Question

DISCOVER B evate the log on pillows and apply ice packs Teach the client how to ambulate with a tripod walker D Ass the cent for distention and vomiting 00When preparing the client in short d i scharge which dat indicate that the client needs further teaching? A n eed to keep my log elevated on two pillows or the first 24 hours should apply ice packs for one (1) hour and remove them for one (1) hour need to contact the health provider it have any numbness or pale toenails can put a coat hanger down the cast to scratch gently if I have severe itching device? pychosocial client problem would be most likely in a client with an external fixato A ineffective coping B. Alteration in body image c Grieving D. Social isolation 208. A client Achent recovering from a total hip replacement has develop a deep vein thrombosis. The health care provider has ordered a continuous infusion of heparin, an anticoagulant, to infuse a 12000 units per hour. The bag comes with 20.000 units of heparin in 500 mL of 0.9% norma saline. At what rate should the nurse set the pump? 209. When conducting rounds at change of shift, the nurse assesses the client with a fractured humerus. What data would warrant immediate intervention by the nurse? A Capillary refill time of that arm is less than three (3) seconds B. Pain relieved by the patient controlled anesthesia machine C. Edema under the dressing that caused the nails to be white D. Warm and dry skin on the fingers distally to the elastic bandage 210. The client with a right open fractured elbow has a long arm cast and is complaining of unrelenting severe pain and feeling as if the fingers are sleep. Which complications should the nurse suspect that the client is experiencing? A. Fat embolism B. Compartment syndrome C. Pressure ulcer cast D. Surgical infection 211. The elderly client is admitted to the hospital for severe back pain. Which data should the nurse assess first during the admission assessment?

Answer 1

206.

A short leg cast applied to the skin can cause itching under the skin , in these case no attempts has to be done to relieve the itch with help of a coat hanger or any instrument. This can lead to skin break down accidentally and causing infection.

Elevation of limb will relieve and prevent any edema

Application of ice packs will ease pain

Numbness and pale toe nails is a signs of loos of blood circulation and numbness which has to reported immediately andctresated by a provider

Ans:D.I can pit the coat hanger down the cast to scratch gently if I have severe itching

207.

An external fixator applied on a patient's leg can be disturbing ,irritating and some times painful and uneasy to walk easily.The first thing here the patient experience is the body image disturbances and they lay to go to the society and mingle because of this.

The coping strategies can be improved with the photographic techniques. Grieving by adequate counseling and support

Ans:B.Alteration in body image

208.Given

Order:12000units/hr

Medication:Heparin

Available:20000units/500ml

So 12000units=??

Cross multiply and divide

=12000×500÷20000

=300ml

Therefore 300ml has to be infused in an hour ,to calculate the flow rate

Total volume×drop factor ÷Time ×60

Total volume:300ml

Time:1 hour

Drop factor:15gtt/min(standard)

=300×15÷1×60

=The nurse should set at 75drops/min

209.

The normal capillary refill time is less than 2 seconds. An increase in the time denotes loss of blood circulation and can cause complications. This has to be addressed immediately when it is more than 3 seconds to avoid major complications

The main action of controlled anesthesia machine is to relieve pain and can be used as per order

Edema can alter the circulation die to tissue perfusion A white nails indicates loos of blood supply and needs immediate intervention by elevating the limb and assessing the site.

Warm and dry skin is a sign of dehydration

Ans:Edema under the dressing that caused the nails to be white