Amanda Blaire, 14-year-old female, who was in an ATV accident and now has a fractured tibia and fibula. Her vital signs are Temperature 98.6, HR 87, BP 111/72, RR 18, PaO2 97%. She is post-op day 1 with continuous traction and skeletal pins to imm ALL AN

Amanda Blaire Room 301 Amanda Blaire, 14-year-old female, who was in an ATV accident and now has a fractured tibia and fibula. Her vital signs are Temperature 98.6, HR 87, BP 111/72, RR 18, PaO2 97%. She is post-op day 1 with continuous traction and skeletal pins to immobilize leg. You responded correctly to 4 out of 6 evaluations: Category Your response Explanation Educational Needs Normal acuity Status Assessment reports fracture and surgery and rehabilitation needs. Health Normal acuity Status Assessment reports fractures, major surgery, and rehabilitation needs. LOC Normal acuity Status assessment reports no indication of increased LOC acuity Pain Increased acuity Status Assessment reports fractures, major surgery, and rehabilitation needs. Psych Normal acuity Status assessment reports no indication of increased Psychiatric acuity Safety Increased acuity Status Assessment reports fractures, major surgery, and rehabilitation needs. Amanda Blaire 14-year-old female, who was in an ATV accident and now has a fractured tibia and fibula. Her vital signs are Temperature 98.6, HR 87, BP 111/72, RR 18, PaO2 97%. She is post-op day 1 with continuous traction and skeletal pins to immobilize leg. You correctly diagnosed 8 out of 9 options: Physiological Description Your Response Explanation Acute pain True Status assessment reports fractured tib/fib and continuous tr skeletal pins. Constipation False Patient is at risk for Constipation. Description Your Response Explanation Impaired mobility True Status assessment reports fractured leg and continuous tract immobilized leg. Impaired skin integrity True Status assessment reports is post op with skeletal pins. Nutrition, altered less than body requirements False Status assessment reports no indication of Nutrition, less tha requirements Risk for infection True Status assessment reports Post op. Tissue Perfusion, altered False Status assessment reports no indication of Tissue Perfusion, Safety Description Your Response Explanation Infection True Patient is at risk for Infection Knowledge deficit True Education will be needed for post op, continuous traction, and skeletal pins. Amanda Blaire Scenario 1 Amanda is due now for a scheduled 2-hour position change. You correctly ordered 5 out of 5 actions: Your order Correct order Step Explanation 1 1 Assess for pain and administer pain medication if needed Pain can be increased with changing po treat pain in a timely manner 2 2 Instruct patient about the position change and what position will be achieved Ensures more cooperation from the pati 3 3 Have Amanda use grab bar over bed to assist with turning Assists with the change in position from left side to right side 4 4 Inspect skin for signs of breakdown When a patient is bedbound there is an of skin breakdown 5 5 Use pillows to position Amanda in proper alignment Ensures comfort and decreased chance Scenario 2 Amanda is complaining of increased pain in her injured leg.