Fund Ch 39 Flashcards
cut in half lengthwise
bivalve
rigid dressing, molded to the body while pliable, that hardens as it dries to give firm support
cast
the weight pulling against the weight of the traction
counter traction force
back
dorsum
metal device inserted into or through one or more bones to stabilize fragments of a fracture while it heals
external fixator
muscular weakness or partial paralysis affecting one side of the body
hemiparesis
one-sided paralysis
hemiplegia
massage or debridement by moving water
hydrotherapy
pneumonia caused by stasis of lung secretions due to inactivity, which provides a medium for bacterial growth
hypostatic pneumonia
exercises performed against resistance
isometric exercises
moving
kinetic
soft material, often with an adhesive backing, used especially on the feet to protect against chafing
moleskin
rectangular frame to which traction equipment may be attached
over-the-bed frame
person who is paralyzed in the legs and lower part of the body
paraplegic
feeling of numbness or tingling
paresthesia
the act of pouring over or through, especially the passage of a fluid through the vessels of a specific organ; circulation of blood through tissue
perfusion
individuals who are paralyzed in all four limbs
quadriplegics
figure-of-eight cast
spica cast
bandage for supporting a part
sling
device that protects an injured body part by immobilizing it
splint
the act of drawing or exerting a pulling force, as along the axis of a structure
traction
overhead bar on a bed, which the patient can grab
trapeze bar
The nurse irrigating an infected wound of the hand would: Prioritize the steps:
- Open sterile irrigation basin and solution.
- Pour irrigating solution in basin.
- Place pad under the infected hand.
- Don sterile gloves to apply dressing.
- Irrigate keeping the syringe tip 1 inch from the wound surface.
- Pat wound dry and redress.
- Document procedure.
The nurse explains that range-of-motion exercises are necessary so that movement improves venous circulation by:
compression of muscles on venous walls.
The nurse directs the immobilized patient in frequent deep breathing exercises during the day in order to combat:
hypostatic pneumonia.
A nurse enters the room of a patient who is in Bucks traction (skin traction). An error in the traction setup observed would be:
feet resting against the foot of the bed.
The daughter of an elderly woman with a diagnosis of a fractured tibia asks why her mother is in Bucks traction. The nurses most informative response would be that Bucks traction:
reduces muscle spasm that accompanies fractures.
An anxious patient in skeletal traction is distressed by the clear fluid drainage that is oozing from the pin sites. The nurse’s best intervention would be to:
assure the patient that such drainage is expected.
A patient who just underwent a left arm cast change to a synthetic fiberglass cast asks when the cast should be dry. The best response is that it should be hardened enough to be durable within:
30 minutes
When handling a freshly applied plaster cast while assisting a patient from stretcher to bed, the nurse should handle the cast using:
palms and flat parts of fingers.
A patient who fractured a leg several weeks ago is scheduled for cast removal after he returns home. The nurse should explain to the patient to expect the skin underneath the cast to appear:
dry and dirty.
The nurse explains that an air-fluidized mattress would not be advocated for the patient with:
a spinal cord injury.
The nurse points out that the major advantage of the low-air-loss mattress is that it reduces the incidence of:
friction.
The nurse placing a patient following knee replacement surgery into a continuous passive motion (CPM) machine has the responsibility to:
set the proper flexion and extension limits.
A nurse performing a head-to-toe neurovascular check on a patient in a long leg cast notes an indication of altered perfusion as evidenced by:
numbness of distal limb.
The nurse assesses an elderly patient as having delayed capillary refill if the blanching lasts longer than _____ second(s).
5
A patient has just had a leg cast applied with plaster of Paris. The nurse can best reduce the incidence of edema by:
elevating the leg on one to two pillows.
A nurse is applying an elasticized bandage to the leg of a patient. To perform this procedure correctly, the nurse should:
overlap turns of the bandage equally.
A nurse applying a pressure bandage for a patient should terminate the wrap by a _____ turn.
circular
A patient needs to have a triangular bandage applied. The nurse should position the sling so that the hand is _____ inches below the elbow.
4
When transferring a patient from bed to chair using a mechanical lift, the nurse should:
widen the stance of the lifts base and lock it.
A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient’s elbows are bent to which angle while the patient is upright and grasping the handgrips?
15 to 30 degrees
A nurse giving instructions to a patient who will be using stairs while ambulating with crutches will instruct the patient:
Bring the good leg up first when going up stairs.
A certified nursing assistant (CNA) is assisting a patient into a wheelchair. The nurse intervenes if the CNA has:
left the brakes of the wheelchair unlocked.
The nurse is aware that the maximum weight that can be applied with a skin traction is ______ pounds.
15
The nurse demonstrates a crutch walking technique by advancing the left crutch and the right foot and then the right crutch and the left foot. This is the _____ gait.
two-point
The nurse, in order to prevent the cast from chafing, will instruct the patient for home care to _______ the rough edges with adhesive tape.
petal
The nurse plans for an immobilized patient who suffered a cerebrovascular accident to be protected from skin disruption by the use of: (Select all that apply.)
sheepskin pads.
water mattresses.
pulsating air pads.
A patient has a hip spica cast and will be discharged home to family. The nurse would include in the home teaching plan information relative to: (Select all that apply.)
- protecting the cast from soiling.
- grasping the cast over the leg to help in turning.
- turning frequently to the prone position.
The nurse designs care for the immobilized patient to help combat the major dangers of immobilization, which include: (Select all that apply.)
- pressure injuries.
- loss of bone mass.
- pneumonia.
- permanent loss of function.
When cleaning the pins on a patient in skeletal traction, the nurse should: (Select all that apply.)
- clean closest to the skin puncture site in a circular motion.
- secure ends of wire with cork or adhesive tape.
A certified nursing assistant (CNA) is assisting a patient into a wheelchair. The nurse intervenes if the CNA has:
left the brakes of the wheelchair unlocked.
