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34 Cards in this Set
- Front
- Back
In using a CPM machine, what is the nurse responsible for?
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Making certain the machine is attached properly and that the settings are what the surgeon ordered.
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Full ROM should be performed actively or passively how often?
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Several times a day
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What do you look for in a head-to-toe assessment of a patient that's immobilized?
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reddened areas, pale or blue skin, coldness, diminished or absent pulses,
shallow breathing, rapid or depressed respiratory rate, cough, abnormal lung sounds, use of accessory muscles, retractions, grunting |
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For pts with a cast, look for what?
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Foul odor (sniff!)
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What is perfusion?
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Circulation of blood
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What should be done for the immobilized patient?
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Pressure relief devices, regular turning, coughing, deep breathing, ROM exercises, assisted ambulation, visitation
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When the cast is new, how often should you turn the pt?
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every 2 hours
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How do you apply an elastic bandage?
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Elevate the limb and support it while applying the bandage.
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When applying a bandage, face the patient and do what?
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Wrap from distal to proximal
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A wrapped bandage should be removed how often?
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Twice a day
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Circular turns are used when?
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To anchor the bandage and terminate the wrap.
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Spiral turns are used when?
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On uniform parts of the body, such as upper arm or upper leg
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When is the spiral reverse turn used?
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To bandage nonuniform circumference body parts.
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Where is a figure-of-eight bandage used?
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elbow, knee, ankle
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Where is the recurrent turn bandage used?
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On body parts such as fingers, skull, or an amputation stump
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Why is a sling used?
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To support and immobilize an extremity. The sling holds the extremity in an elevated position to avoid edema and fatigue.
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When must a patient never be unattended?
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In a lift or while in the tub or whirlpool bath
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When ambulating with a cane, what normally is the order? Cane is on good side.
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Cane - Bad leg - good leg
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How do you know if the height of the walker is correct?
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if the patient's elbow is bent at a 15 to 30 degree angle.
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What kind of crutches are used for short term use?
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Axillary
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Resting the bodies weight on what is bad?
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The axillary bar
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When standing, the crutch pads should be how far away from the axilla?
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1 1/2 to 2 inches
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The ______ support the weight in crutch walking.
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hands
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What is used to strengthen and support parts of the body affected by weakness or paralysis??
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Splints, braces, prostheses
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Range of motions exercises promote circulation in the patient by:
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Contracting the muscles surrounding a vein, forcing lood to move toward the heart.
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A nursing measure to keep a patient in traction from developing hypostatic pneumonia is:
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Making sure she is turned every two hours
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A potential musculoskeletal problem that a person in traction could develop is
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Decreased joint mobility
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In addition to good skin care and frequent turning, what can be done to prevent pressure ulcers in a patient in traction?
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encourage adequate nutritional and fluid intake
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When moving a patient up in bed who has traction attached to a lower extremity, you would??
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Using a pull sheet, steadily and slowly pull the patient up in bed
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The amount of weight exerted by traction is determined by:
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The amount of weight placed on the traction ropes.
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When measuring for crutches, you know that the axillary bar should be ____ beneath the axilla, and the elbow should be at ____ degrees
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3 finger breadths; 15 degrees
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When assessing a new cast. you find that the cast is tight and flush to the skin.
What do you do? |
Question the patient as to whether the arm has been kept elevated.
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After applying an elastic bandage to an ankle, you know it is too tight if:
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The toes are bluish and cool to touch
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When caring for traction pins and wires, it is most important to:
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use strict aseptic technique to prevent infection.
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