NSG 223 - Medical-Surgical Nursing II
Final Exam
Question:
Infection in a patient with a cast most commonly occurs from what?
Answer:
breakdown of skin under the cast also called pressure necrosis
Question:
Signs of pressure necrosis
Answer:
hot spot under the cast, musty smell, fever
Question:
How should a patient with an arm cast position their arm
Answer:
elevate it above the heart to reduce swelling
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Question:
Nursing care for a leg cast
Answer:
elevate the leg on several pillows to reduce swelling and apply ice for first 24 hours as prescribed
Question:
Good diet for healing
Answer:
high in protein, iron, vitamins, carbs
Question:
Monitor pts in a body/spica cast for what serious complication?
Answer:
cast syndrome
Question:
Fracture patient's pain must be immediately reported to the HCP to avoid what
Answer:
paralysis and necrosis
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Question:
How to monitor for potential cast syndrome
Answer:
note bowel sounds every 4-8 hours and report distention, nausea, and vomiting
Question:
Treatment for cast syndrome
Answer:
try to relieve pressure, window in cast
Question:
Goal for post knee replacement- flexion beyond how many degrees
Answer:
90 degrees
Question:
Patient after TKA should avoid pressure on what?
Answer:
heel
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Question:
Greatest concern after TKA and THA
Answer:
contractures
Question:
What is done to prevent contractures
Answer:
maintaining limb extension and CPM
Question:
Acute compartment syndrome is caused by
Answer:
reduced circulation to the area causing increased pressure from cast that is put on too early or too tight
Question:
Most common complication of lower extremity surgery
Answer:
DVT
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