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ORTH11
| Question | Answer |
|---|---|
| Splints help prevent ___ _____ and _____ _____. | fat emboli; muscle spasm |
| If client has an open fracture, what is tx? | cover it w/something sterile |
| What are the neurovascular checks used? | pulses, color, movement, sensation, capillary refill, temp |
| Which injuries could shock most likely occur? | pelvic fractures; crushing injuries; long bone injuries |
| fat emboli are more commmon in ____ ____ in the first ________. | young males; 36 hours |
| severe pain unrelieved with pain meds usually means | compartment syndrome |
| what are the most common areas for compartment syndrome | forearms; quadraceps |
| how do you prevent compartment syndrome? | elevate extremity and use soft case first, then rigid. |
| If patient develops compartment syndrome, what can be done? | bivalving cast or fasciotomy |
| healing doesn't occur at a normal rate | delayed union |
| failure of bone ends to unite; may require bone grafting | non-union |
| persistent discomfort w/movement may mean | mal-union |
| in the first 24 hours, the nurse should use _______ when touching cast, not _______. | palms of hands; fingertips |
| T/F: cast should be covered immediately after it is placed. | no, should air dry to prevent trapping the heat next to the skin. |
| what is appropriate to use if the patient compalins of the cast itching? | do not stick anything in cast! use a blow dryer on cool. |
| traction should be | continuous |
| weights on traction should | hang freely |
| what type of matress should patient have? | firm |
| Buck's traction is a type of | short term skin traction |
| buck's traction is usually used with | hip and femoral fractures |
| skeletal traction uses | wires and pins |
| skeletal traction is used when _______ ______ is needed. | prolonged traction |
| Pin care should be performed with ____ ____. | sterile technique |
| nurse should remember to _____ _____ during pin care. | remove crust |
| patient with hip replacement post op wants to have legs_____. | abducted (apart) |
| what exercises are recommended to patients confined to bed? | isometric exercises |
| what should be used to prevent external rotation? | trochanter roll |
| A patient with a total hip replacement should not ____ or ____. | bend over; cross legs |
| best exercises for hip replacement patients in rehab? | walking; swimming |
| After a total knee replacement-patient may be placed on | continious passive motion machine |
| CPM prevents formation of ______ _____. | scar tissue |
| Amputations are performed at the most ______ point that will heal. Doc tries to preserve the _____ and the _____. | distal; knee; elbow |
| What should be placed by bedside after amputation? | tourniquet |
| After an amputation, the extremity should not be placed on a _____ but rather the ______. | pillow; foot of the bed elevated |
| After amputation, the extremity should be laying ____ on the bed. | flat |
| We want the stump shaped like a ______. | cone |
| what is worn under the prosthesis? | limb sock |
| massaging the stump promotes _____ and decreases _____. | circulation; tenderness. |
| Crutches should be ______ below the ______. | 1-2 inches; axilla |
| When going up stairs on crutches _________. | good leg first |
| When going down stairs on crutches _____. | bad leg first |
| If standing on crutches and putting weight on axilla, _______ can occur. | brachial damage |
Created by:
SouthernBelle
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