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35 Cards in this Set
- Front
- Back
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What happens to cause hypostatic pneumonia?
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Stasis of secretions in the lung provide a medium for bacterial growth.
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What is a side effect of venous stasis??
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Thrombus formation
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What is atelectasis?
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Collapsed or airless part of the lung
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Decreased muscle mass and muscle tension can lead to??
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Fibrosis of connective tissue
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Stasis of urine can lead to??
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Precipitation of Calcium salts
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Renal stones can lead to
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Dysuria
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What is dysuria??
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Painful urination
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What is ischemia??
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Deficiency of blood to a part, bacause of circulation that is blocked for some reason.
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How does normal movement assist in venous return??
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Compression of muscles against the venous walls during muscle activity.
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What does assess CSM mean??
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Assess color, sensation, and movement
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How do you help prevent ulcers?
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Turn pt every 2 hours, keep linens smooth, use pressure relief devices.
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What can you do for an elderly person that has anorexia?
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Frequent small meals, have family bring in favorite foods, bedtime snacks
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What is traction?
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Application of a pulling force
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As time goes on, in traction, the muscles tire and weight is ??
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Reduced
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How should the traction weights be??
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Swinging freely without touching bed or floor. Ropes must move freely through the pulleys.
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What is skin traction?
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A velcro boot, belt, halter or sling is applied to the skin, and the traction is attached to the appliance.
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What is the maximum weight that can be applied as skin traction?
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5 - 10 lbs
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What is skeletal traction?
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Pins, tongs, screws are wired to the bone, and traction is applied directly to the bone, which can support more weight than the skin.
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What provides the countertraction force??
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The weight of the patient, and the position of the bed.
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What is the nurse responsible for, as far as traction is concerned?
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Maintaining the correct weight and alignment of traction and maintaining a balance between traction pull and countertraction.
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When are circulation checks performed when a patient is in skeletal traction?
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Every hour for the first 24 hours, and every 4 hours thereafter.
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When applying a cast, what is done first?
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A layer of sockinette
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What is done second when applying a cast?
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A layer of cotton or synthetic padding
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What will the patient feel when the cast is applied?
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Heat
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Dents in a cast can lead to what??
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Circulatory impairment and pressure injuries
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After applying a cast, what is it important to do?
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elevate the affected part
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What do you use to pad rough edges of a cast?
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Moleskin
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Cast condition should be checked how often?
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Every 8 hours
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What happens when someone puts small items inside of a cast?
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Pressure necrosis
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What is an air-fluidized bed?
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tiny silicone beads within the bed under a flexible air-permeable filter sheet. Warmed air passes through the particles and they act as a fluid that suspends the patient.
It is effective in prevention of pressure injury. |
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What is a low air-loss bed??
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Distributed air through multiple cushions connected in a series. Calibrated to provide pressure relief. Shear and friction reduced.
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What is the continuous lateral-rotation bed?
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Decreases lung collapse. Reduces risk of deep vein thrombosis. Programmed for the individual patient. Turns in an arc up to 80 degrees.
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What is the CircOlectric bed??
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Used for burn patients, bed can move in 360 degree arc. Not used much today.
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What accessories aid in reduction of skin trauma from pressure??
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foam and gel pads, sheepskin pads, heel and elbow protetors, gel or foam pads, pulsating air pads, water mattresses
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What is a continuous passive motion machine??
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Prevents contracture, muscle atrophy, venous stasis. Pain a problem. May need to medicate 1/2 hour prior to treatment.
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