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Fractures Review
Fractures Review NCLEX ?'s
| Question | Answer |
|---|---|
| a pt is complaining of pain underneath a cast in the area of a bony prominence. The nurse understansd that the pt may need to have | a window cut in the cast |
| A nurse witnesses a pt fall and suspect the patient has a leg fracture which action is priority | immobilize the leg before moving the pt |
| a pt has sustained a closed fracture 15 min ago and has just had a cast applied to her right arm. She complains of pain in the arm. The nurse tells her to elevate the arm, give her an ice pack to place upon the area that hurts and give hers vicodin. | the newness of the fracture |
| a nurse has provided instructions regarding specific leg exercises 4 the ct immobilized in right lower leg traction. The nurse determines that the ct needs further instruction when ct | performed active ROM tot he right ankle and knee |
| a nurse is caring 4 a patient with a leg fracture. A plaster cast has been applied in position the cast the nurse should | elevate the leg on pillow continuously for 24 to 48 hours |
| a nurse is checking a casted extremity. The nurse wou8ld check for which of the following s/s indicative of an infection? | present of a "hot spot" on the cast |
| a nursing instruct asks a student nurse about the risk factors assoc with osteoporosis. The instructor tells the studen tthat he needs to read more about this disorder if the student states that which of the following is an assoc risk factor | high calcium diet |
| a pt reports increasing pain not relieved by medications or elevation following surgery and application of a long cast on his leg. What conmplication is likely occuring | compartment syndrome |
| upon arrival at the emergency department the pt leg is painful swollen rotated outwards ecchymotic and is shorter than the other leg. what is consistent with a fracture? | ecchymosis, deformity: one shorter than the other, swelling and pain |
| define pagets disease | of bone is a condition that affects the way your one breaks down adn rebuilds (metabolizes) |
| medications for pagets disease | biphosphates:irritation for GI tract Calcitonin: nausea, facial flushing and irritation at the injection site. NSAIDS acetaminophen |
| 4 educational topics that the nurse will address with the pts with pagets | safety measures to prevent falls eating foods/taking medications that provide adequate calcium and vit D, exercising and maintaing a healthy weight |
| ten risk factors for bone fracture | osteoporosis, bone cancer, pagets disease, hyperthyroidism, corticosteroid use, physical abuse, falls, contact sports, MVA's motocycle accidents, substance abuse |
Created by:
starr8904
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