
What is the nursing care needed for strains/sprains? - ✔️✔️-RICE
-NSAID's to manage swelling
-check for circulation/sensation below compression
What is a splint? - ✔️✔️flexible or rigid device that is used to protect and maintain the
position of an injured extremity
What are the s/s of a bone fracture? - ✔️✔️Pain, edema, crepitus, deformity, feel
crepitus (grinding of 2 bone fragments), shortened extremity, may see bone in an open
fx, muscle spasms (seen or felt)
What are the treatments for a bone fracture? - ✔️✔️-closed reduction- bone
manipulated to alignment
-open reduction- surgical alignment
-stabilization- internal/external fixation, casts, splints
-traction
What patient teaching is needed for cast care? - ✔️✔️-explain the procedure
-do NOT scratch under the cast
-cast must be protected from moisture
, What is compartment syndrome? - ✔️✔️External or internal pressure that restricts
circulation in one or more muscle compartments of the extremities
What are the s/s of compartment syndrome? - ✔️✔️Pallor, Pain, No Pulse,
Paresthesia, Paresis (slight/partial paralysis)
What is the treatment for compartment syndrome? - ✔️✔️-immediate recognition
-remove cast/dressings (if present)
-surgical fasciotomy
What is key to preventing compartment syndrome? - ✔️✔️elevation!!!
What is carpal tunnel syndrome? - ✔️✔️compression of the median nerve, usually
caused by repetitive movements of hands and wrists
What are the s/s of carpal tunnel syndrome? - ✔️✔️-pain
-numbness
-tingling of the hand, particularly at night
-repetitive movements of hands and wrists
What is the treatment for carpal tunnel syndrome? - ✔️✔️-rest/splint
-changing the angle of the wrist during repetitive motions
-steroid injections
-surgery
What is a TIA? - ✔️✔️Transient Ischemic Attack. Mini-stroke. Temporary loss of blood
supply to the brain
What are the risk factors for TIA/CVA? - ✔️✔️-smoking
-hypertension
-hyperlipidemia
What are the 2 types of CVA? - ✔️✔️-hemorrhagic- caused by a rupture of a cerebral
artery
-ischemic- caused by an occlusion of a cerebral artery (85% of strokes)
What are the s/s of TIA/CVA? - ✔️✔️-motor function deficits
-sensory deficits
-language disorders
-memory loss, emotional lability, impaired judgment
-bladder/bowel incontinence
What are the interventions/assessments required prior to administering PO intake after
a CVA? - ✔️✔️-gag reflex
-swallow study
Exam, Harwell
What are the complications of a bone fracture? - ✔️✔️-healing impeded by improper
alignment and inadequate mobilization
-infection with open reduction
What is external fixation for a fracture and why is it necessary? - ✔️✔️-system of
external pins or apparatus to hold the fractured area stable
-massive open fractures w/ extensive soft tissue damage
-infected fractures that don't heal properly
-multiple trauma (burns, chest or head injury)
What are the nursing assessments for skin/skeletal traction? - ✔️✔️-assess to see that
they are in correct position and that the weights are hanging freely
-assess pt's body position for proper alignment
What is the nursing care needed for strains/sprains? - ✔️✔️-RICE
-NSAID's to manage swelling
-check for circulation/sensation below compression
What is a splint? - ✔️✔️flexible or rigid device that is used to protect and maintain the
position of an injured extremity
What are the s/s of a bone fracture? - ✔️✔️Pain, edema, crepitus, deformity, feel
crepitus (grinding of 2 bone fragments), shortened extremity, may see bone in an open
fx, muscle spasms (seen or felt)
What are the treatments for a bone fracture? - ✔️✔️-closed reduction- bone
manipulated to alignment
-open reduction- surgical alignment
-stabilization- internal/external fixation, casts, splints
-traction
What patient teaching is needed for cast care? - ✔️✔️-explain the procedure
-do NOT scratch under the cast
-cast must be protected from moisture
, What is compartment syndrome? - ✔️✔️External or internal pressure that restricts
circulation in one or more muscle compartments of the extremities
What are the s/s of compartment syndrome? - ✔️✔️Pallor, Pain, No Pulse,
Paresthesia, Paresis (slight/partial paralysis)
What is the treatment for compartment syndrome? - ✔️✔️-immediate recognition
-remove cast/dressings (if present)
-surgical fasciotomy
What is key to preventing compartment syndrome? - ✔️✔️elevation!!!
What is carpal tunnel syndrome? - ✔️✔️compression of the median nerve, usually
caused by repetitive movements of hands and wrists
What are the s/s of carpal tunnel syndrome? - ✔️✔️-pain
-numbness
-tingling of the hand, particularly at night
-repetitive movements of hands and wrists
What is the treatment for carpal tunnel syndrome? - ✔️✔️-rest/splint
-changing the angle of the wrist during repetitive motions
-steroid injections
-surgery
What is a TIA? - ✔️✔️Transient Ischemic Attack. Mini-stroke. Temporary loss of blood
supply to the brain
What are the risk factors for TIA/CVA? - ✔️✔️-smoking
-hypertension
-hyperlipidemia
What are the 2 types of CVA? - ✔️✔️-hemorrhagic- caused by a rupture of a cerebral
artery
-ischemic- caused by an occlusion of a cerebral artery (85% of strokes)
What are the s/s of TIA/CVA? - ✔️✔️-motor function deficits
-sensory deficits
-language disorders
-memory loss, emotional lability, impaired judgment
-bladder/bowel incontinence
What are the interventions/assessments required prior to administering PO intake after
a CVA? - ✔️✔️-gag reflex
-swallow study
