EXAM, HARWELL
What-are-the-s/s-of-a-bone-fracture?---ans-✔✔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?---ans-✔✔-closed-reduction--bone-
manipulated-to-alignment
--open-reduction--surgical-alignment
--stabilization--internal/external-fixation,-casts,-splints
--traction
What-are-the-complications-of-a-bone-fracture?---ans-✔✔-healing-impeded-by-improper-
alignment-and-inadequate-mobilization
-infection-with-open-reduction
What-is-external-fixation-for-a-fracture-and-why-is-it-necessary?---ans-✔✔-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?---ans-✔✔-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?---ans-✔✔-RICE-
-NSAID's-to-manage-swelling
-check-for-circulation/sensation-below-compression
What-is-a-splint?---ans-✔✔flexible-or-rigid-device-that-is-used-to-protect-and-maintain-the-
position-of-an-injured-extremity
, What-patient-teaching-is-needed-for-cast-care?---ans-✔✔-explain-the-procedure
-do-NOT-scratch-under-the-cast
-cast-must-be-protected-from-moisture
What-is-compartment-syndrome?---ans-✔✔External-or-internal-pressure-that-restricts-
circulation-in-one-or-more-muscle-compartments-of-the-extremities
What-are-the-s/s-of-compartment-syndrome?---ans-✔✔Pallor,-Pain,-No-Pulse,-
Paresthesia,-Paresis-(slight/partial-paralysis)
What-is-the-treatment-for-compartment-syndrome?---ans-✔✔-immediate-recognition
-remove-cast/dressings-(if-present)
-surgical-fasciotomy
What-is-key-to-preventing-compartment-syndrome?---ans-✔✔elevation!!!
What-is-carpal-tunnel-syndrome?---ans-✔✔compression-of-the-median-nerve,-usually-
caused-by-repetitive-movements-of-hands-and-wrists
What-are-the-s/s-of-carpal-tunnel-syndrome?---ans-✔✔-pain
-numbness
-tingling-of-the-hand,-particularly-at-night
-repetitive-movements-of-hands-and-wrists
What-is-the-treatment-for-carpal-tunnel-syndrome?---ans-✔✔-rest/splint
-changing-the-angle-of-the-wrist-during-repetitive-motions
-steroid-injections-
-surgery
What-is-a-TIA?---ans-✔✔Transient-Ischemic-Attack.-Mini-stroke.-Temporary-loss-of-blood-
supply-to-the-brain
What-are-the-risk-factors-for-TIA/CVA?---ans-✔✔-smoking
-hypertension
-hyperlipidemia
What-are-the-2-types-of-CVA?---ans-✔✔-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?---ans-✔✔-motor-function-deficits
-sensory-deficits
-language-disorders
-memory-loss,-emotional-lability,-impaired-judgment
-bladder/bowel-incontinence