"I can practice relaxing by listening to my favorite music."Ĥ. "I will not be able to eat or drink anything prior to my surgery."ģ. "I will be glad when this is over so I can go home today."Ģ. Which statement by the client indicates further teaching is needed?ġ. The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Isometric exercises should be done 10 times an hour while awake. The patient should be encouraged to use the overhead trapeze to shift weight for repositioning. Loose cover dressings should be applied to pin sites. Ans: D Feedback: The pin insertion site should be assessed every 8 hours for inflammation and infection. To prevent the complication of skin breakdown in a patient with skeletal traction, what action should be included in the plan of care?Ī) Apply occlusive dressings to the pin sites.ī) Encourage the patient to push up with the elbows when repositioning.Ĭ) Encourage the patient to perform isometric exercises once a shift.ĭ) Assess the pin insertion site every 8 hours. A nurse is caring for a patient who is in skeletal traction. Cervical head halters are used to stabilize the neck. Dunlop's traction is applied to the upper extremity for supracondylar fractures of the elbow and humerus. Russell's traction is used for lower leg fractures. What is the most appropriate type of traction to apply to a fractured proximal femur?ĭ) Cervical head halter Ans: C Feedback: Buck's extension is used for fractures of the proximal femur. A patient is admitted to the unit in traction for a fractured proximal femur and requires traction prior to surgery. It does not result from nerve pressure, skin irritation, or spasms. What pathophysiologic process caused this complication? A) Obstructed arterial blood flow to the forearm and hand B) Simultaneous pressure on the ulnar and radial nerves C) Irritation of Merkel cells in the patient's skin surfaces D) Uncontrolled muscle spasms in the patient's forearm Ans: A Feedback: Volkmann contracture occurs when arterial blood flow is restricted to the forearm and hand and results in contractures of the fingers and wrist. Shortly following application, the patient complained of an inability to straighten his fingers and was subsequently diagnosed with Volkmann contracture. A patient broke his arm in a sports accident and required the application of a cast. The cast will exude heat while it dries and should not be wrapped. While drying, the cast should not be placed on a hard surface. Ans: D Feedback: A cast requires approximately 24 to 72 hours to dry, and until dry, it does not have full strength. Immediately postapplication, the nurse should provide what teaching to the patient?Ī) The cast will feel cool to touch for the first 30 minutes.ī) The cast should be wrapped snuggly with a towel until the patient gets home.Ĭ) The cast should be supported on a board while drying.ĭ) The cast will only have full strength when dry. TERMS IN THIS SET (40) A nurse is caring for a patient who has had a plaster arm cast applied.
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