Summary NR 324 Final Exam Review.pdf

1. Types iof iTraction Skin: iWeights iattached ito ipatient’s iskin ito idecrease imuscle ispams iand iimmobilize ithe iextremity i before isurgery. iEx iBryant itraction i(for ihip idysplasia iin ichildren) iand iBuck i‘s itraction ifor ihip ifracture iin iadult ipatients). Skeletal: iScrews iare iinserted iinto ibone. iUsed ifor ilong ibone ifractures isuch ias ifemur, itibia, ifibula, i humerus, iulna, iradius, imetacarpals, iphalanges iand imetatarsals. Halo: iused ifor icervical ibone ifractures. iNurse ishould imake isure iwrench ito irelease irods iis i attached ito ithe ivest, iso iCPR ican ibe iperformed. Nursing iinterventions • Assess ineurovascular istatus ievery ihour ifor ithe i1st i24hrs iand ithen ievery i4 ihours. • Do inot ilift ior iremove iweights • Do inot ilet iweights irest ion ifloor i(make isure ithey iare ihanging ifreely) • Muscle ispams iare iexpected iand ishould ibe itreated iw/meds, irepositioning, iheat, ior i message. iUnrelieved imuscle ispasms ishould ibe ireported ito iprovider. • For ihalo itraction, imove ipatient ias ia iunit iand ido inot iapply ipressure ito irods. • Monitor ifor iskin ibreakdown 2. Lupus Autoimmune idisorder ithat icauses ichronic iinflammation iin ithe ibody. iThere iis ino icure. iThere iare i 2 itypes. iSystemic i– iaffects ithe iconnective itissues iin imultiple iorgans. iDiscoid i- iaffects iskin i(butterfly irash). Risk ifactors: iFemale, iages i20-40, irace i(Africa iAmerican, iAsian, iNative iAmerican) iS&S: iFatigue, ijoint ipain, ifever, ibutterfly irash ion iface, idepression, iedema, iRaynaud’s i phenomenon, ianemia, ipericarditis, ilymphadenopathy. Lab: ipositive iANA ititer, idecreased iserum icompletement i(C3/C4), idecreased iRBC, iWBC, iplatelets. i Increase iBUN iand icreatinine iwith ikidney iinvolvement. Med: iNSAIDs, iimmunosuppressant iagents i(prednisone, imethotrexate), iantimalaria idrugs i (hydroxychloroquine), itopical isteroid icreams ifor irash. Interventions: i Avoid iUV/sun iexposure, iavoid isick ipeople, istress, icold iweather, iinfection, i pregnancy, ipatient ishould iuse imild iprotein ishampoo ito iwash ihair.