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21 Cards in this Set
- Front
- Back
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In what ways does inactivity affect respiratiory exchange and airway clearance?
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Stasis of secretions, insufficient O2, Decreased elastic recoil, diminished pulse
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What is elastic recoil?
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the ability of a stretched elastic object or organ, such as the lung or bladder, to return to its resting position.
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What kind of exercises are important if a patient is on an extended period of bed rest?
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Isometric exercises
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To perform a neurovascular assessment on an immobilized extremity you would:
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Inspect area distal to injury, and have pt move it. Inquire about feelings of numbness or paresthesia. Make sure patient's eyes are closed.
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What is part of the neurovascular assessment with reguld to pulses?
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palpate pulses distal to the injury and compare bilaterally, if possible.
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How fast should capillary refill be?
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within 3 seconds: 5 for elderly
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Part of the neurovascular assessment should be inquiry about????
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Pain
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How often do you do a neurovascular assessment on an immobilized extremity?
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Every hour for 24 hours: every 4 hours afterward
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What should you do to care for the cast during the drying period?
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Use palms of hands, not fingertips, Elevate cast on pillow. Turn patient at intervals so that all sides of the cast have a chance to dry
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What are 5 pressure relief devices used to help prevent skin injury?
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Specialty bed, gel and foam pad, elbow and ankle protectors, sheepskin pads, gel or foam pads, water mattresses
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Six principles in applying elastic or roller bandages:
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a. even pressure
b. elevate limb while applying bandage c. Don't use safety pin to hold closed d. even wraps. e. smooth f. use light to moderate tension |
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What is Homan's sign?
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Homan's sign is a diagnostic test in which the foot is flexed. If increased resistance or pain is present, the test is considered positive. The calf feels warm to the touch.
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What is Atelectasis?
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Collapsed alevioli
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Another definition of Atelectasis:
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Collapsed area of the lung
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What may help atelectasis?
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Use of incentive spirometer
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What do you do to try to prevent renal stones?
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Increase fluid intake
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Two main aspects of nursing care for the patient in traction are to :
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a. Keep the patient in alignment
b. keep the weights free of friction. |
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It is very important that the weight of the traction be _____ when the patient is moved up in bed.
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Maintained
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For traction to be maximally effective, the ropes must do what?
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Move freely thru the pulleys.
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Countertraction force is provided by what?
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The weight of the patient, and the position of the bed
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Crutches need to be adjusted how?
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to the individual patient both in height (length) and from the axillary bar to the handgrip
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