Exam 11: Orthopedic Measures

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The nurse is caring for a patient who has had a new cast applied.The nurse is performing a neurovascular assessment so as to detect signs of possible compartment syndrome.Which of the following are signs of compartment syndrome? (Select all that apply.)

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A, B, C, D

____________________ consists of a metal frame that secures pins inserted through the bone above and below the fracture site.It stabilizes a fracture with hardware visible outside the body.

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External fixation
External fixation consists of a metal frame that secures pins inserted through the bone above and below a fracture site.External fixation stabilizes a fracture with hardware visible outside the body.It fosters the healing of complex fractured bones, usually in the lower extremities.

For cast removal, which of the following instructions should the nurse provide to the patient?

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B

After application of the cast, the nurse ensures that plaster crumbs are removed and rough edges are _________ to prevent skin breakdown.

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The patient has fallen and broken her leg.To keep the leg bones aligned and to reduce muscle spasms, the physician orders the patient to be placed in ____________.

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A _______________ is an externally applied structure that holds musculoskeletal tissues in a specific position to permit healing of injuries or fractures or to align malpositioned tissues.

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While in Buck's extension traction, the patient may be positioned on the back:

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According to the National Association of Orthopaedic Nurses (NAON), which of the following is possibly the most effective cleansing solution for pin-site care?

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When applying a plaster of Paris cast, it is important to keep the cast exposed for at least _____________ minutes.

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An appropriate technique for the nurse to implement for the patient who is being casted is to:

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When teaching cast care, the nurse instructs the patient to:

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The patient is brought into the emergency department after falling on the ice in her driveway.She is suspected of having a fractured hip.After comparing different available types of traction, she anticipates that which of the following will be used?

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__________________ involves monitoring for the five Ps (pain, pallor, pulselessness, paresthesia, and paralysis).

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An appropriate technique for the nurse to implement for a patient who is being placed in traction is to:

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The patient has a broken leg and needs to have a cast applied.When plaster of Paris is compared and contrasted versus the newer synthetic casts, which of the following statements is true?

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For a patient in traction who has skeletal pins, the nurse should:

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The patient has been in skeletal traction for external fixation of his femur for 2 days.Suddenly, he calls the nurse complaining of chest pain and shortness of breath.The nurse notes that the patient appears anxious, and that his pulse and respirations are elevated.She should do which of the following? (Select all that apply.)

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The patient is in traction and is at risk for fat embolism syndrome.Signs and symptoms of fat embolism include which of the following? (Select all that apply.)

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For a patient who is to be placed in Russell's traction, the nurse prepares the:

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In planning nursing care, the nurse knows that she will need to provide an abduction pillow for which patient?

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