NUR 405 Final
- Nursing assessments for fractures
Answer
- Neurovascular assessment (5 P's- pallor, pain, paresthesia, pulses, paralysis)
- VS
- ROM; proper positioning, alignment, stability of traction/splinting)
- Nursing interventions for fractures
Answer
- X-ray
- ORIF
- Pain management
- Post-op complications for fractures
Answer
DVT and infection
- Open Reduction Internal Fixation (ORIF)
Answer
Surgical alignment of fractured bones using screws, pins, wires, or nails to maintain bone alignment 1 / 4
- Client teaching for fractures
Answer
- Observe pin sites on fixator
- Pin care twice a day
- High protein diet
- Osteomyelitis
Answer
Infection of the bone
- Causes of osteomyelitis
Answer
- Infection (staph aureus)
- Open fracture
- Trauma
- Osteomyelitis clinical manifestations
Answer
Pain not relieved by rest, swelling, ten- derness & warmth at site, fever, nausea, chills, malaise
- Nursing assessment for osteomyelitis
Answer 2 / 4
- Assess the infection site (swelling, warmth, redness),
- Neurovascular (5 P's)
- Temperature
- Nursing interventions for osteomyelitis
Answer
- Labs
- Blood cultures
- OR for debridement
- Labs for osteomyelitis
Answer
- CBC (need to know WBC count)
- Blood cultures
- When should you administer broad-spectrum antibiotics for a patient sus- pected of having
osteomyelitis?
Answer
After obtaining blood cultures
- Teaching for osteomyelitis 3 / 4
Answer
- High protein diet
- Wound care
- Antibiotics through PICC line
- s/s of it getting worse
- Medication adherence
- Nursing assessment for a total hip replacement
Answer
- Neurovascular (5 P's)
- Musculoskeletal (ROM)
- Leg will look displaced/rotated and be shorter
- Nursing interventions for a total hip replacement
Answer
ORIF needs to be done, cannot go to surgery right away if on warfarin/coumadin (administer vitamin K to reverse it; Buck's traction in meantime)
- Teaching for a total hip replacement
Answer
- High protein diet
- / 4